Intestino Flashcards

1
Q

EII
15-35años
60-70años
Dx exclusión

A

Crohn: HLA A2; CARD 15
CuCi: Bw35 y DR2

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2
Q

Dx EII

A

Clínica+ endoscopica+ hidrológico

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3
Q

Tx brote clasif

A

LEVE: <5 deposic;afebril; Hb>12
MOD: 5-10depos; febricola; Hb 8-12
GRAVE: >10 depos; Hb<8; fiebre >38

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4
Q

CorticoResistentes y CorticoDeñendientes

A

cuci: ciclosporina iv (Insuf renal) vs Infliximab–> Qx proctocolectomia total
Crohn : metotrexate( fibrosis pulmonar y hepat) vs Infliximab –> Qx

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5
Q

Infliximab

A

Anafilaxia
Tb; VIH; VHB y VHC
> linfoma hepato esplenico

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6
Q

Tx mantenimiento

A

1 Aminosalicilatos: mezasalacina o 5 ASA

2 Azatioprina o 6MP

3 INFLIXIMAB

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7
Q

COMPLIC

A

Cuci: Ca Colón
FProtector: 5-Asa

Crohn: adenomas coloreectales y adenocarcinoma de intestino delgado

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8
Q

Megacoñon toxico
Cuci> Crohn
Afecta Colón: dilatación

A

Distensión abdominal/ fiebre / dolor abdominal / deshidratación
Rx abdominal: dilatación >6cm Colón transverso
Tx : fluidos IV; antibióticos –> ciclosporina IV o infliximab –> colectomia total

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9
Q

Cribado para Ca
Pancolitis: a los 8 años del dx
Colitis izq: a los 15 años del dx

A

S/displasia: c/2 años
DBAJO grado; control c/3años
DALTO GRADO y carcinoma : colectomia

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