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NEONATOLOGÍA > ENTEROCOLITIS NECROTIZANTE > Flashcards

ENTEROCOLITIS NECROTIZANTE Flashcards

1
Q

EN QUIENES SE PRESENTA

A

NEONATOS DE BAJO PESO AL NACER

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2
Q

A QUE SE DEBE

A

NECROSIS ISQUÉMICA DE LA MUCOSA GASTROINTESTINAL, SE ASOCIA A FALTA DE MADUREZ

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3
Q

PRINCIPAL FACTOR DE RIESGO

A

PREMATUREZ

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4
Q

FACTOR PROTECTOR

A

LECHE HUMANA

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5
Q

MANIFESTACIONES CLÍNICAS

A
  • DISTENSIÓN ABDOMINAL
  • INTOLERANCIA AL ALIMENTO
  • VÓMITO
  • EVACUACIONES SANGUINOLENTAS

PUEDE HABER DIARREA

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6
Q

PRUEBA QUE APOYA LA CONFIRMACIÓN DEL DIAGNÓSTICO

A

PROTEÍNA DE UNIÓN A ÁCIDOS GRASOS URINARIA

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7
Q

MANIFESTACIÓN CLÍNICA DE PERFORACIÓN INTESTINAL

A

COLORACIÓN AZULADA EN LA PARED ABDOMINAL

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8
Q

HALLAZGOS LABORATORIALES

A

LEUCOPENIA / TROMBOCITOPENIA

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9
Q

HALLAZGOS RADIOLÓGICOS

A

ENGROSAMIENTOS DE LAS PAREDES INTESTINALES

NIVELES HIDROAÉREOS

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10
Q

HALLAZGO PATOGNOMÓNICO

A

NEUMATOSIS INTESTINAL

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11
Q

ANTIBIÓTICOS UTILIZADOS

A

AMPICILINA, IMIPENEM O PIPERACILINA-TAZOBACTAM + AMINOGLUCOSIDO (GENTA O AMIKA)

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12
Q

MANEJO EN ESTADIO I (SOSPECHA)

A

AYUNO + CULTIVO + ANTIBIÓTICO 3 DÍAS

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13
Q

MANEJO EN ESTADIO II (CONFIRMADO)

A

AYUNO + CULTIVO + ANTIBIÓTICO 7-10 DÍAS + VALORACIÓN POR CIRUGÍA

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14
Q

MANEJO EN ESTADIO III (AVANZADO)

A

AYUNO + CULTIVO + ANTIBIÓTICO 14 DÍAS + LÍQUIDOS + SOPORTE EN INESTABILIDAD HEMODINÁMICA Y CORRECCIIONES ELECTROLÍTICAS + VALORACIÓN POR CIRUGÍA

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15
Q

CLASIFICACIÓN UTILIZADA

A

BELL

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16
Q

PRUEBA QUE APOYA LA CONFIRMACIÓN DEL DIAGNÓSTICO

A

PROTEÍNA DE UNIÓN A ÁCIDOS GRASOS URINARIA

NEONATOLOGÍA (28 decks)

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