Isquemia Intestinal Flashcards

1
Q

Tipo mas frecuente de isquemia mesenterica aguda

A

Embolia 50% por FA

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2
Q

Estudio dx estandar de oro en pacientes estables con isqueme mesenterica aguda

A

Angiografia

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3
Q

Estudio de eleccion en pacientes inestables con isquemia mesenterica aguda

A

Angio Tac

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4
Q

Tto ideal en una isquemia mesenterica no oclusiva

A

Inyeccion de papaverina durante la arteriografia : vasodilatador
Tratar desencadenate: hipovolemia, cocaina, digoxina, quemaduras, sepsis

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5
Q

Tto de isquemia mesenterica por un trombo arterial

A

Resvacularizacion con injerto protesico o autologo de vena safena interna + reseccion del segmneot

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6
Q

Segunda causa mas comun de isquemia mesenterica aguda

A

No oclusiva

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7
Q

Tto de una isquemia mesenterica aguda por trombosis veniosa

A

Anticoagulacion precoz y de por vida

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8
Q

Signo carctaristica en una angiografia en paciente con IMA

A

SIgno del menisco

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9
Q

Dato clinico patognomonico de una isquemia mesenterica cronica

A

Tiene miedo a comer

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10
Q

Lugar mas comun de una colitis isquemica

A

Colon izquierdo- punto de Griffith

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11
Q

Imagen caracteristica en colonoscopia de la colitis isquemica

A

Huella dactilar

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12
Q

Clinica de la colitis isquemica

A

Dolor moderado
Subito
Rectorragia

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13
Q

Que e sla angiodisplasia

A

Pequeña malformacion que causa fragilidad y dilatacion vascular del colon

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14
Q

Lugar que sa da mas comun la angiodisplasia

A

Ciego

Colon derecho

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15
Q

A que edad aparece la angiodisplasia

A

70 años

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16
Q

A que enfermedad cardiaca se asocia la angiodisplasia

A

Estenosis aortica

17
Q

Tto en la angiodisplasia

A

Esclerosis endoscopica

18
Q

Que capa se altera en en un aneurisma aortico

A

Capa media

19
Q

Gold standar para Aneurisma aortico abdominal

A

RMNI

20
Q

Triada del aneurismo aortico abdominal

A

1 dolor pulsatil que se irradia a ingle y escrto
2 se palpa masa abdominal pulsatil
3 hipotemsion subita