Diverticulos Flashcards

1
Q

Profusión sacular de la mucosa a través de la pared muscular del colon.
Ocurre en áreas débiles de la pared intestinal donde los vasos importantes penetran.

A

Diverticulo

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2
Q

Inflamación de un diverticulo

A

Diverticulitis

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3
Q

Muchos diverticulos en colon. No inflamados

A

Diverticulosis

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4
Q

Diverticulos que representan el 75%

A

Simples. No complicados

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5
Q

Representan el 25% de los diverticulos.

abscesos, fístulas, obstrucción, perito iris, sepsis

A

Diverticulos complicasos

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6
Q

% a los 50 años de presentar diverticulos

A

50%

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7
Q

Segmento más afectado por diverticulos

A

Sigmoides

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8
Q

Seudo diverticulo/ falso

A

Mucosa mas submucosa

más comunes
Los verdaderos son mas congénitos

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9
Q

Etiología de los diverticulos

A

Menos fibra
Mas carne y grasa en dieta
Mayor de Diverticulitis complicada en Px obesos, fumadores, consumidores de AINES
Estreñimiento

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10
Q

Mxclx de Diverticulosis

A
Asintomático 70% 
Evolución a diverticulitis
Distensión /gases
Fiebre y escalofríos
Anorexia
5-15% a sangrado
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10
Q

Localización de diverticulos

A

Sigmoides 90%
Descendente 50%
Transcerso25%
Ascendente10%

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11
Q

Complicaciones

A

Inflamación e infección de un diverticulo
Infección peridiverticular y percolica resultado de la perforación del diverticulo generando contaminación, inflamación, infección

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12
Q

EstAdificacion de hinchey

A

I. Diverticulo con absceso pericolonico
II. Diverticulo con acceso a distancia
III. Peritinitis purulenta
IV.peritonitis fecaloide

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13
Q

Tx

A

Fibra
Limitar consumo de. Ciertos alimentos
Antibióticos
Ablandadore fecales

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14
Q

DxD

A

Carcinoma
Colitis
Sd colon irritable
Crohn

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