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enarm > REUMA 1 repaso > Flashcards

REUMA 1 repaso Flashcards

1
Q

clinica WEGNER (poliangeitis granulomatosa)

A
  • “SINTOMAS TRACTO RESPIRATORIO SUPERIOR”
  • ** HEMORRAGIA ALVEOLAR**
  • sinusitis
  • otitis
  • mastoiditis
  • inflamacion encias

*” GLOMERULONEFRITIS”

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2
Q

ANCA en wegner

A

C ANCA

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3
Q

TX INDUCCION WEGNER

A

1 PREDNISONA + CICLOFOSFAMIDA

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4
Q

TX MANTENIMIENTO WEGNER

A

AZATIOPRINA // MTX

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5
Q

patogenia de ARTERITIS DE TAKAYASU

A

vasculitis granulomatosa de la aorta y ramas principales

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6
Q

clinica de TAKAYASU

A
  • Diferencia de pulsos en extremidades superiores
  • Pulsos disminuidos
  • CLAUDICACION de extremidades
  • HTA
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7
Q

DX TAKAYASU

A

ANGIOGRAFIA

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8
Q

DX NO INVASIVO EN TAKAYASU

A

ANGIO-RM

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9
Q

TX INICIAL TAKAYASU

A

PREDNISONA + CICLOFOSFAMIDA

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10
Q

patogenia de Poliangitis Microscopica

A

vasculitis necrosante NO granulomatosa

  • afecta vasos pequeños
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11
Q

CLINICA POLIANGITIS MICROSCOPICA

A
  • Purpura PALPABLE
  • Ulceras cutaneas
  • CAPILARITIS PULMONAR* (hemorragia pulmonar)

*** GMNRP **

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12
Q

ANCA presente en poliangitis microscopica

A

P- ANCA

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13
Q

Tx remision poliangitis microscopica

A

1 PREDNISONA + CICLOFOSFAMIDA

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14
Q

TX mantenimiento poliangitis microscopica

A

AZATIOPRINA

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15
Q

FARMACOS QUE PUEDEN CAUSAR POLIANGITIS MICROSCOPICA

A
  • HIDRALAZINA
  • PROPILTIURACILO
  • ALOPURINOL
  • SULFASALAZINA
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16
Q

patogenia de PAN

A

vasculitis inflamatoria progresiva necrotizante

  • afecta vasos de mediano y pequeño calibre
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17
Q

clinica de PAN

A
  • FIEBRE
  • MIALGIAS
  • ARTRALGIAS
  • NEUROPATIA PERIFERICA (miembros pelvicos)
  • NODULOS HIPERSENSIBLE

*** GMN

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18
Q

patologia asociada a PAN

A

VHB (12 meses previos)

19
Q

DX PAN

A

BIOPSIA NERVIO // lesiones cutaneas

20
Q

TX PAN

A

1 CORTICOIDES

21
Q

TX PAN + VHB

A

PLASMAFERESIS + LAMIVUDINA

22
Q

dx PAN en SNC

A

ANGIO RM

23
Q

dx PAN en intestino

A

TAC MULTICORTE

24
Q

patogenia de ARTERITIS DE CELULAS GIGANTES

A

panarteritis sistemica que afecta vasos medianos y grandes en px >50 años

25
Q

clinica arteritis de temporal

A
  • cefalea
  • sensibildiad cuero cabelludo

*** AMAUROSIS FUGAZ

*** DIPLOPIA

** “CLAUDICACION MANDIBULAR” ***

26
Q

dx inicial arteritis de la temporal

A

USG DOPPLER

27
Q

DX ELECCION ARTERITIS DE TEMPORAL

A

BIOPSIA DE ARTERIA TEMPORAL

28
Q

TX arteritis de temporal

A

prednisona

29
Q

farmaco que reduce probabilidad de perdida visual en arteritis temporal

A

ASA

30
Q

1 COMPLICACION ARTERITIS DE TEMPORAL

A

ANEURISMAS AORTICOS TORACICOS

31
Q

clinica de vasculitis crioglobulinemica

A
  • purpura palpable recurrente
  • neuropatia periferica

** HIPOCOMPLEMENTEMIA **

  • GMNRP
32
Q

DX VASCULITIS CRIOGLOBULINEMICA

A

Pruebas sericas de CRIOGLOBULINAS

33
Q

PATOLOGIA ASOCIADA A CRIOGLOBULINEMIA

A

VHC

34
Q

tx vasculitis crioglobulinemia

A
  • CORTICOIDES

- PLASMAFERESIS (si coexiste con VHC)

35
Q

tipo de inmunoglobulina que son las CRIOGLOBULINAS

A

IgM

36
Q

Vasculitis sistemica mas comun en NIÑOS

A

PURPURA HENOCH-SCHONLEIN

37
Q

clinica de SX CHURG STRAUSS

A
  • vasculitis que afecta PULMON, PIEL, CORAZON

*** “ASMA”

*** EOSINOFILIA

38
Q

TRIADA SX CHURG STRAUSS

A

1) VASCULITIS NECROTIZANTE
2) GRANULOMAS
3) EOSINOFILIA

39
Q

ANCA presente en CHURG

A

P ANCA

40
Q

tx remision CHURG

A

prednisona + ciclofosfamida

41
Q

tx mantenimiento CHURG

A

AZATIOPRINA

42
Q

estudio de imagen en ENFERMEDAD DE KAWASAKI

A

ECOCARDIO TRANSTORACICO (para detectar aneurismas coronarios)

43
Q

tx KAWASAKI

A

INMUNOGLOBULINA IV + ASA

enarm (178 decks)

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