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CIRURGIA > APENDICITES > Flashcards

APENDICITES Flashcards

1
Q

ANATOMIA

A

-AMS ( DOR )

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2
Q

LOCAL MAIS COMUM DA PONTA DO APENDICE

A

RETROCECAL 60%
PELVICO 30%

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3
Q

CAUSAS

A

FECALITO ( PRINCIPAL)
HIPERPLASIA LINFOIDE ( CRIANCAS )
NEOPLASIAS
ASCARIS
ENEMA BARITADO

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4
Q

FASES

A

0- NORMAL
1-HIPEREMIA E EDEMA (CATARRAL)
2-EXUDATO OU FLEGMONOSA
3-NECROSE OU SUPURATIVA
4-PERFURADA OU GANGRENOSA

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5
Q

CLINICA

A

1-DOR PERIUMBILICAL
2- FID em 12 a 24 HS
3- VOMITOS
4- ANOREXIA
5- FEBRE

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6
Q

ILEOPSOAS

A

LATERAL e EXTENDE O QUADRIL
- RETROCECAL

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7
Q

OBTURADOR

A

ROTACAO INTERNA DE QUADRIL
-APENDICE PELVICO

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8
Q

LAPINKS

A

FLEXAO DA PERNA DIREITA

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9
Q

ESCORE DE ALVARADO

A

0 A 3: BAIXO
MAIOR A 4: PROVAVEL
MAIOR A 7 : ALTO RISCO

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10
Q

DX DIFERENCIAIS GASTROINSTESTINAIS

A

-LINFADENITE MESENTERICA
-DIVERTICULITE DE MECKEL
-DIVERTICULTE AGUDA
-ILEITE AGUDA
-DOENCA DE CROHN

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11
Q

LINFADENITE MESENTERICA CARACTERISTCIAS

A

APOS RESFRIADO
AGENTE: YERSINIA

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12
Q

DX DIFERENCIAIS GINECOLOGICOS

A

DIP
ABECESSO TUBO OVARIANO
CISTO ROTO
GRAVIDEZ ECTOPICO

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13
Q

DX DIFERENCAIS UROLOGICOS

A

nefrolitiase RENAL
PIELONEFRITE

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14
Q

USG

A

-DIAMETRO > 6MM
-FECALITO
-MAGEM DE ALVO > 2MM

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14
Q

EXAME DE IMAGEM DE ESCOLHA em GESTANTE E CRIANCA

A

ECOGRAFIA

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15
Q

EXAME PADRAO OURO

A

TAC COM CONTRASTE EV

16
Q

TTO DE APENDICE NAO COMPLICADA

A

-ATBPROFILAXIA ( max 24hs )
-APENDICECTOMIA LAPAROSCOPICA

17
Q

TTO DE APENDICE COMPLICADA

A

-ATBTERAPIA POR 4 a 7 DIAS
-APENDICECTOMIA

18
Q

TTO DE ABCESSO

A

-APENDICETOMIA DE INTERVALO : DRENAJEM PERCUTANEA + ATB VO + CX em 6 a 8 SEM

-COLONOSCOPIA >40a

19
Q

Conduta em tumor em apendice

A

-Apendicetomia : <1cm
-Hemicolectomia + linfadenectomia : >2cm ou adenocarcinoma

20
Q

Risco de perfuracao é maior em

A

extremos de idade

CIRURGIA (17 decks)

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