Obstruccion Intestinal Y Volvulos Flashcards

1
Q

Estudio de imagen inicial en una obstruccion intestinal

A

Rx Abdomen en Bipedestacion

Imagen pila de monedas

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2
Q

Estudio de imagen estandar de oro para obstruciion intestinal

A

TAC

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3
Q

TTO MAS EFECTIVA EN LA OBSTRUCCION INTESTINAL

A

AYUNO
DESCOMPRESION POR SNG
FLUIDOTERAPIA

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4
Q

Que es el sindrome de Ogilive

A

Pseudobstruccion del colon por disfuncion del parasimpatico en ancianos y encamados

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5
Q

Tto en el sindrome de Ogilive

A

Neostigmina

Descompresion por enemas

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6
Q

Lugar mas comun de un volvulo

A

Sigmoides

2 ciego

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7
Q

Pacientes que pueden presentar volvulo del sigma

A

Ancianos con estreñimiento

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8
Q

Pacientes que presenta volvulo del ciego

A

Muejres edad media

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9
Q

Imagen caracteristica de un volvulo de sigma en TAC

A

Signo del remolino

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10
Q

Tto inicial en un volvulo sigmoideo

A

Colonoscopia DESCOMPRESIVA 64 % exito

Luego se hace una CX elevtiva con anastomosis primaria

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11
Q

Como es el tto siempre en un volvulo del ciego

A

Siempre es QX

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12
Q

FR en un volvulo sigmoides

A

Dieta rica en fibra !!😧

Constipacion cronica

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13
Q

Signo de Danee en volvulo colonixo

A

Fosa iliaca izquierda vacia a la palpacion

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14
Q

Estudio dx y tto iniicail en un volvulop colonico

A

Destorsion y descompresion Sigmoidoscopica Rigida o colonoscopia

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15
Q

Tto en ancianos con volvulos

A

No Cx

Rectosigmoidoscopias repetitivas

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