LABORATORIALES Flashcards

1
Q

Prueba positivo en reacciones febriles en tidoidea

A

> 160 + sintomatologia

confirmar con cultivo

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2
Q

prueba positivo para brucela en reacciones febriles

A

> 160 + sintomatologia STA o 2 mercaptoetanol

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3
Q

proteus positivo en reacciones febriles

A

> 160

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4
Q

troponina normal

A

< 0.04

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5
Q

pum mn normal

A

< 130 UI

ELEVADA EN IAM

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6
Q

ACIDO URICO NORMAL

A

< 7 MG/DL

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7
Q

PROTEINA C REACTIVA NORMAL

A

< 1 MG

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8
Q

MAGNESIO BAJO EN

A

alcoholismo

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9
Q

hipercloremia en

A

acidosis tubular renal tipo I y II

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10
Q

B INDIRECTA ELEVADA 0.2 a 0.9

A

Elevada hemólisis

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11
Q

B directa 0.1 - 0.4

A

cirrosis, hepatitis, coledocolitiasis, colangitis

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12
Q

fosfatasa alcalina

A

patron obstructivo lito en el coledoco
hiperparatirodismo
raquitismo

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13
Q

albumina

A

3.5 gr baja en sx nefrotico, desnutrición

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14
Q

Globulina

A

2.5 gr elevadas en mieloma múltiple

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15
Q

formula de osmoralidad

A

2 (NA) + GLUCOSA /18 + BUN/ 2.8

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16
Q

OSMORALIDAD NIVELES ALTERADOS

A

ELEVADA DIABETES INSIPIDA

BAJA SEHAD

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17
Q

VALORES DE LA GASOMETRIA ARTERIAL

A
PH 7.35 - 7.45
PAO2 80-100
PACO2 30- 45
SA02 95-100
HCO3 22-26
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18
Q

Glucosa en ayuno normal

A

90

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19
Q

glucosa postprandial

A

140

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20
Q

HB1AC NORMAL

A

5-6

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21
Q

DIAGNOSTICO DE DM

A

GLUCOSA > 126 (2 OCASIONES)
HB1AC > 6.5%
CARGA CON GLUCOSA > 200 ( 2 HRS)
GLUCOSA ALEATORIA > 200

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22
Q

COLESTEROL NORMAL

A

< 200 TX ESTATINAS

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23
Q

triglicéridos normal

A

< 150 tx: benzafibrato

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24
Q

valor normal de urea

A

20-40

> 40: igual a aumento de azoados

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25
Q

creatinina en orina

A

500-2000 mgr valor menor significa daño renal

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26
Q

valor muy preciso de la tasa de filtrado glomerular

A

depuración de creatinina (orina de 24 hrs)

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27
Q

valor normal de sodio en orina

A

20 meq/l

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28
Q

FENA > 1%

A

RENAL

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29
Q

FENA < 1%

A

PRERENAL

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30
Q

FORMULA DE COCKROFT GAULT

A

140- EDAD X PESO/ CREATININA X 72

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31
Q

DENSIDAD DE LA ORINA

A

1.002 - 1.035 G/DL

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32
Q

PH EN LA ORINA

A

4.5 A 8.0

33
Q

GLOBULOS ROJOS EN LA ORINA

A

1-5 CELULAS

HEMATURIA: IVU, HIPERTROFIA PROSTATICA, CISTITIS, GLOMERULONEFRITIS

34
Q

LEUCOCITOS EN ORINA

A

> 10 PIURIA

35
Q

GLUCOSURIA

A

DM. FANCONI (NO DIABETICOS)

36
Q

CETONAS EN LA ORINA

A

CAD, AYUNO PROLONGADO

37
Q

SODIO BAJO PENSAR EN

A

SEHAD

38
Q

SODIO ALTO PENSAR EN

A

DIABETES INSIPIDA

39
Q

POTASIO ELEVADO

A

ARRITMIAS ONDA T ACUMINADO

40
Q

POTASIO BAJO

A

ARRITMIAS Y T APLANADA

41
Q

CA ELEVADO

A

HIPERPARATIROIDISMO, CANCER, MIELOMA

42
Q

CA BAJO

A

HIPOPARATIROIDISMO

ERC

43
Q

FOSFORO ELEVADO

A

ERC

44
Q

FOSFORO BAJO

A

HIPERPARATIROIDISMO

45
Q

hematocrito elevado

A

dengue se eleva

pancreatitis se eleva

46
Q

hemoglobina alta

A

policitemia vera o EPOC

47
Q

VCM NORMAL

A

80-100
< 80 MICROCITICA
>100 MACROCITICA

48
Q

HCM

A

NORMAL < 30 HIPOCROMICA

>35 HIPERCROMICA

49
Q

ANEMIA MICROCITICA HIPERCROMICA

A

esferocitosis

50
Q

anemia macrocitica hipercrómica

A

anemia megaloblastica o folato

51
Q

< 100, 000 plaquetas

A

trombocitopenia

52
Q

> 350, 000 plaquetas

A

trombocitosis

53
Q

la principal causa de trombocitosis

A

anemia ferropenica

54
Q

neutrofilos hipersegmentados

A

anemia megaloblastica

55
Q

anemia microchimica hipocromica

A

anemia ferropenica
talasemia
enfermedad cronica
sideroblastica

56
Q

anemia microcitica hipercromica

A

VCM BAJA y HCM ALTA

57
Q

ANEMIA PERNICIOSA

A

DEFICIENCIA INTRISECA DE CASTLE

58
Q

CAUSAS DE ANEMIA PERNICIOSA

A
AUTOINMUNE
ALCOHOLISMO 
CHRON
VEGANO
EMBARAZO SIN CONTROL CON METOTREXATE
59
Q

ANEMIA APLASICA

A

ANEMIA + LEUCOPENIA + TROMBOCITOPENIA

60
Q

PENSAR EN ANEMIA APLASICA CUANDO

A

PENSAR EN BENCENO, PESTICIDAS Y CLORANFENICOL

61
Q

LA MEDULA OSEA ESTARA EN ANEMIA APLASICA CUANDO

A

MEDULA OSEA HIPOCELULAR

62
Q

SINDROME MIELODISPLASICO CUANDO

A

ANEMIA + LEUCOPENIA + TROMBOCITOPENIA + EDAD AVANZADA + ANEMIA REFRACTARIA + MEDULA OSEA HIPERCELULAR

63
Q

GEN AFECTADO EN LA POLICITEMIA VERA

A

GEN JACK 2

64
Q

TRATAMIENTO EN POLICITEMIA VERA

A

FLEBOTOMIA

65
Q

LEUCEMIA AGUDA

A

FROTE DE SANGRE PERIFERICA BLASTOS

66
Q

ASPIRADO EN LEUCEMIA AGUDA

A

MEDULA OSEA > 20% BLASTOS

67
Q

Linfocitos atipicos

A

mononucleosis, CMV, toxoplasmosis, hepatitis y sifilis

68
Q

acidosis respiratoria

A

co2 > 45 mmhg ph < 7.35

69
Q

acidosis metabolica

A

hco3 < 22 meq/L ph < 7.35

70
Q

alcalosis respiratoria

A

PCO2< 35 mmhg ph > 7.45

71
Q

alcalosis metabolica

A

HCO3 > 26 meq/l ph > 7.45

72
Q

causas de acidosis metabolica

A
dm
diarrea
salicilato
IRA
ADDISON
73
Q

causas de acidosis respiratoria

A
asma
bronquitis
enfisema
asfixia
neumotorax
74
Q

alcalosis metabolica causas

A

vomitos
diureticos
hiperaldosteronismo
obs. pilorica

75
Q

causas de alcalosis respiratoria

A

polipnea
ansiedad
mala programación del ventilador
fiebre

76
Q

TFG EN ETAPA II

A

60-90

77
Q

TFG ETAPA III

A

30-60

78
Q

TFG ETAPA IV

A

15-30

79
Q

TFG ETAPA V

A

< 15