Cirugia Flashcards

1
Q

Causa global mas frecuente de apendictis

A

Pediatricos
Hiperplasia linfoide

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2
Q

Principales patogenos en apendicitis

A
  1. B fragilis
  2. E coli
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3
Q

Signo de iliopsoas

A

Dolor en la fosa iliaca a la extension

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4
Q

Signo de obturador

A

Dolor en fosa iliaca con rotacion interna

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5
Q

Sign de Markle

A

Dolor al caer con talon despues de etra de puntas

Apendicitis

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6
Q

Signo de Dunphy

A

Door en fosa iliaca derecha al toser

Apendicitis

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7
Q

Signo de summer

A

Defensa muscular involuntaria

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8
Q

Niveles de PCR dx de apendicitis

A

> 8

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9
Q

Que es la prueba triple en medicina

A

PCR >8
Leucos >11
Neutro >75%

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10
Q

Diametro por USG dx de apendicitis

A

> 9 mm o grosor > 2mm

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11
Q

Metodo de imagen dx de apendictis

Niños, emb, adultos

A

Niños y emb: USG
Adultos: TAC

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12
Q

Que hallazgos se ven en la TAC dx de apendicitis

A

Engrosamiento >2mm
Apendicolito
>Flegmon
>Absceso
>Liqudo libre
>Deshilach grasa en fosa iliaca

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13
Q

Puntos de corte e interpretacion de apendicitis

A
  • 0-4: Negativo
  • 5-6: Posible, observacion
  • 7-8: Pb apendicitis. Cirugia
  • 9-10: Apendicitis. Cirugia
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14
Q

Ab prifilactico preoperatorio

A

Cefoxitina

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15
Q

Complicacion mas comun tardi ay aguda de apendicitis

A

Aguda: Infeccion herida
Tardia: Absceso

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