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Cirurgia > Isquemia Mesentérica Aguda > Flashcards

Isquemia Mesentérica Aguda Flashcards

1
Q

Suspeita

A

Dor abdominal difusa desproporcional ao exame físico + acidose metabólica

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2
Q

Causas

A

Embolia - FA, IAM
Vasoconstrição - sepse, choque, cocaína, digitálico, diurético
Trombose arterial - aterosclerose
Trombose venosa - hipercoagulabilidade

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3
Q

Sinal de Lenander reverso

A

Temp axilar > temp retal

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4
Q

Exame padrão ouro

A

Angiografia Mesentérica Seletiva

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5
Q

Principal artéria acometida

A

A. Mesentérica superior (até cólon transverso proximal) > a. Mesentérica inferior

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6
Q

Alterações RX

A

TARDIAS

Pneumatose intestinal, gás e íleo adinâmico

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7
Q

Exame mais utilizado

A

Angiotomografia

Espessamento da parede, falha no enchimento, dilatação/estenose dos vasos

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8
Q

Conduta: êmbolo ou trombo (arterial e venoso)

A

Heparinizaçao e laparotomia
Embolectomia/trombectomia + ressecar alças
Papaverina pós op

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9
Q

Conduta: isquemia não oclusiva

A

Suspender diurético/ digitálico/vasopressor

Papaverina intra-arterial

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Cirurgia (13 decks)

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