Rinosinusitis aguda y cronica Flashcards

1
Q

Etiología de rinosinusitis

A

Obstrucción del ostium sinusal y defecto en mecanismos de defensa locales, secundarios a infección viral

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2
Q

Rinosinusitis aguda

A

<4 semanas

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3
Q

Etiología bacteriana mas frecuente de rinosinusitis aguda

A

S. pneumoniae

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4
Q

Rinusitis subaguda

A

4-12 sem

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5
Q

Rinosinusitis cronica

A

> 12 sem

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6
Q

Rinosinusitis tipica en inmunosuprimidos

A

Fulminante por Aspergillus

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7
Q

Rinosinusitis que afecta a diabeticos

A

Mucormicosis rinocerebral

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8
Q

Tratamiento para aspergillus y muscor

A

Anfotericina IV y control hidroelectrolítico

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9
Q

3 agentes mas comunes

A

S. pneumoniae
H. influenzae
M. catarrhalis

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10
Q

Criterios mayores

A

Dolor presión facial.
Congestión facial.
Obstrucción nasal.
Rinorrea purulenta/descarga
posterior.
Hipo o anosmia
Secreción purulenta.
Fiebre

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11
Q

Criterios menores

A

Cefalea
Halitosis
Decaimiento
Dolor dental
Tos
Otalgia

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12
Q

Que caracteriza a la sinusitis cronica

A

Insuficiencia respiratoria nasal

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13
Q

Localización mas frecuente en niños

A

Edtmoidal

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14
Q

Localización mas frecuente en adultos

A

Maxilar

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15
Q

Senos valorados en rx Caldwell

A

Frontal
Etmoidal

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16
Q

Senos valorados en rx Waters

A

Frontal y maxilar

17
Q

Senos valorados en rx hirtz

A

Esfenoidal y etmoidal

18
Q

Senos valorados en rx lateral

A

Esfenoidal, frontal, silla turca, adenoides

19
Q

Tratamiento en cuadros agudos

A

Descongestivos
Mucolíticos
Antibiòticos
Lavados nasales

20
Q

Tratamiento en cuadro crónicos

A

Mucolíticos
Antibiótico selectivo
Esteroide
Estabilizados de mastocitos
Lavados nasales

21
Q

Esquema recomendado

A

Amoxiclav 500 mg c/8 h por 10-14 días o si hay alergias a penicilinas: TMP/SMX 160/800 mg c/12 horas por 10-14 días