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GASTRO-CIRUGIA > DIVERTICULOS Y POLIPOS > Flashcards

DIVERTICULOS Y POLIPOS Flashcards

1
Q

LOACAL MAS FREC DE LOS DIVERTICULOS

A

SIGMA

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2
Q

DX DE ELECCION PARA DIVERTICULOSISI

A

COLONOSCOPIA

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3
Q

DX DE ELECCION EN DIVVERTICULITIS

A

TAC

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4
Q

CLASIF DE HICHEY

A

O DIVERTICULITIS LEVE….1 FLEMON, ABSECESO PERICLOICO O MESENTERICO MNOR DE 3CM…..2 ABSCESO PEVICO CON PERFORACION A MESENTERIO…..3 PERITONITIS PURULENTA 4 PERITONITIS FECALOIDE

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5
Q

TX EN DIVERTICULITIS NO COMPLICADA

A

CEFTRIA O CIPRO MAS METRO O AMOXI CLAV O IMIMPEN SOLO POR 7 A 10 DIAS

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6
Q

TX EN HINCHEY 1

A

SINTOMATICO

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7
Q

TX EN HINCHEY 2

A

PUNCION Y DRENAJE POR TAC SI ES MAS DE 5 CM…MENOR ANTIIB IV

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8
Q

TX EN HICHEY 3 Y 4

A

QX URGENTE ….ESTABLE RESECCION CON ANASTOMOSIS PRIMARIA…INESTABLE RESECCION CON COLOSTOMIA Y MUÑOS RECTAL

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9
Q

CUANDO ES CX ELECTIVA

A

SIGMOOIDECTOMIA ELECTIVA TRAS UN CUADRO LEVE RESUELTO CONSERVADORAMENTE

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10
Q

FISTULA MAS FREC

A

COLOVESICAL

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11
Q

LOC DE LOS DIVERTICULOS QUE MAS SANGRAN

A

COLON DERECHO

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12
Q

FR DE MALIGNIZACION DE POLIPOS

A

MAS DE 1CM, VELLOSOS, MAS DE 3 ADENOMAS Y SEXO MASCULINO

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13
Q

GEN AFECTADO ASOCIADO A POLIPOSIS ADENOMATOSA

A

GEN APC EN CR 5 Q21

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14
Q

RIESGO DE CANCER EN POLIPOSIS ADENOMATOSA

A

EN 10 A 15 AÑOS

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15
Q

DX DE POLIPOSOS ADENOMATOSA

A

MAS DE 100 POLIPOS —-10 A 100 CON FAMIL DE PRIMER GRADO Y GEN APC

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16
Q

CADA CUANTO SIGMIDOSCOPIA EN POLIPOSIS FAMILIAR

A

ANUAL A LOS 10 A 15 AÑOS DE DX

17
Q

CX DE POLIPOSIS JUVENIL

A

3 O MAS POLIPOS EN COLON Y RECTO,….. POLIPOS EN CUALQUIE PARTE…..CUALQUIER NUMERO EN PAC CN ANTC FAMILIARES

18
Q

TIPOS DE POLIPOS DE CREUTZ JEGHERS

A

HAMARTOMATOSOS

19
Q

TX EN POLIPOSIS FAMILIAR

A

COLECTOMIA PROFILACTICA

20
Q

PAC CON RIESGO BAJO DE CA COLORREC

A

SIN FR MAYORES DE 50 AÑOS, SIN HISTORIA FAMIL

21
Q

PAC DE MOD RIESGO EN CA COLORREC

A

POLIPOS ADENMATOSIS, HAMARTOMAS, ENF INFLAMATORIA MAS DE 10 AÑOS

22
Q

PAC DE ALTO RIESGO DE CA COLORRECTAL

A

HIST FAMILIAR POSITIVA, HIST DA CA EXTRACOLONICO

23
Q

CRIBADO DE CA COLORREC

A

EN RIESGO MOD Y ALTO….SIGMOIDO FLEXIBLE Y ENEMA CADA 5 AÑOS Y COLONOS CADA 10 AÑOS

24
Q

CUAL ES LA FORMA MAS FREC DE CA COLORRECTAL HEREDITARIO

A

SX LYNCH )NO ASOCIADO A POLIPOS

25
Q

GENES AFEC EN SX LYNCH

A

MHL1 MSH2, PMS 2 (GENES MMR)

26
Q

SX TURCOT

A

GLIOMAS MAS POLIPOS

GASTRO-CIRUGIA (17 decks)

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