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Pediatria Piso > Apendicitis > Flashcards

Apendicitis Flashcards

1
Q

Pico de prevalencia

A

2da decada de la vida

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2
Q

Etiologia

A

Obstruccion luminal, problemente por fecalito

Puede llegar a perforarse y llevar a peritonitis

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3
Q

Factores de riesgo

A

Adolescentes
Masculino
Fibrosis quistica

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4
Q

Cuadro clinico:

Dolor

A

Dolor en epigastrio o periumbilical que migra a cuadrante inferior derecho

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5
Q

Cuadro clinico:

Otros sintomas

A

Nauseas y vomito posterior al inicio del dolor

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6
Q

Cuadro clinico:

Neonatos

A 
Vomito
Distension abdominal
Fiebre
Diarrea
Irritabilidad
Dolor en cadera derecha
Cojera
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7
Q

Cuadro clinico:

2-5 años

A 
Dolor antes de vomito
Fiebre
Hiporexia
Dolor constante que aumenta con el movimiento y maniobras de valsalva
Diarrea
Disuria
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8
Q

Cuadro clinico:

Signo de Rovsing

A

Presion en cuadrante inferior contralateral

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9
Q

Cuadro clinico:

Signos del psoas

A

Elevar la pierna

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10
Q

Cuadro clinico:

Signo del Obturador

A

Rodilla en alto, flexionada, se hace rotacion interna

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11
Q

Cuadro clinico:

Signo de Bloomberg

A

Dolor al retirar la presion subitamente en cuadrante inferior derecho

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12
Q

Criterios diagnosticos

A

Hemograma con Leucocitos elevados > 12’000
PCR aumentada
Uroanalisis puede tener bacteruria si el cuadro es >48 horas

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13
Q

Imagenes diagnostics

A

Rx de Abdomen
Ecografia
TAC

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14
Q

Tratamiento

A

Quirurgico

Antibiotico despues del procedimiento

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15
Q

Antibiotico de eleccion

A

Ampicilina/Sulbactam
Clindamicina
Piperaclinica/Tazobactam

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16
Q

Dosis y Presentacion:

Ampicilna/Sulbactam

A

200mg/kg/dia

17
Q

Dosis y Presentacion:

Clindamicina

A

25-40mg/kg/dia

18
Q

Dosis y Presentacion:

Piperacilina/Tazobactam

A

150mg/kg/dia

19
Q

Analgesia

A

Dipirona 20mg/kg/dosis

20
Q

Ordenes

A
  1. Observacion
  2. Nada via Oral
  3. LEV basales
  4. Ampicilina/Sulbactam
  5. Ranitidina
  6. Dipirona
  7. Cuantificar LA y LE
21
Q

Dosis y Presentacion:

Ranitidina

A

Dosis: 1mg/kg/dosis

22
Q

Indicaciones de Antibiotico

A

Fase Edematosa: Ampicilina/Sulbactam
Fase Fibrinopurulenta: Ampicilina/Sulbactam
Fase Necrotica: Pip/Tazo
Perforado: Pip/Tazo

23
Q

Duracion de Antibiotico

A

Fase Edematosa: Profilaxis (1 dia)
Fase Fibrinopurulenta: 4-5 dias
Fase Necrotica: 7 dias
Perforada: 14 dias

Pediatria Piso (9 decks)

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