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sister > perfracion gastrointestinal > Flashcards

perfracion gastrointestinal Flashcards

1
Q

causa mas comun de perforacion de estomago y duodeno

A

Ulcera peptica

otras: malignidad o EII, obstruccion intestinal traumatismo

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2
Q

CC

A

signos e peritonitis o shock

inicio repentino de dolor intenso y punzante .. despues difuso y disntencion

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3
Q

antescedentes

A

uso cronico de AINES o dolor epigastrico recurrente

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4
Q

estudio confirmatorio

A

TC de abdomen y pelvis con contraste IV = neumoperitoneo

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5
Q

tx

A

laparotomia exploratoria urgente, NPO , liquidos IV + IBP IV + ATB amplio esspectro

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