Gota, Hiperuricemia Flashcards

1
Q

Estudios Dx de Gota

A

Artrocentesis

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2
Q

Orden de frecuencia de articulaciones dañadas en gota

A
  1. Metatarsofalangicas
  2. Articulacion tarsal
  3. Codos
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3
Q

Mecanismo de accion de alopurinol

A

Inhibe la Xantino-oxidasa

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4
Q

Tx farmacologico p/ Hiperuricemia

A

NINGUNO
Solo cambios higienico-dieteticos
Tx solo si existe artritis gotosa

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5
Q

Tx de Artritis gotosa

A
  1. AINES
  2. Colchicina
  3. Glucocorticoides
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6
Q

Cristal involucrado en gota

A

Liquido sinovial con

URATO MONOSODICO ESPICULADO a la vista con microscopio de luz polarizada

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7
Q

Hiperuricemia por:

  • Sobreproduccion
  • Descenso de excrecions
A
  • <600mg = reduccion en la excrecion-Tx Uricosuricos

- >600 = sobreproduccion de purinas-Tx Alopurinol o probenecid

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