prolapso + incontinencia Flashcards

1
Q

qual é o ponto do POPQ mais importante na avaliacao do prolapso?

A

ponto B

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2
Q

qual a diferenca de pressao de pernda na incontinencia de esforco

A

hipermobilidade p > 90
defeito esfincter p < 60

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3
Q

qual a posicao que o colo vesical assume na hipermobilidade (iue)

A

infravesical

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4
Q

medicacoes usadas na bexiga neurogenica e contraindicacoes

A

1a opcao = anticolinergico = oxibutinina, tolterodina, solifenacia –glaucoma

2a opcao = agonista beta3adrenergico = mirabegrona = HAS SEM CONTROLE

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5
Q

colpossacrofixacao corrige qual distopia?

A

prolapso de cupula vaginal

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6
Q

diafragma pelvico

A

levantador do anus - puborretal, isquiococcigeo e pubococcígeo

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7
Q

prolapso de cupula ocorre em quem?

A

pcte histerectomizada

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8
Q

tto para prolapso de cupula

A

colpopromontofixacao com ou sem histerectomia
colprocleise

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9
Q

classe dos medicamentos para bexiga hiperativa

A

antagonista muscarinico: solifenacina e oxibutinina (ci: glaucoma,gestacao, arritmia, lactacao)

agonista beta adrenergico: mirabegron (HAS nao controlada)

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10
Q

qual a cirurgia preconizada para alongamento hipertrofico de colo em nuligestas?

A

MANCHESTER

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