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Infectii Flashcards

1
Q

Factori de risc locali care cresc incidenta infectiilor

A
  1. Hematom
  2. Necroza
  3. Corp strain
  4. Obezitate
  5. Contaminare
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2
Q

Cine se adm cu 1-2h inaintea interventiei

A
  1. Fluorochinolone

2. Vanco

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3
Q

Atb care se da profilactic in toate procedurile

A

Cefazolina

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4
Q

In care proceduri se da profilactic metronidazol

A
  1. Intestin subtire

2. Colo-rectal

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5
Q

In care proceduri se da profilactic ampicilina-sulbactam

A
  1. Tract biliar
  2. Colo-rectal
  3. Histerectomie
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6
Q

In care proceduri NU se da profilactic vanco la alergie la b lactamine

A
  1. Intestin subtire

2. Colo-rectal

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7
Q

In care proceduri se da profilactic DOAR cefazolina

A
  1. Ortopedic

2. GD

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8
Q

Ce se da prolifactic cu alergie la b lactamine in proceduri GD, tract biliar si histerectomie

A

Clindamicina / vanco + aminoglicozid / aztreonam / fluororchinolona

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9
Q

Ce nivel de contaminare are tiroidectomia

A

Curat

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10
Q

Ce nivel de contaminare are rezectia gastrica

A

Curat contaminata

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11
Q

Ce nivel de contaminare are ulcerul perforat

A

Contaminat

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12
Q

Ce nivel de contaminare are drenarea abcesului intraabd

A

Murdar

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13
Q

Tratamentul IPC superficiale

A

Atb oral -> G poz - celulita

Chir -> inf purulente

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14
Q

Exemple infectii intracavitare si intraparenchimatoase

A
  1. Peritonita secundara
  2. Abces intraabd
  3. Empiem
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15
Q

Indicatori ai necesitatii reinterventiei la inf abd

A
  1. Durere abd difuza
  2. Aparare musculara
  3. Leucocitoza
  4. Stare toxico-septica
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16
Q

Cel mai util test dg pt abcesul intraabd

A

CT cu contrast enteric si intravenos

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17
Q

Transudatul

A
  • Forte hidrostatice crescute

- Proteine scazute

18
Q

Exsudatul

A
  • Permeabilitate crescuta
  • Prot crescute
  • pH < 7,2
  • glucoza < 60 mg/dl
  • LDH > 3x nivelul seric
19
Q

Cele mai frecv infectii nosocomiale

A
  1. Pneumonia asociata spitalizarii

2. PAV

20
Q

Semne clinice in PAV

A
  1. Febra
  2. Leucocitoza / penie
  3. Secretii purulente
  4. Af schimbului gazos
21
Q

Cate zile are tratamentul in PAV cu atb specifice

22
Q

Cel mai caracteristic simptom in INTM

A

Durerea disproportionata fata de aspectul leziunii

23
Q

Manif precoce in INTM

A
  1. Edem > eritem
  2. Desensibilizare teg
  3. Epidermoliza
  4. Decolorarea pielii
24
Q

Manif tardive ascoiate cu sepsis in INTM

A
  1. Bule
  2. Crepitatii
  3. Drenaj cu miros neplacut
  4. Gangrena
25
Q

Gangrena Furnier

A

INTM al organelor genitale si perineului

26
Q

Inf cu SAG si mionecroza clostridiana - clinic, trat

A
  1. Eritem care nu dispare la digitopresiune

2. Penicilina + clinda

27
Q

INTM - unde e streptococ

A
  1. Celulita
  2. Limfangita
  3. Gangrena
28
Q

INTM - unde e stafilococ

A
  1. Furuncul, carbuncul
  2. Hidrosadenita
  3. Gangrena
29
Q

Simptome prodromale in tetanos

A
  1. Cefalee

2. Neliniste

30
Q

In cat timp apar spasmele tonice generalizate in tetanos

31
Q

Plagi cu predispozitie la tetanos

A
  1. Zdrobire
  2. Avulsie
  3. Abraziune extinsa
  4. Arsuri / degeraturi
32
Q

Confirmarea dg in abcesul mamar

A

Ecografie si aspiratie lichidului purulent

33
Q

Trat initial in abcesul mamar

A
  1. Atb antistaf

2. Aspiratie seriata ghidata eco

34
Q

Bact impicate frecv in inf tractului biliar

A
  1. E.coli
  2. Klebsiella
  3. Enterococ
35
Q

Triada Charcot

A
  1. Febra
  2. Icter
  3. Durere HD
36
Q

Pentada Reynold

A
  1. Triada Charcot
  2. hTA
  3. Alterarea statusului mental
37
Q

Rx toracica in peritonita

A

Pneumoperitoneu sub-diafragmatic

38
Q

Atb in peritonita purulenta sau abcese

39
Q

Cel mai virulent tip de peritonita

A

Perforatia colonica cu peritonita difuza

40
Q

CT in perforatia colonica

A
  1. Ingrosare perete int
  2. Densificare grasime mezentaerica
  3. Pneumatoza int
  4. Colectii lichidiene pericolonice
  5. Pneumoperitoneu

Lawrence (9 decks)

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