TUMORES ENDOCRINOS Flashcards

1
Q

TUMOR EN SZ ZOLLINGE ELLISON

A

GASTRINOMA

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2
Q

LOCAL MAS FREC DE GASTRINOMA

A

DUODENO ….CABEZA DE PANCREAS

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3
Q

LOCAL MAS FREC DE LAS ULCERAS POR GASTRINOMA

A

ANTRO, MULTIPLES

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4
Q

DX DE GASTRINOMA

A

GASTRINA MAS DE 1000 Y PH MENOR DE 2

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5
Q

TX DE GASTRINOMA

A

QX…RESECCUION DUDENAL MASPANCREATECTOMIA LOCALIZAD MAS IBP

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6
Q

COMO SE LE CONOCE AL VIPOMA

A

SX WERNER MORRISON

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7
Q

AFEC DEL VIPOMA

A

CELS D1

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8
Q

PX DEL VIPOMA

A

70% METS AL DX

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9
Q

CLINICA DEL VIPOMA

A

DIARREA SECRETORA MAS DE 1 L A LD DIA, HIPOKALEMIA Y DESHIDRATACION

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10
Q

TX DEL VIPOMA

A

QX…..METS QUIMIO…DIARREA PREDNISONA Y SINTOMAS OCTREOTIDE

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11
Q

AFEC DEL GLUCAGONOMA

A

CELS ALFA DEL PANCREAS

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12
Q

PX DEL GLUCAGONOMA

A

METS AL DX 8O% TUMORES DE GRAN TAMAÑO

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13
Q

4 D DEL GLUCAGONOMA

A

DIABETES, DEPRESION, DERMATITIS(ERITEMA NECROLITICO MIGRATORIO), DEEP VEIN TROMBOSIS,

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14
Q

DDX DE GLUCAGONOMA

A

GLUCAGON MAS DE 1000 EN AYUNO

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15
Q

TX DEL GLUCAGONOMA

A

QX, OCTROTIDE, ZINC DERMATITIS Y QUIMIO SI METS

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16
Q

AFEC DEL SOMATOSTINOMA

A

CELD D

17
Q

TRIADA SOMATOSTINOMA

A

DIABETES, DIARREA ESTEATORREICA Y COLELITIASIS

18
Q

TUMOR ENDOCRINO GI MAS FREC

A

SX CARCICNOIDE

19
Q

LOCAL MAS FREC DEL TUMOR CARCINOIDE

A

INTES DELGADO…APENDICE

20
Q

DX DEL TUMOR CARCINOIDE

A

EXC URINARIA DE 5 HIDROXIDACETICO(METAB DE LA SEROTONINA)

21
Q

TX TUMOR CARCINOIDE

A

QX SI ES MENOR DE 2CM O EN APENDICE….OCTROTIDE INF A

22
Q

ORIGEN DEL INSULINOMA

A

CELS BETA DEL PANCREAS

23
Q

TUMOR MAS FREC DEL PNCREAS

A

GASTRINOMA…….INSULINOMA

24
Q

CLINICA DEL INSULINOMA

A

AUEMTO DE PESO

25
Q

DX EL INSULINOMA

A

HIPOGLUCEMIA EN AYUNO, INSLINA ELECADA

26
Q

METODO IMAGEN PARA LOCAL INSULINOMA

A

TAC ABDOMINAL, RM, ECO ENDOPANCEATICO Y EL MAS ESPEC ECO INTRAOPERATORIO

27
Q

TX DEL INSULINOM

A

QX SIEMPRE….CABEZA ENUCLEACION,,,,COLA PANCREACTEC DISTAL….MUY GRNADES O SOSP MALIGNIDAD PANCREATICODUODENECTOMIA

28
Q

ORIGEN DEL FEOCROMOCITOMA

A

CCELS CROMAFINES DE SN SIMP EN MEDULA SUPRARRENAL

29
Q

SEXO MAS FREC DE FEOCROM

A

MUJERES

30
Q

DX DE FEOCROMOCITOMA

A

MEICION DE METANEFRENIAS EN ORINA…ACIDO VANIMANDELICO EN ORINA…..PRUEBA DE SUPRESION DE CLONIDINA Y GAMAGRAFIA CON MIBG

31
Q

TX DE FEOCROMOCITOMA

A

FENOXIBENZAMINA PROFILAXIS Y DURANTE LA CRISIS FENTOLAMINA …BB CUANDO TAQUIC

32
Q

PORCENTAJE DE EFICACIA TRAS QX UN FEOCROMO

A

CURA HAS 75%