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ENARM Dr Prieto > Endocrino 0, > Flashcards

Endocrino 0, Flashcards

1
Q

Al fracaso del uso de Metformina, cual es el fármaco de segunda línea que se agrega….

A

Primer lugar: DPP-4
Sino hay opciones o alegría: SGLT-2
Sino hay opciones o alergia: Sulfurinureas, NO Glibenclamida

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2
Q

Hongos Mucorales

A

Rhizupus
Mucor
Cunnighamella
Absidia (Lichteimia)

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3
Q

Por qué los hongos mucuorales tienen predilección por Px con DM?

A

Tiene la enzima cetona reductasa, aumentando Glucosa y pH

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4
Q

Factores de riesgo para tener sospecha de hongo mucurales

A

DM
Malignidad
Post-transplantes
Covid19
Neutropenia
Antibióticos de amplio espectro
Deferoximina ( quelante de hierro)

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5
Q

Estándar de oro para el diagnóstico de mucorales

A

Biopsia/histopatológico (hifas a 90 grados)

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6
Q

Estudios de imagen para valorar extensión de hongos mucorales

A

MEJOR: RMN
INICIO: TAC

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7
Q

Tratamiento contra hongos mucorales

A

Mejor: Anfotericina B Liposomal
Sino hay opción: Anfotericina B Deoxicolato
En caso de alergia o no Anfo B: Posaconazol o Isoconazol

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8
Q

Nefrotoxicidad de Anfotericina B

A

Deoxicolato: 33%
Liposomal: 15%

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ENARM Dr Prieto (55 decks)

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