orquitis Flashcards

1
Q

definicion de orquitis

A

proceso inflamatorio del testiculo asociado a agentes infeccioes

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2
Q

causas virales

A

20% de los niños con parotiditis
mixovirus
parotiditis
coxsackie

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3
Q

FR bacterianas

A

APP con IVU
Relaciones sexuales de riesgo
se presenta junto epididimitis

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4
Q

uropatogenos

A

E coli
pseudomonas
staph
estreptococos

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5
Q

uropatogenos

A

E coli
pseudomonas
staph
estreptococos

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6
Q

agentes de ETS

A

gonorrea
chlamydia
treponema

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7
Q

agentes micobacterianos

A

m tuberculosis m leprae

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8
Q

agentes micotis

A

candidiasis
aspergilosis
histoplasmosis
ccoci

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9
Q

porcentaje de px con atrofia testicular por orquitis viral

A

80%

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10
Q

porcentaje de px con infertilidad por orquitis bilateral

A

7%

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11
Q

FR

A

APP parotiditis
malformaciones urinarias
fimosis
estenosis uretrales
ETS

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12
Q

CC

A

dolor
edema
eritema
fiebre
malestar general

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13
Q

que se encontrará a la EF

A

aumento de volumen
hiperestesia
dolor a la palpacion
Prehn positivo

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14
Q

signo de Prehn

A

al elevar el testiculo disminuye el dolor

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15
Q

tx de orquitis viral

A

reposo
analgesico
hielo
elevacion del testiculo
por 7 días

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16
Q

oen quienes sopechar orquitis bacteriana

A

APP de IVU
malformaciones urinarias
px con vida sexual activa

17
Q

tx de orquitis/orquiepididimitis/epididimitis bacterianas

A

AB

18
Q

Tx de uropatogenos

A

quinolona o cefalosporina de 3 generacion x 14 días

19
Q

tx de orquitis bacteriana secundaria a ETS

A

ceftria 250 mg DU + azitromicina (2g DU) y doxiciclina x7d

20
Q

tx cronico

A

aines
calor local
bloqueo nervioso
orquidectomia en abscesos