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EGEL > Ginecologia > Flashcards

Ginecologia Flashcards

1
Q

COMPLICACIONES DE LAS VULVOVAGINITIS

A

PARTO PRETERMINO
MAYOT RIESGO DE VIH Y EPI
PROBLEMAS DE FERTILIDAD

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2
Q

PH NORMAL DE LA VAGINA

A

4

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3
Q

FLORA VAGINAL NORMAL

A

E. COLI, BACTEROIDES, S. AUREUS, STREPTOOCO DEL GRUPO B, ALGUNAS ESPECIES DE CANDIDA.

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4
Q

VOLVOVAGINITIS MAS COMUN

A

GARDNERELLA VAGINALIS (VAGINOSIS BACTERIANA)

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5
Q

CUADRO CLINICO DE GARDNERELLA

A

50-70% PUEDEN SER ASINTOMATICAS
- COLPORREA BLANCO-GRISACEA
- FETIDA
-SIN DOLOR NI COMEZON

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6
Q

FACTORES DE RIESGO PARA GARDNERELLA VAGINALIS

A

COITO SIN CONDON
TABAQUISMO
DUCHAS VAGINALES
OTRAS ETS
CAMBIO RECIENTE DE PAREJA SEXUAL
SEXO ORAL
USO DE ACOS

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7
Q

DIAGNOSTICO DE GARDNERELLA VAGINALS

A

CRITERIOS DE AMSEL:
- SECRECION BLANCO GRISACEA
-PH MAYOR A 4.5
-PRUEBA DE AMINAS + CON KOH 10%
-CELULAS CLAVE EN FROTIS

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8
Q

TRATAMIENTO DE GARDNERELLA VAGINALIS

A

METRONIDAZOL 500 MG CADA 12 H 7 DIAS
METRONIDAZON 2 G DU

2°ELECCION_ TINIDAZOL 1 G CADA 24 H POR 5 DIAS

ALERGIA:
CLINDAMICINA
- CREMA VAGINAL 2% UNA VEZ AL DIA 7 DIAS
- 300 MG VO CADA 12 H POR 7 DIAS
-100 MG OVULOS CADA 24 H 3 DIAS

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9
Q

CUADRO CLINICO CANDIDA

A

SECRECION BLANZA, PASTOSA QUE SE ADHIERE A ALS PAREDES DE LA VAGINA.
PRURITO
SIN OLOR

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10
Q

FACTORES DE RIESGO

A

DESCONTROL GLICEMICO
USO DE ANTIBIOTICOS
ESTROGENOS (EMBARAZO, ACOS)
INMUNOSUPRESION

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11
Q

CLASIFICACION DE CANDIDA

A

NO COMPLICADA
(POCO FRECUENTE, POR CANDIDA ALBICANS)
COMPLICADA
(MAS DE 4 EPISODIOS POR AÑO, NO ES CAUSADA POR ALBICNAS, MUJERES CON DM, INMUNOSUPRESION O EMB)

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12
Q

DIAGNOSTICO DE CANDIDA

A

CLINICA
PH NORMAL
FROTIS: LEVADURAS
CULTIVO CON MEDIO SABORAUD (GOLD STANDAR, SOLO EN CASOS COMPLICADOS O RECURRENTES)

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13
Q

TRATAMIENTO DE CANDIDA

A

NISTATINA OVULOS 100 000 UI C 24 H 14 DIAS
O
FLUCONZAOL 150 MG DU
ITRACONAZOL 200 MG C 12 H 1 DIA

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14
Q

TRATAMIENDO DE CANDIDA RECURRENTE

A

FLUXONAZOL 150 MG CADA TERCER DIA POR 3 DOSIS + NISTATINA OVULOS C 24 H POR 14 DIAS
MANTENIMIENTO 150 MG FLUCONAZOL DU SEMANAL POR 6 MESES

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15
Q

TRATAMIENTO DE CANDIDA EN EMBARAZO

A

MICONAZOL VIA VAGINAL POR 7 DIAS
NISTATINA OVULOS C 24 H POR 14 DIAS

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16
Q

INFECCION DE TRANSMISION SEXUAL MAS FRECUENTE

A

TRICOMONIASIS

17
Q

CUADRO CLINICO DE TRICOMONIASIS

A

DISURIA
PRURITO
SECRECION AMARILLO GRISACEA ESPUMOSA, FETIDA.
CERVIX ENROJECIDO Y PUNTEADO

18
Q

TRATAMIENTO DE TRICOMONIASIS

A

METRONIDAZOL 500 MG C 12 H 7 DIAS
METRONIDAZOL 2 G DU
TINIDAZOL 2 G DU

19
Q

TRATAMIENTO DE TRICOMONIASIS EN EMBARAZO

A

METRONIDAZOL VO 2 G DU.

EGEL (3 decks)

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