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Endocrino > Clase acromegalia > Flashcards

Clase acromegalia Flashcards

1
Q

Manifestaciones clinicas

A

Cefalea, dismincion de AV, parestesias en ambos miembros, crecimiento de labios, nariz, frente orejas, mala oclusión mandibular, crecimiento de extremidades, macroglosia, SAOS

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2
Q

Edad de manifestacion

A

45 años

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3
Q

Incidencia

A

3-4 casos por millon

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4
Q

Principal causa

A

Macroadenoma

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5
Q

Secreción extrahipofisaria que puede ocasionar acromegalia

A

Pancreas (islotes)

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6
Q

Mejor estudio de escrutinio

A

Medicion de IGF-1

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7
Q

Prueba confirmatoria para diagnostico de acromegalia

A

Curva de tolerancia a la glucosa

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8
Q

Tratamiento de eleccion

A

Quirúrgico

  • Microadenomas: Cx transesfenoidal
  • Tumores grandes: Abordaje transcraneal
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9
Q

Tratamiento farmacologico

A 
Analogos de somatostatina
- Ocreotido
- Lantreotido 
Agonistas dopaminergicos
- Cabergolina
-Bromocriptina 
Antagonistas de GH
- Pegvisomat
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Endocrino (15 decks)

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