ENF EXANTEMATICAS Flashcards

1
Q

Enf exantematicas 1ra, 2da, 3ra. etc

A

1ra Sarampion
2da Escarlatina
3ra Rubeola
4ta ????
5ta Eritema Inf
6ta Exantema Sub

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2
Q

Exantematicas en ingles

A

Varicela - Chicken pox
Viruela - Small Pox
Sarampion - Rubeola (Measless)
Rubeola - Rubella (German Measless)

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3
Q

Etiologia de cada enfermedad exantematica

A

Sarampion - Paramixov
Rubeola - Togavirus
Parotiditis - Paramixo
Escarlatina - S. Pyog
Erit Inf - Parv B19
Exant Sub - HHV 6-7

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4
Q

CC Sarampion

A

Exantema retroauricular -> caudal
- M Koplik: Carrillos
- M Hermann: Amigdalas grisaceas
- L Stinson: Hemorragia parpado

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5
Q

Dx sarampion

A

IgM

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6
Q

Tx sarampion

A

Vitamina A
- <6m 50K U
- 6-12m 100K U
- >12m 200K U

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7
Q

Complicaciones sarampion

A

Neumonia
PanEncefalitis

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8
Q

Etiologia escarlatina

A

S. Pyogenes
2rio a infeccion faringea

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9
Q

CC Escarlatina

A

Lengua en fresa
Exantema aspero, lija
- Pastia : Pliegues codos
- Filatov: Palidez perioral

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10
Q

Dx escarlatina

A

Cultivo exudado faringeo

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11
Q

Tx escarlatina

A

Penicilina V
2) Amoxi

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12
Q

Complicaciones escarlatina

A

Angina Ludwig
Sinusitis
Glomerulonefritis postestr
Fiebre reumatica

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13
Q

CC Rubeola

A

-S Theodor: Adenopatias retroauriculares
- Manchas Forcheimer: Petequias en paladas blando

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14
Q

Dx rubeola

A

IgM
(solo en caso de embarazadas por rubeola congenita)

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15
Q

Tx de rubeola

A

Sintomatico
AINES, medios fisicos
Aislamiento 2 semanas

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16
Q

Patologias con adenopatia retroauricular

A

Rubeola
Dengue

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17
Q

CC Eritema infeccioso

A

Exantema de mejilla abofeteada
Piernas forma de encaje

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18
Q

Dx de eritema infeccioso

A

IgM, IgG

19
Q

Complicaciones de eritema infeccioso

A

Anemia Aplasica

20
Q

Tx eritema infeccioso

A

Sintomatico
IgIV si anemia aplasica

21
Q

Exantema subito tambien llamado

A

Roseola

22
Q

CC roseola

A

Fiebre muy alta
- M Nagayama: Manchas union uvulopalatoglosal

23
Q

Dx de roseola

A

IgM, IgG

24
Q

Tx exantema subito

A

Sintomatico

25
Q

Complicaciones exantema subito

A

Convulsiones febriles

26
Q

CC parotiditis

A

Inespecificos +
Parotiditis que dura 10 dias

27
Q

Dx parotiditis

A

IgM

28
Q

Tx parotiditis

A

Sintomatico
Enfocado en complicaciones

29
Q

Complicaciones parotiditis

A

Orquitis
Esterilidad
Meningitis

30
Q

CC Kawasaki

A

Fiebre >5 dias
Edema en manos o pies
Lengua en fresa
Labios partidos

31
Q

Dx Kawasaki

A

Clinico + EF
Abordaje: ECO + EKG

32
Q

Complicaciones Kawasaki (frecuente y grave)

A

+ FREC
Miocarditis
+ GRAVE
Enf coronarias

33
Q

Tx Kawasaki

A

ASA + IgIV
+ Metilprednisolona si es grave (segun crit de Kobayashi)

34
Q

CC Purpura de Henoch Schonlein

A

Purpura violacea palpable en extremidades
Artritis
Depostito de IgA
Proteinuria
Hematuria

35
Q

Dx henoch schonlein

A

IgA Serologia

36
Q

Tx henoch schonlein

A

Autolimitada 4-8 semanas
AINES
Coticoides (manif sistemica)

37
Q

Complicaciones de henoch Schonlein y %

A

1% evolucionan a insuficiencia renal

38
Q

Etiologia mononucleosis infecciosa

A

Epstein Barr

39
Q

CC mononucleosis infecciosa

A

Triada
Fiebre
Linfadenopatia
Faringitis

Exantema si se da AB

40
Q

Que AB si se da en mono te da exantema

A

Amoxi - Ampi

41
Q

Dx de mononucleosis infecciosa
(inicial y confirmacion)

A

INICIAL
Monospot
CONFIRMA
Paul Bunnell

42
Q

Otros marcadores de mononucleosis inf

A

IgM antiVCA: Inf activa
IgG anti EBNA: Inf 1 mes

43
Q

Tx mononucleosis infecciosa

A

Sintomatico
Autolimitado 5-10 semanas