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URO > Infeccios pediatricos > Flashcards

Infeccios pediatricos Flashcards

1
Q

Definicion

A

Signis y sintomas sugestivos de infeccion con identificacion a traves de urocultivo SIN anormalidades anatomicas o fisiologicas

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2
Q

Etiologia mas comun

A

Ascendente

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3
Q

FR masculinos

A

Menor de 6 meses
No circunsicion
Mala higiene

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4
Q

FR femenina

A

Edad entre los 3 y 12 meses
Desnutricion y lactancia artificial

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5
Q

CC RN

A

Ictericia
Falla del crecimiento
Fiebre
Sepsis
Vomito

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6
Q

CC lactantes a preescolares

A

Falla del crecimiento
Fiebre
Orina fetida
Diarrea
Vomito
Dolor
Sx irritativos

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7
Q

CC escolares

A

Fiebre
Orina fetida
Sx irritativos
Dolor
Vomito

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8
Q

Cc

A

Irritabilidad
Llanto facil
Hiporexia
Intolerancia a la via oral

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9
Q

Dx px 3 a 36 meses

A

Tira reactiva
Microscopia
Urocultivo

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10
Q

Dx leucocituria

A

> 5 leucos en muestra centrifugada
10 en muestra no centrifugada

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11
Q

Dx cateterismo vesical

A

> 10,000 UFC

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12
Q

Dx chorro medio gram negativos

A

> 100,000 UFC

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13
Q

Dx chorro medio en gram+ y hongos

A

> 10,000 UFC

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14
Q

Siguiente paso del ego

A

Estudios de imagen

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15
Q

Estudio de imagen para menores de 3 año en su primera infeccion documentada

A

US renal y vesical

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16
Q

Cuando pedir un gamagrama renal DMSA

A

Revisar viabilidad renal
Revisar cicatrices previas
Enfermedad severa
Oliguria
Masa
Creatinina elevada
Septicemia
No responde a AB en 48 hrs
Organismo no e. Coli
Ivu recurreente

17
Q

Ddfinicion de ivu recurrente

A

1 pielo (fiebre) + 1 cistitis (sin fiebre)
2 o mas pielo agudas
3 o mas cistitis

18
Q

Cuando pedir uretrocistograma miccional

A

Dilatacion en us renal
Oliguria
Infeccion por otro que no es e coli
Reflujo vesicouretral (MF)

19
Q

A quienes hospitalizar

A

Ataque al estado general
Vomito/intolerancia liquidos o medicamentos
Deshidratacion
Hisotira de obstruccion

20
Q

Referir a pedia

A

Menores de 3 meses
Ivu recurrente
Estudio de imagen anormal

21
Q

Criterios para nefro

A

Anormalidad renal bilateral
Funcion renal alterada
Presion arterial elevada
Proteinuria

22
Q

Tx mayores de 2 años con cistitis

A

Amoxi+clavulinico
Nitrofurantoina
Tmp/sfx

23
Q

Tx mayores de 2 años con cistitis endovenoso empirico

A

Aminoglucosidos: cefotaxima, ceftri, cefuroxima. 48-72 hrs ver cultivo y antibiograma

24
Q

Duracion ivu no complicada

A

Ambulatorio 7 dias

25
Q

duracion de Ivu alto riesgo (pielo)

A

7-14 dias

26
Q

duracion de Ivu en menores de 2 años

A

10-14 dias

27
Q

Tx sintomatico

A

Paraceramol: fiebre y dolor
NO USAR AINES
antiespasmodicos: irritacion vesical
Ingesta abundante de liquidos

URO (13 decks)

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