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Gastro 1pp > Colon > Flashcards

Colon Flashcards

1
Q

Definicion de revista mexicana de gastroeneterologia que menciona como la mayoria de persona describen estreñimiento

A

Mayor esfuerzo para defecar

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2
Q

Tipos de estteñimientos y %

A

Transito colonico lento o inercia colonica 13%
discinergia del piso pelvico 25%
Transito colonico normal 60%

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3
Q

2do factor de riesgo asociado a etsreñiminto

A

envejecimiento

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4
Q

Causas mas comun de estreñimiento

A

Factores higiénico dietéticos

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5
Q

Farmaco usado para estreñimiento en niños y mujeres embarazadas

A

Lactulosa (laxantes osmotico)

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6
Q

Neurotransmisores inhibidores de peristalsis

A

Oxido nitrico
Peptido intestinal vasoactivo

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7
Q

Laxante de accion directa en colon

A

Bisacodilo 2 lts
Picoprel 250ml

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8
Q

Farmaco diarrea

A

Loperamida

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9
Q

Tratamiento estreñimiento

A

Polietilenglicol

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10
Q

En CUCI que evaluan criterios de lenard jones

A

Clinica
Endoscopia
Radio
Anatomopatológico

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11
Q

Que evalua clasificación montteal cuci

A

Extension de enfermedad
Gravedad
Aparicion

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12
Q

Para que es el indice de truelove y witts

A

Para saber grado de actividad de la enfermedad

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13
Q

Puntucion mayo de cuci

A

Evacuaciones sobre frecuencia normal
Presenci de sangrado rectal
Evaluacion medica global
Apariencia endoscopica

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14
Q

Prueba que se usa para medir estadio de CUCI

A

Clasificación viena

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15
Q

Prueba dx mas importante para Cuci

A

Ileo colonoscopia con toma de biopsia

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16
Q

Tratamientos de CUCI

A

Leve: aninosalicilatos (mesalazina y budesonida)
Moderado: esteroides orales (dexametasona)
Grave: esteroides venosos (hidrocortisona) , ciclosporina, tacrolimus, infliximab, qx

Terapia anti TNF : tiopurina, infliximab

17
Q

% px que requieren qx en cuci

A

15-30%

18
Q

Cirugía electiva oro CUCI

A

Proctocolectomia restauradora con reservorio ileoanal

19
Q

Tx pouchitis

A

Ciprofloxacino 500mg dos veces al dia
Metronidazol 15-20mg/kg/d durante 2 senanas

20
Q

Genes afectados en Crohn

A

NOD2 y CARD15

21
Q

Que detecta prueba asca

A

Anticuerpos anti saccharomyces cerevisiae en crohn

22
Q

Anca

A

Anticuerpos anticitoplasma de neutrofilos en CUCI

23
Q

Aspecto microscopico que confirma crohn

A

Granulomas

24
Q

Localizacion mas frecuente de diverticulos

A

Colon sigmoides 65%

25
Q

Fistula en enfermedad diverticular es la mas comun

A

Colovesical

26
Q

Tipos de fistula en enfermedad diverticular

A

Colovesical
Colovaginal
Coloenterica
Colocutanea

27
Q

Diagnostico enfermedad diverticular

A

Colonoscopia
Enema opaco falla
TC elección

28
Q

Tx qx diverticulitis

A

Sigmoidectomia

Gastro 1pp (4 decks)

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