Nefrolitíase Flashcards by Victor Pires | Brainscape

Q

Exame diag padrao ouro para nefrolitiase?

A

TC sem contraste

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Q

Qual o ponto de corte para tamanho de calculo?

A

10mm

Se menor: TME
Se maior: intervenção

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Q

Terapia aguda de nefrolitiase

A

AINE

Tansulosina (alfa1bloq)

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Q

3 intervenções urologicas

A

Litotripsia extracorporea LECO

Litorripsia percutanea

Ureteroscopia

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Q

CI de LECO

A

Gestante

Aneurisma de Aorta

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Q

Indicação de LECO

A

Proximal

<2cm

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Q

Indicações mefrolitotripsia percutanea

A

Proximal

>2cm

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Q

Indicações ureteroscopia

A

Ureter medio e distal

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Q

Litiase complicada

A

Infeccao ou obstrução da via

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Q

Conduta em litiase complicada

A

1 Desobstrução: duplo-J ou nefrostomia percutânea

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Q

Terapia crônica

A

1- Hidratação: 2,5L dia

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Q

Prevencao cronica sais de Calcio

A

Restringir Sódio e PTN

Diurético Tiazidico

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Q

Prevenção calculo de estruvita

A

ATB

Refrat: Ac acetohidroxamico ( reduz acao da urease)

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Q

Prevecao ac Urico

A

Restrição purinas

Alcalinizar urina: citrato de potassio

Refrat: alopurinol

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