Esplenomegalia Flashcards

1
Q

¿Cuales son las medidas del Bazo normal?

A

12x7
menos de 250 g
ubicacion 9-11 costilla
3% lo tiene palpable
Localizado en hipocondrio izq
organo linfoide

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2
Q

Cuales son las arterias de las que colinda?

A

Tronco celiaco
gastrica izq,hepatica y la ESPLENICA

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3
Q

Cuales son las Venas de las que colinda?

A

Porta
SPLENICA Y MESENTERICA INF

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4
Q

Como es su exploracion fisica?

A

Inspeccion
Palpacion
Percusion
Auscultacion

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5
Q

Esplenomegalia leve?

A

Apenas palpable
1-3 cm debajo de la ultima costilla

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6
Q

Esplenomegalia Moderada?

A

Entre margen costal y ombligo
4-8 cm

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7
Q

Esplenomegalia Severa?

A

Mas alla del ombligo
>8 cm

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8
Q

Cuales son las causas de la esplenomegalia?

A

Infecciosas
Congestiva
Hiperplasica
Infiltrativa

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9
Q

Infecciosas Aguda

A

Endocarditis
infeccion piogenica

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10
Q

Infecciones Subagudas

A

Hepatitis viral
CMV
SIDA

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11
Q

Infecciones cronicas

A

Sifilis
Tuberculosis

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12
Q

Congestiva intra hepatica

A

Hipertencion portal
Hematocromatosis
Cirrosis biliar

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13
Q

Congestiva extra hepatica

A

trombosis
Oclusion de la vena portal o esplenica

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14
Q

Congestiva cronica

A

congestion de origen cardiaco

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15
Q

Hiperplasica hematopoyesis extramedular?

A

Transtornos mieloproliferativos
Daño a la medula
Infiltracion de la medula

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16
Q

Hiperplasica reticulo endotelial ?

A

Esferocitosis
Talasemia
Hemogobinopatias

17
Q

Infiltrativa maligna

A

linfomas
metastasis
enfermedades mieloproliferativos

18
Q

Infiltrativa benigna?

A

deposito de gaucher
granulomas
quistes

19
Q

Como aborbamos esta cosa?

A

Bh
ultrasonido
TAC
exp. fisica
historia clinica

20
Q

Sintomas?

A

Dolor sordo
saciedad temprana
pesantez