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Pediatria Piso > Infecciones de tejidos blandos > Flashcards

Infecciones de tejidos blandos Flashcards

1
Q

Cocos Gram+:

Catalasa (-)

A

Estreptococo

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2
Q

Cocos Gram +:

Catalasa (+)

A

Estafilococo

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3
Q

Catalasa (+); Coagulasa (+)

A

Estafilococo aureus

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4
Q

Catalasa (+); Coagulasa (-)

A

Estafilococo epidirmidis; saprofitico

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5
Q

Impetigo:

Etiologia mas comun

A

S. Aureus

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6
Q

Impetigo:

Lesion

A

Placas engrosadas con secresion y lesiones satelites

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7
Q

Impetigo:

Etiologia del Clasico

A

S. pyogenes

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8
Q

Impetigo:

Etiologia del Bulloso

A

S. aureus

Streptococo

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9
Q

Impetigo:

Tratamiento local

A

Mupirocina

Retapamulina

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10
Q

Impetigo:

Tratamiento sistemico

A

Oxacilina

Cefalosporinas de 1era generacion

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11
Q

Dosis y Presentacion:

Oxacilina

A

Dosis:

  • <1 mes: 50-75mg/kg/dia en 2-3 dosis
  • > 1 mes: 100-200mg/kg/dia en 4-6 dosis
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12
Q

Cefalosporinas de 1era generacion

A

Cefalexina Oral
Cefazolina IV
Cefalotina IV

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13
Q

Dosis y Presentacion:

Cefalexina

A 
Dosis: 25-50mg/kg/dia en 2 dosis
Presentacion: 
-Suspension 250mg/5ml
-Capsula 500mg
-Tableta 500mg
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14
Q

Dosis y Presentacion:

Cefazolina

A

Dosis: 100mg/kg/dia en 4 dosis
Presentacion: 500mg

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15
Q

Dosis y Presentacion:

Mupirocina

A

Dosis: 1 aplicacion cada 2-3 dosis
Presentacion: Pomada 2%

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16
Q

Dosis y Presentacion:

Retapamulina

A

Dosis: 1 aplicacion al dia durante 5 dias
Presentacion: Pomada 1%

17
Q

Piodermitis

A

Foliculitis
Furunculo
Antrax

18
Q

Tratamiento Foliculitis

A

Autolimitada

Sintomatica

19
Q

Tratamiento Furunculo

A

Antibiotico

Drenaje

20
Q

Celulitis:

Germenes comunes

A

S. aureus, Estreptococos
Odontogenicos: Prebotella (Odontogenica)
Oido: Pseudomona
Mordedura Animal: Pasteurella

21
Q

Celulitis:

Tratamiento Oral

A

Dicloxacilina

Cefalexina

22
Q

Celulitis:

Tratamiento IV

A 
Oxacilina
Cefazolina
Ceftriaxona
Ampicilina/Sulbactam (Pasteurella)
Clindamicina
23
Q

Dosis y Presentacion:

Ceftriaxona

A

Dosis: 100mg/kg/dia
Presentacion: 1g

24
Q

Dosis y Presentacion:

Ampicilina/Sulbactam

A

Dosis: 100-300mg/kg/dia
Presentacion: 1,5g (1g Ampicilina y 0,5h Sulbactam)

25
Q

Dosis y Presentacion:

Clindamicina

A

Dosis: 20-40mg/kg/dia en 3-4 dosis
Presentacion: 300mg/2ml

26
Q

Erisipela:

Germenes

A

Estreptococo, S. aureus o pyogenes

27
Q

Erisipela:

Clinica

A

Mucho dolor
Flictenas en centro de lesion
Adenopatias regionales

28
Q

Erisipela:

Tratamiento

A

Drenar si hay coleccion
Superficial no necesita antibiotico
Infeccion + SIRS necesita antibiotico

29
Q

Celulitis periorbital y orbital:

Clinica

A

Inflamacion de los parpados

2 formas preseptal y postseptal

30
Q

Celulitis periorbital y orbital:

Diseminacion

A

Trauma directo: S. aures
Contiguidad: Sinusitis
Hematogena: Meningococo

31
Q

Celulitis periorbital y orbital:

Cuando iniciar tratamiento empirico

A

Proptosis
Limitacion del movimiento ocular
Alteracion de la agudeza visual
Alteracion del SNC

32
Q

Celulitis periorbital y orbital:

Diagnostico diferencial

A 
Dacriocistitis (Canal lagrimal)
Uveitis anterior
Hematoma palpebral y retroocular
Rabdomiosarcoma
Retinoblastoma
Hemangiolinfoma
Ptosis congenita
33
Q

Celulitis periorbital y orbital:

Tratamiento

A

Preseptal: Dicloxacilina
Postseptal: Ceftriaxona, Clindamicina, Metronidazol

34
Q

Celulitis Odontogenica:

Clinica

A

Dolor facial
Edema importante de la hemicara comprometida
Malestar general
Extenso

35
Q

Celulitis Odontogenica:

Etiologia

A

Absceso directo a la cavidad oral

Fistula atraves de la piel

36
Q

Celulitis Odontogenica:

Germenes

A

Prebotella

37
Q

Celulitis Odontogenica:

Tratamiento

A

Penicilina Cristalina

Clindamicina (Alergia a penicilina, absceso)

38
Q

Dosis y Presentacion:

Penicilina Cristalina

A

Dosis: 200’000UI/kg/dia en 4 dosis
Presentacion: 5’000’000UI

Pediatria Piso (9 decks)

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