CICOM

Question 1

what are preeclampsia and eclampsia?

Answer 1

its a dissorder that occurs after 20th week gestation and up to 6 weeks following delivery.

It is defined by a new onset of hypertension and proteinuria but can affect a lot of organs, particularly: the kidneys, eyes (scoptoma), liver, and brain.

Eclampsia is diagnosed when a patient with preeclampsia develops seizures.

Question 2

what is the syndrome that is developed in a several case of preeclampsia?

Answer 2

HELLP syndrome
-Hemolysis
-Elevated enzyme Liver
-Low platelet

Question 3

Treatement for Preeclampsia and HELLP?

Answer 3

Usually hospitalization

Delivery, depending on factors such as gestational age, fetal status, and severity of preeclampsia

Magnesium sulfate to prevent or treat new seizures or to prevent seizures from recurring

Sometimes antihypertensive treatment, if patient meets criteria for severe hypertension

Question 4

complications from the preeclampsia

Answer 4

on mom:
- placental abruption
- end organ damage

Fetal complications include:
- growth restriction
- oligohydramnios
- stillbirth

the children have more probability to get an stroke or coronariopatty

Question 5

Steps to do in a polytraumatized patient

Answer 5

1. Primary valoration and resusitacion
2. secondary valoration
3. categorization and triage (Varios pacientes ¿Cual es el mas grave?)
4. Derivation and transport
5. Continuues revaluation

Question 6

whats the most common tipe of traumatism

Answer 6

high energy traumatism (50KM/HR)

Question 7

What’s the triad from the child hit for a car.

Answer 7

Waddell’s triad is a pattern of injuries that occurs in children who are struck by a motor vehicle and includes:
* A fractured femoral shaft
* An intra-thoracic or intra-abdominal injury
* A head injury on the opposite side of the body

Question 8

Sistema de puntuación comúnmente utilizado en traumatología, a mayor puntuación mayor gravedad de las lesiones y, por tanto, mayor mortalidad.

Answer 8

INJURY SEVERITY SCORE (ISS)

Question 9

What priority do exposed fractures have and what should be done with them?

Answer 9

There is an urgency and need
* surgical cleaning
* antibiotic treatment

Question 10

torniquet or packing

Answer 10

sometimes the torniquet could make some triombos, improve the damage or be made incorrectly.

packing is better

Question 11

A “mangled extremity severity score” (MESS)

Answer 11

is a scoring system used in medicine to assess the severity of a limb injury, primarily to predict the likelihood of needing amputation based on factors like the extent of soft tissue and bone damage, limb ischemia, shock, and patient age;

a score of >7 or higher typically indicates a high chance of requiring amputation.

Question 12

what we should do first when a polytraumatized pacient came

Answer 12

1# Damage control (Nails and screws)
2# Total care (Establish the pacient)

Question 13

Counterregulatory hormones are a group of hormones that work to prevent hypoglycemia by opposing insulin’s action:

Answer 13

1. Glucagon: The most important hormone for acute glucose counterregulation
2. Epinephrine: Also known as adrenaline, this hormone is important for glucose recovery during hypoglycemia
3. Cortisol: Released during physical or psychological stress, this hormone contributes to counterregulation during prolonged hypoglycemia
4. Growth hormone: This hormone contributes to counterregulation during prolonged hypoglycemia
5. Catecholamines: These hormones include norepinephrine (noradrenaline)

Question 14

The three types of ketone bodies are:

Answer 14

acetoacetate, beta-hydroxybutyrate, and acetone.

the bete-hydroxy is the best

Question 15

¿when the kusmaul breathing presents?

Answer 15

When whe have metabolic acidosis
it presents when we have keto (acidosis)