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pato > trauma toracico > Flashcards

trauma toracico Flashcards

1
Q

trauma cerrado

A

golpes contusos

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2
Q

penetrante

A

instrumento cortante y arma de fuego

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3
Q

desaceleracion

A

vehículo automotor

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4
Q

evaluacion

A

ver (heridas y movimiento respiratorio)
oir (ruidos respiratorios)
sentir (expansion de torax y percusión)

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5
Q

revision primaria

A

masivo hemotorax
via de obstrucción
simple neumotorax
tension neumotorax
torax inestable
tamponade

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6
Q

revision secundaria

A

traquobronqueales
esofagicas
ruptura diafragmatica
contusion miocardica
contusion pulmonar

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7
Q

neumotorax simple clinica

A

disnea
asimetria de movimientos
ausencia de ruidos respiratorios
percusion timpanica

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8
Q

neumotorax simple sonda.

A

5to espacio intercostal linea axilar anterior o media - sello de agua

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9
Q

neumotorax a tensión el diagnostico

A

diagnostico es clinico

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10
Q

neumotorax a tension clinica

A

disnea
hipotension
pletora yugular
desviacion de la traquea

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11
Q

neumotorax a tension sonda

A

descompresion 2da linea medioclavicular

sonda endopleural 5to espacio intercostal linea media o anterior axilar - sello de agua

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12
Q

hemotorax masivo manejo

A

salida 1500cc a colocacion de sonda endopleural y gasto 200cc

toracotomia de urgencia

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13
Q

tamponade triada de beck F.A.S.T

A

hipotension
pletora yugular
ruidos cardiacos velados

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14
Q

torax inestable se da por

A

2 o mas costillas con 2 o mas trazos de fractura

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15
Q

torax inestable respiraciones

A

se deprime inspiracion se expande a la expiracion

coexiste con neumotorax, hemotorax o ambos

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16
Q

torax inestable manejo

A

suplemento O2 y SEP

17
Q

lesion traqueobronquial por

A

enfisema subcutaneo o enfisema mediastino

18
Q

lesion traqueobronquial se necesita hacer una

A

broncoscopia

19
Q

lesion traqueobronquial manejo

A

quirurgico o no quirurgico

20
Q

lesion esofagica por

A

enfisema subcutaneo o enfisema mediastino

21
Q

lesion esofagica se necesita hacer una

A

endoscopia

22
Q

lesion esofagica tratamiento

A

quirugico o no quirurgico

23
Q

ruptura diafragmatica clinica

A

ausencia de ruidos respiratorios e intestinales
disnea

24
Q

ruptura diafragmatica se pide

A

rx torax y abdomen tac - cirugia

25
Q

lesion miocardica clinica

A

golpe contuso en el torax
arritmias
datos de isquemia

26
Q

lesion miocardica monitoreo continuo

A

trompinas, ECG, ecocardiograma

pato (2 decks)

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