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UROLOGIA > Examen 2 > Flashcards

Examen 2 Flashcards

1
Q

Dolor de inicio súbito losalizado en zona lumbar o flanco irradiado hasta vejiga, escroto, labios menores o cara interna del muslo; nauseas, vomito, diaforesis, Giordano positivo; leucocitosis, hematuria

A

Urolitiasis

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2
Q

Estudio de elección y GS para urolitiasis

A

TAC helicoidal sin contraste

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3
Q

Manejo inicial de urolitiasis

A

Analgesia con AINE (diclofenaco 75 mg IV o metamizol 2 gr IV insufion lenta); reevalorar a los 30 minutos, si persiste dar clonixinato de lisina 100 mg IV o traadol 50 mg IV o morfina 5 mg IV DU
- Ondansetron 4 mg IV

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4
Q

Indicacion para dar tamsulosina en urolitiasis

A

Lito < 20 mm

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5
Q

Indicaciones para valoracion por urologia en urolitiasis

A
  • Lito > 20 mm
  • Monorreno
  • Hidronefrosis infectada
  • Hematuria
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6
Q

Estudio dx inicial en px embarazada con urolitiasis

A

USG

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7
Q

Tx en px embarazada con urolitiasis

A

Paracetamol cda 4 a 6 hrs 500 mg
- No se reocmienda tamsulosina

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8
Q

Componente más frecuente de los litos renoureterales

A

Oxalato de calcio (80%) o fosfato de calcio
- Aciod urico
- Estruvita (fosfato, amonio, magnesio)
- Cistina
** Mismo px puede tener litos de fdiferentes composicion

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9
Q

Tx primera eleccion de urolitiasis

A

Nefrolitotomia percutánea

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9
Q

Época más probable para desarrollar litiasis renal

A

Primavera
- Beber < 2 litros de agua al dia

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10
Q

Disuria, polaquiuria, fiebre, Giordano negativo, tacto rectal con porstata caliente y dolorosa

A

Prostatitis aguda

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11
Q

Antirretroviral asociado a litiasis ureteral

A

Indinavir (no esposible verlo en TAC ni Rx por ser radiolúcidos, contrario a litos de oxalato y estruvita)

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12
Q

Principal agemte causal de prostatitis aguda

A

E Coli (coliformes)

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13
Q

Tx de prostatitis aguda

A
  • Aminoglucosidos + cefalosporinas
  • Ampicilina
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14
Q
A
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14
Q

Paraclinico en prostatitis aguda

A

Urocultivo antes y después del masaje prostático

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UROLOGIA (2 decks)

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