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OTR 2 Flashcards

1
Q

TRIADA CLINICA DE PAPILOMATOSIS LARINGEO

A
  • TUMOR BENIGNO EXOFITICO
  • DISFONIA o RONQUERA
  • ESTRIDOR
  • DIFICULTAD RESPIRATORIA
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2
Q

TX 1ra eleccion en papilomatosis laringeo

A

1 CIRUGIA EXCISIONAL CON LASER de CO2

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3
Q

TX 2da eleccion en papilomatosis laringeo

A

2 CX CONVENCIONAL CON PINZAS

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4
Q

1 COMPLICACION DE PAPILOMATOSIS LARINGEO

A

CARCINOMA

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5
Q

dx PAPILOMATOSIS LARINGEO

A

NASOFIBROLARINGOSCOPIA

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6
Q

1 AGENTE DE SINUSITIS

A

S. PNEUMONIAE

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7
Q

MEJOR METODO DX SINUSITIS

A

TAC

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8
Q

TX SINUSITIS

A

AMOXICILINA

**ALERGIA = TMP/SMX

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9
Q

CLINICA DE MUCORMICOSIS

A

** NECROSIS TISULAR DEL TABIQUE NASAL, PALADAR U ORBITA**

  • cuando llega al cerebro, causa = TROMBOSIS DEL SENO CAVERNOSO // CONVULSIONES-
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10
Q

1 AGENTE DE MUCORMICOSIS

A

HONGOS DEL GENERO RHIZOPUS

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11
Q

DX MUCORMICOSIS

A

CULTIVO EN BUSCA DE HIFAS

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12
Q

TX MUCORMICOSIS

A

ANFOTERICINA B

+

DEBRIDACION QX

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13
Q

FR MUCORMICOSIS

A

1 DM MAL CONTROLADA

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14
Q

DX ANGINA DE LUDWING

A

TAC CERVICAL

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15
Q

TX URGENTE DE ANGINA DE LUDWING

A

DRENAJE QUIRURIGCO

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16
Q

COMPLICACIONES ANGINA DE LUDWING

A
  • mediastinitis
  • neumonia
  • derrame pleural
  • insuficiencia respiratoria aguda
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17
Q

tx antibiotico para angina de ludwing

A

CEFTRIAXONA + METRONIDAZOL

18
Q

CLINICA DE ANGINA DE LUDWING

A
  • aumento de volumen del cuello
  • hiperemia
  • dolor regional
  • DISFAGIA
  • ODINOFAGIA
  • DISFONIA
19
Q

CLINICA POLIPOSIS NASAL

A
  • RINORREA
  • ANOSMIA
  • OBSTRUCCION NASAL
  • CEFALEA
20
Q

patogenia de POLIPOS NASALES

A

PROCESO INFLAMATORIO CRONICO DE MUCOSA NASAL

21
Q

CARACTERTISTICAS HISTOLOGIAS DE POLIPOS

A

epitelo pseduoestratificado con CELULAS CILIADAS y CALCIFORMES

22
Q

DX POLIPOSIS NASAL

23
Q

TX POLIPOS NASALES

A

1ro GLUCOCORTICOIDES

24
Q

tecnicas de polipegtomia segun su localizacion

A
  • senos paranasales = polipectomia
  • con sinusitis MAXILAR= CALDWELL LUC
  • con sinusitis ETMODIAL = ETMOIDECTOMIA
  • con sinusitis ESFENOIDAL = ESFEINODECTOMIA
25
PATOGENIA DE MIGRAÑA VESTIBULAR
LESION DEL SISTEMA TRIGEMINO VASCULAR
26
COMPLICACION MAS SEVERA DE OTITIS MEDIA AGUDA
MASTOIDITIS
27
tx mastoiditis
MIRINGOTOMIA + ANTIBIOTICOS - CEFTRIAXONA + CLINDAMICINA * ALERGIA = AZITROMICINA // CLARITROMICINA // CIPROFLOXACINO
28
#1 AGENTE DE MASTOIDITIS
S. PNEUMONIAE (mismo agente que causa OMA)
29
indicaciones para MASTOIDECTOMIA
- FALLA AL TX - **COLESTEOTOMA (destruccion del timpano)*** - falla al aspirado
30
CLINICA OTOSCLEROSIS
- hipoacusia lentamente progresiva A LA 4 - 5ta DECADA DE VIDA - TRIADA DE HOLMGREM
31
TRIADA HOLMGREM
1) SEQUEDAD DE PIEL CON AUSENCIA DE CERUMEN 2) HIPOSENSIBILIDAD AL TACTO 3) AUSENCIA DE REFLEJO VASCULAR
32
sigo de SCHWARTZE
HIPERVASCULARIDAD DEL PROMONTORIO | se ve rojo el timpano con muchas venas
33
DX OTOSCLEROSIS
#1 AUDIOMETRIA *** REFLEJO ESTAPEDIAL AAAUUUSEEENTEEE (valora la movilidad del estribo)
34
tx OTOSCLEROSIS
1) FLUORURO DE SODIO | 2) CIRUGIA = ESTAPEDECTOMIA
35
FASE OTOESPONGIOSIS DE OTOSCLEROSIS "la esponja sangrona"
** FASE INICIAL** - fase de congestion osteoide, se genera SIGNO DE SHCWARTZE (hipervascularidad promontorio)
36
FASE TRANSICION DE OTOSCLEROSIS
- aparecen OSTEOCLASTOS que ocasionan reabsorcion osea "aspecto espongioso"
37
que es MIRINGITIS BULLOSA
vesicuas en timpano durante Otitis MEDIA VIIIRAAAL
38
agente de mirigitis bullosa
#1 VIRAL 2 S. PNEUMONIAE #3 MICOPLASMA
39
TX MIRINGITIS BULLOSA
rotura de vesiculas por MIRINGOTOMIA
40
TX PARA TINNITUS
ESTIMULACION AUDITIVA + TERAPIA COGNITIVO CONDUCTUAL
41
GRADOS DE BAROTRAUMA
1-2 = hiperemia de timpano 3- = efusion hemorragica 4= ocupasion cerosa + hemotimpano 5= perforacion timpanica

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