APENDICITIS AGUDA Flashcards

1
Q

ES LA INFLAMACION DEL APENDICE CECAL

A

APENDICITIS

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2
Q

PRESENTACIONES DEL APENDICE

A

RETROCECAL MAS COMUN 41%
PELVICA
PARACECAL
SUBSECAL
PREILEAL MENOS COMUN 4%

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3
Q

TPOS DE APENDICITIS

A

AGUDA, CRONICA Y REACTIVA

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4
Q

CAUSAS DE APENDICITIS N NINOS

A

HIPERPLASIA LINFOIDE

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5
Q

CAUSAS DE APENDICITIS EN ADULTOS

A

OBSTRUCCION DE LA LUZ APENDICULAR POR PRESENCIA DE FECALITO

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6
Q

TIEMPO DE VENTANA EN PENSAR EN PERFORACION?

A

24’48 HORAS

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7
Q

BACTERIAS MAS COMUNES EN APENDICITIS AGUDA

A

B. FRAGILLIS Y E COLI

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8
Q

FASES DE APENDICITIS

A

CONGESTIVA
SUPURATIVA
GANGRENOSA
PERFORADA

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9
Q

PRIMER SIGNO CLINICO EN APARECER EN APENDICITIS

A

HIPERLGESIA CUTANNEA

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10
Q

manifestaciones clinicas mas SENSIBLES en apendicitis

A

hiperañgesia cutanea
rebot positivo
dolor en fid
anorexia
leucocitosis mayor 10,00
neutrofilia mayor 70%

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11
Q

ESCALA MAS UTILIZADA PARA DIAGNOSTICO DE APENDICITIS

A

ESCALA DE ALVARADO

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12
Q

DESCRIBE LA NEMOTECNIA MANTRELS PARA EVALUACION DE APENDICITIS

A

MIGRACION DEL DOLOR
ANOREXIA
NAUSEAS
TENDERNESSS FID
REBOTE +
ELEVACION TEMP
LEUCOCITOSIS
SHIFT TO LEFT

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13
Q

SIGUIENTE PASO EN MUJERES CON UN ALVARADO DE 7?

A

CORROBORAR CON TAC

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14
Q

HOMBRES CON ALVARADO MAYOR A 7?

A

REALIZAR APENDICECTOMIA

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15
Q

TRATAMIENTO DE ELECCION PARA APENDICITIS

A

CIRUGIA LAPAROSCOPICA

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16
Q

COMPLICACIN TEMPRANA DEL APENICITIS

A

INFECCION DEL SITIO QUX

17
Q

COMPLICACION TARDIA DE LA APENDICITIS

A

ABCESO RESIDUAL

18
Q

TRATAMIENTO MEDICO DE MANTENIMINTO DE APENDICITIS

A

PARACETAMOL +CEFALOSPORINA DE 3ERA GEN, EN CASO DE ALERGIA, DAR QUINOLONAS

19
Q

DATOS RADIOGRAFICOS DE APENDICITIS

A

BORRAMIENTO DE PSOAS
FECAALITO
NIVELES HIDROAREOS
POSCICION ANTIALGICA
ASA CENTINELA

20
Q

GOLDTANSART EN APENDICITIS AGUDA

A

TAC

21
Q

EN QUIEN ES EL USG METODO DE ELECCION?

A

NINOS Y EMBARAZADAS