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ENARM > OTR 2 > Flashcards

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

A

TAC

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
Q

PATOGENIA DE MIGRAÑA VESTIBULAR

A

LESION DEL SISTEMA TRIGEMINO VASCULAR

26
Q

COMPLICACION MAS SEVERA DE OTITIS MEDIA AGUDA

A

MASTOIDITIS

27
Q

tx mastoiditis

A

MIRINGOTOMIA + ANTIBIOTICOS

  • CEFTRIAXONA + CLINDAMICINA
  • ALERGIA = AZITROMICINA // CLARITROMICINA // CIPROFLOXACINO
28
Q

1 AGENTE DE MASTOIDITIS

A

S. PNEUMONIAE (mismo agente que causa OMA)

29
Q

indicaciones para MASTOIDECTOMIA

A
  • FALLA AL TX
  • COLESTEOTOMA (destruccion del timpano)*
  • falla al aspirado
30
Q

CLINICA OTOSCLEROSIS

A
  • hipoacusia lentamente progresiva A LA 4 - 5ta DECADA DE VIDA
  • TRIADA DE HOLMGREM
31
Q

TRIADA HOLMGREM

A

1) SEQUEDAD DE PIEL CON AUSENCIA DE CERUMEN
2) HIPOSENSIBILIDAD AL TACTO
3) AUSENCIA DE REFLEJO VASCULAR

32
Q

sigo de SCHWARTZE

A

HIPERVASCULARIDAD DEL PROMONTORIO

se ve rojo el timpano con muchas venas

33
Q

DX OTOSCLEROSIS

A

1 AUDIOMETRIA

*** REFLEJO ESTAPEDIAL AAAUUUSEEENTEEE (valora la movilidad del estribo)

34
Q

tx OTOSCLEROSIS

A

1) FLUORURO DE SODIO

2) CIRUGIA = ESTAPEDECTOMIA

35
Q

FASE OTOESPONGIOSIS DE OTOSCLEROSIS

“la esponja sangrona”

A

** FASE INICIAL**

  • fase de congestion osteoide, se genera SIGNO DE SHCWARTZE (hipervascularidad promontorio)
36
Q

FASE TRANSICION DE OTOSCLEROSIS

A
  • aparecen OSTEOCLASTOS que ocasionan reabsorcion osea

“aspecto espongioso”

37
Q

que es MIRINGITIS BULLOSA

A

vesicuas en timpano durante Otitis MEDIA VIIIRAAAL

38
Q

agente de mirigitis bullosa

A

1 VIRAL

2 S. PNEUMONIAE

39
Q

TX MIRINGITIS BULLOSA

A

rotura de vesiculas por MIRINGOTOMIA

40
Q

TX PARA TINNITUS

A

ESTIMULACION AUDITIVA

+

TERAPIA COGNITIVO CONDUCTUAL

41
Q

GRADOS DE BAROTRAUMA

A

1-2 = hiperemia de timpano

3- = efusion hemorragica

4= ocupasion cerosa + hemotimpano

5= perforacion timpanica

ENARM (178 decks)

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