Intestino Flashcards

1
Q

Principal agente etiologico de diarrea de viajero

A

E. Coli

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2
Q

Diagnostico lab de diarrea aguda

A

Mas de 3 leucocitos por campo

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3
Q

Tratamiento diarrea aguda

A

Loperamida 4mg /d
Codeina 15-60 mg/6h
Difenoxilato 2-5mg/6h

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4
Q

% de agua se reabsorbe en intestino delgado

A

99%

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5
Q

% de reabsorcion de agua es necesario que varie para que se produzca diarrea

A

1%

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6
Q

Farmaco usado para diarrea en mujeres embarazadas y niños

A

Racecadotrilo 100mg/8 h
Niños 1.5 mg /k/8 h

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7
Q

Mecanismo de diarrea aguda

A

Osmotica
Secretora
Motora
Inflamatoria

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8
Q

Cantidades de mEq/l de solución salina para rehidratacion y para fase de sosten

A

Rehidratacion: 7.59 mEq/l
Sosten: 4.070mEq/l

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9
Q

Diferencia de diarrea secretora y psmotica

A

Secretora desaparece durante el ayuno
Osmotica aparece durante ayuno

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10
Q

Sindrome dumping

A

Alteracion motilidad gastrica, aceleracion de vaciamiento

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11
Q

Tratamiento clostridium difficile

A

Metronidazol 500mg/8h + vamcomicina 125-250mg/6h

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12
Q

Tratamiento de diarrea cronixa

A

Sucralfato
Ocrotido

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13
Q

Via de tres neuronas del dolor

A

1 ganglio simpatico
2 asta posterior de medula espinal
3 talamo
Hacia corteza somatosensorial

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14
Q

Tipos de dolor

A

Visceral - protopatico, por fibras C amielinicas, por glutamato
Referido
Parietal - fibras delta mielinicas, estimulado por sustancia P

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15
Q

Cuales son los estimulos dolorosos

A

Distension, inflamación, temperatura, pH

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16
Q

Causas intraabdominales de dolor agudo

A

Apendicitis 80%
Colecistitis
Pancreatitis

17
Q

% de recurrencia de sangrado de tubo digestivo medio y bajo

A

5-10%

18
Q

En que consiste el test de guayaco

A

Estudio de laboratorio, en que se detecta sangre oculta en heces (2mg de Hb x gr de heces)

19
Q

Que evaluan los test de guayaco

A

Grupo Hem
Hemboglobina
Calprotectina

20
Q

Lugar mas comun y menos de hemorragia de tubo digestivo bajo

A

Mas ciego 64.84%
Menos colon transverso 2.7%