Nefrolitiase Flashcards by chris segato | Brainscape

Q

Oxalato de calcio

A

+ frequente 75%
Radiopacos
sem influencia do PH

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Q

fosfato de calcio

A

Ph alcalino
Radiopacos

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Q

acido urico

A

Ph acido
Radiotransparente ( aparece no rx )

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Q

Estruvita ou fosfato amonio magnesiano

A

Ph alcalino
Coraliformes
ITU repeticao

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Q

cistina

A

Criancas
pH acido

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Q

FR

A

Hipopotassemia
Hipocalcemia
Pouco liquido
Hipernatremia
Hiperproteinemia

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Q

tto de hipercalciuria

A

-Tiazidico ( clortalidona )
-Mantem calcio

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Q

drogas associadas

A

-Indinavir
-Topiramato

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Q

clinica e dx

A

-Hematuria + Dor lombar
-TAC S/ CONTRASTE

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Q

tto agudo

A

-AINES
-Tansulosina ( alfa bloq)
-Avaliar CX

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Q

indicacao de cx

A

Coraliforme
>1cm
refratario
obstrucao com IR

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Q

LECO

A

densidade <1cm
<2cm

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Q

Nefrolitotomia percutanea

A

densidade >1cm
>2cm
Coraliforme

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Q

desobstrucao imediata com IR

A

Nefrostomia com duplo J

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Q

tto cronico em estruvita e acido urico

A

-Acido hidroxamico
-citrato de K + Alopurinol

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Q

quanto tempo para expelir o calculo

A

6 sem