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ANGIO 2 Flashcards

1
Q

TX ENFERMEDAD ARTARIAL PERIFERICA

A

ATORVASTATINA (disminuye mortalidad)

  • CILOSTAZOL (para claudicacion)
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2
Q

que es el SX ISQUEMICO AGUDO ARTERIAL

A

interrupcion subida de perfusion de un miembro distal al sitio de interrupcion

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3
Q

clinica SX ISQUEMICO AGUDO ARTERIAL

A

6 P’s =

Pain
Pulselessness
Pallor
Poikilothermia (frialdad)
Paresthesia
Paralysis
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4
Q

causa SX ISQUEMICO AGUDO ARTERIAL

A

TROMBOSIS

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5
Q

tx SX ISQUEMICO AGUDO ARTERIAL que aun presenta venas audibles

A

REVASCULARIZACION + COAGULACION UUUURRRGEEENTEEE (aun se puede salvar la extremidad)

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6
Q

tx SX ISQUEMICO AGUDO ARTERIAL que NO presenta ni arterias ni vasos audibles

A

AMPUTACION :(

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7
Q

CLASIFICACION ISQUEMIA ARTERIAL AGUDA

A

1) VIABLE = dolor intermitente, no hay alteraciones sensitivomotoras

II ) AMENAZADA
a) dolor continuo + defitit sensitivo ** SALVABLE **

b) dolor persistente +  deficit sensitivo y motor  ** SALVABLE **

III) cianosis, petequias ** AMPUTACION ***

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8
Q

CLINICA DE DISECCION AORTICA ASCENDENTE

A
  • DERRAME PERICARDICO SEROHEMATICO

(que se acumula y causa taponamiento cardiaco)

** DOLOR SEVERO SUBITO **

  • injurgitacion yugular
  • ruidos cardiacos apagados
  • PULSOS PARADOJICOS
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9
Q

DX IIIINIIICIAAAL de diseccion aortica

A

TELE TORAX + ECG

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10
Q

DX DEFINITIVO de diseccion aortica

A

ANGIO-TAC

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11
Q

patogenia de diseccion aortica

A

DESGARRO DE LA INTIMA AORTICA

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12
Q

PIEDRA ANGULAR DEL TX DISECCION AORTICA

A

B BLOQUEADORES

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13
Q

TRIADA DE VIRCHOW

patogenesis de TVP

A

1) ALTERACION DEL FLUJO SANGUINEO
2) LESION VASCULAR
3) HIPERCOAGULABILIDAD

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14
Q

TX TVP

A

HBPM

HNF

FONDAPARINUX

(todos son iguales)

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15
Q

1 COMPLICACION DE TVP

A

TEP

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16
Q

que es FLEGMASIA CERULEA DOLENS

A

Obliteracion de vias venosas profundas principales pero que NO afentan a las colaterales

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17
Q

clinica FLEGMASIA CERULEA DOLENS

A
  • dolor
  • edema

** PIERNA AFECTADA ERITEMATOSA

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18
Q

clinica FLEGMASIA ALBA DOLENS

A
  • dolor
  • MUCHO edema

** PIERNA AFECTADA PALIDA

19
Q

TX FLEGMASIA CERULEA DOLENS

A

1 TROMBECTOMIA QUIRURGICA

20
Q

clinica TROMBO FLEBITIS SUPERFICIAL

A
  • ERITEMA
  • CALOR
  • DOLOR

** PALPA CORDON INDURADO

  • puede haber FIEBRE
21
Q

DX TROMBO FLEBITIS SUPERFICIAL

A

USG DOPPLER

22
Q

tx TVP de LARGO PLAZO

23
Q

DX INICIAL ANEURISMA AORTICO ABDOMINAL

A

USG DOPPLER ABDOMINAL

24
Q

DX DEFINITIVO AAA

A

ANGIO- TAC

25
Q

TX AAA

A

REPARACION ENDOVASCULAR + ESTATINAS

26
Q

TRIADA RUPTURA AAA

A

1) DOLOR ABDOMINAL DIFUSO QUE SE IRRADA A LUMBROSACRO
2) INESTABILIDAD
3) MASA PULSATIL

27
Q

DX CONFIRMATORIO RUPTURA AAA

A

TAC SIMPLE + CON CONTRASTE

28
Q

TX AAA ROTO

A

REPARACION ENDOVASCULAR UUUURRRGEEEENTEEE

29
Q

FACTOR QUE DETERMINA EL TIPO DE TRATAMIENTO EN AAA

30
Q

RIESGO DE RUPTURA AAA POR TAMAÑO

A

< 4 cm = 0%

4- 5 cm = 0.5 - 5%

5 - 6 cm = 3 - 15 %

6 - 7 cm = 10 - 20 %

7 - 8 cm = 20 - 40 %

31
Q

dx insuficiencia venosa cronica

A

USG DOPPLER

32
Q

FR IVC

A
  • EDAD
  • AHF DE VARICES
  • OBESIDAD
  • EMBARAZO
  • SEDENTARISMO *
33
Q

TX IVC

A

FLEBOTONICOS =

  • CASTAÑA DE INDIAS
  • DIOSMINA
  • DOBESILATO CALCICO
  • RUSCUS ACULEATUS

** PENTOXIFILINA = ULCERA VENOSA **

34
Q

TX CX IVC

A

FLEBOEXTRACCION DE VENA SAFENA IIIINTTEEEERRNAAAA + LIGADURA DE VENAS PERFORANTES INCOMPETETNES

35
Q

CAUSAS DE ISQUEMIA MESENTERICA CRONICA

A
  • edad avanzada
  • ICC
  • IAM
  • SEPTISEMIA
  • FA
36
Q

CLINICA ISQUEMIA MESENTERICA CRONICA

A

**DOLOR ABDOMINAL POSPANDRIAL

  • temor a comer
  • adelgazamiento
37
Q

1 causa de ISQUEMIA MESENTERICA CRONICA

A

ATEROESCLEROSIS

38
Q

DX ISQUEMIA MESENTERICA CRONICA

A

TAC HELICOIDAL

39
Q

GOLD ISQUEMIA MESENTERICA CRONICA

A

ANGIOGRAFIA

40
Q

TX ISQUEMIA MESENTERICA CRONICA

A

ANGIOPLASTICA CON STENT

41
Q

DATOS EN TAC DE TROMBOSIS MESENTERICA VEEENOOOSAAA

A

ENGROSAMIENTO DE PARED DEL ASA AFECTADA (“EN DIANA”)

42
Q

TX TROMBOSIS MESENTERICA VEEENOOOSAAA

A

1) HBPM (en el 7-14 dia se agrega WARFARINA)

43
Q

CATEGORIA DE ULCERA POR PRESION

A

I) ENROJECIMIENTO QUE NOOO PALIDECE

II) AMPOLLA

III) SE VE TEJIDO GRASO

IV) SE VE MUSCULO / HUESO

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