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Pediatria > Epiglotitis > Flashcards

Epiglotitis Flashcards

1
Q

Principal agente causal

A

Haemophilus influenzae tipo B

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2
Q

Agentes causales en inmunocomprometidos

A

Candida spp., HVS1, HZ, parainfluenzae

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3
Q

¿Cuadro clinico?

A

Inicio abrupto y progresión rápida, fiebre, dolor faringeo intenso, estridor, DR, apariencia toxica y voz apagada o ausente

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4
Q

Clinicamente, ¿cuales son las 4 D?

A

Drooling (sialorrea)
Disfagia
Disfonia
Disnea

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5
Q

¿Cuál es el diagnóstico definitivo en casos graves?

A

Visualización de epiglotis edematosa e hiperemica por laringoscopia directa (casos graves) en quirofano

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6
Q

¿Cual es el diagnóstico definitivo en casos leves-moderados?

A

Nasofibroscopia

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7
Q

¿Contraindicación de nasofibroscopia?

A

Inestabilidad de la via aerea

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8
Q

¿Que tipo de radiografia se utiliza?

A

Rx lateral de cuello

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9
Q

¿Signo radiografico?

A

Signo del pulgar

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10
Q

Manejo inicial

A

Asegurar VA y admisión en UCIP, evitar venopunciones y agitación del paciente

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11
Q

¿Indicaciones para uso de oxigeno?

A

Sat <92% o dificultad respiratoria grave

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12
Q

¿Antibiotico de elección?

A

Ceftriaxona y cefotaxima por 7-10 dias

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13
Q

¿Alternativas de antibioticos?

A

TMP-SMX, ampicilina-sulbactam, ampicilina-cloranfenicol

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14
Q

¿Quienes deben recibir quimioprofilaxis?

A

Los contactos del caso indice

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15
Q

¿Que quimioprofilaxis se utiliza?

A

Rifampicina

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16
Q

Factores de riesgo

A

No inmunización contra HIB
edad 5-11 años
Masculino
Adulto joven
Inmunicomprometidos: AB persistentes, oncologicos, hipoparatiroidismo

Pediatria (8 decks)

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