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Clinica Cirurgica > Coloprocto > Flashcards

Coloprocto Flashcards

1
Q

Abscesso perianal: CD

A

Drenagem
Atb
Cultura

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2
Q

Delimitaçao reto inferior

A

Ate 6cm margem anal

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3
Q

Delimitaçao reto medio

A

Ate 10 cm margem anal

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4
Q

Delimitaçao reto superior

A

Max 15 cm margem anal

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5
Q

Acima e abaixo linha pectinea

A 
Acima nao inervado
Abaixo inervado (pele)
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6
Q

Acima ou abaixo linha pectinea: hemorroida

A

Maioria acima : interna

Abaixo: externa

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7
Q

Hemorroida x fissura

A

Fissura doi e nao sangra
Hemorroida sangra e nao doi
Tromobose se hemorroida externa doi

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8
Q

Principal causa de hemorroida

A

Constipaçao cronica

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9
Q

Hemorroida tipo I

A

Sem prolapso

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10
Q

Tto hemorroida tipo I

A

Dieta

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11
Q

Hemorroida tipo II

A

Reduçao espontanea

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12
Q

Tto henorroida tipo II

A

Ligadura

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13
Q

Hemorroida tipo III

A

Reduçao manual

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14
Q

Tto hemorroida tipo III

A

Ligadura +- cirurgia

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15
Q

Hemorroida tipo IV

A

Irredutivel

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16
Q

Tto hemorroida tipo IV

A

Cirurgia

17
Q

Cirurgias para hemorroida

A

Aberta: milligan morgan
Fechada: ferguson

18
Q

Trombose de hemorroida externa: CD

A

< 72 h: excisao

> 72h: banho de assento

19
Q

Clinica fissura anal aguda

A

< 6 semanas
Dor ao evacuar
Sangue no papel
Avermelhada

20
Q

Tto fissura anal aguda

A

Fibras + emolientes topicos ( pomadas)
Lidocaina (dor)
Diltiazem (relaxante musc)
Corticoide (cicatrizaçao)

21
Q

Clinica fissura anal cronica

A

> 6 semanas
Esbranquiçada
Plicoma sentinela
Papilote hipertrofica

22
Q

Tto fissura anal cronica

A

Esfincteretomia lateral interna

23
Q

Abscesso perianal comuns + clinica

A

Perianal: dor + abaulamento+ febre
Interesfincteriano: sem abaulamento ( origem fistulas)

24
Q

Abscessos perianais raros + clinica

A

Pelverretal: diverticulite retal
Isquiorretal: grave; Sd de fournier

25
Q

Regra de goodsall

A

Posterior: drena pra linha mediana
Anterior: drena em linha reta
Fistulas anais cronicas

26
Q

Tto fistulas anais cronicas

A

Simples (inter/transesfincteriana:
Fistulotomia e fistulectomia

Complexa(supra/extra esfincteriana):
Dreno com sedenho

27
Q

Fistula anal cronica: etiologia

A

Sequela cronica dos abscessos

28
Q

Adenocarcinoma de reto: localizaçao

A

Reto distal

29
Q

Fatores de risco CA epidermoide de reto

A

Hpv
Promiscuidade
Tabagismo
Imunodeficiencia

30
Q

Exames estadiamento ca epidermoide de reto

A

TC
RMN pelve
PET CT
HIV/CD4

31
Q

Tto CA epidermoide de reto

A

QT/ RT exclusiva

Esquema nigro

32
Q

Tto ca epidermoide de reto: recorrencia

A

Cirurgia de Miles

Clinica Cirurgica (14 decks)

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