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Otorrino > Trauma nasal > Flashcards

Trauma nasal Flashcards

1
Q

Definición de fractura

A

perdida de la continuidad ósea o cartilaginosa en la pirámide nasal

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2
Q

Cinetica del trauma

A

Frontal
Lateral (mas común)
inferior

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3
Q

En la lateral cuales son los grados

A

Grado 1- hueso
2- tabique
3- septum

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4
Q

En la frontal

A

1- punta
2- hueso nasal
3

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5
Q

Clinica

A

Crepitación *
deformidad
dolor
inflamación
desviación
Hematoma
epistaxis anterior

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6
Q

Hematoma septal a que deriva y su tx

A

necrosis del tabique y abcesco
Drenaje y antibioterapia

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7
Q

DX RX

A

Proyeccion lateral (perfilograma) Waters
TAC- afección de otras estructuras- mov oculares anormales- salida de LCR, hiposmia (Gold standard)

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8
Q

Reducción de trauma

A

optimo seria a ls 3 horas
en niño 3 días max
adulto 7 días max

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9
Q

Tx

A

algodones con lido (evita el reflejo vagal)

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10
Q

Indicaciones con reducción abierta

A

fractura expuesta, hundimiento del dorso nasal, conminuta, fractura del septum

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11
Q

Cuanto se necesita de peso para fracturar

A

11kg

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Otorrino (5 decks)

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