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CASO CLINICO

CASO CLINICO 1

QuestionAnswer
CASO CLINICO 1 FEMENINO DE 65 AÑOS, SE PRESENTA A URGENCIAS POR INICIAR HACE 30 MIN CON DISNEA SUBITA Y HEMOPTISIS. COMO ANTECEDENTES, PORTADORA DE OSTEOPOROSIS EN TRATAMIENTO CON ALENDRONATO, DIAGNOSTICO DE CANCER OVARICO EN ESTADIO IV HACE 3 MESES, ACTUALMENTE BAJO QU
EXPLORACION FISICA INQUIETA, DIAFORETICA, FR 24, FC 115, TA 100/60, T 36.4, SAT 90 (FIO2 21%)
LABORATORIALES SOLICITA ELECTROCARDIOGRAMA MUESTRA TAQUICARDIA SINUSAL, TROPONINA I Y CPK-MB NORMALES.
¿QUE FACTORES CONFORMAN LA TRIADA DE VIRCHOW? LESION ENDOTELIAL, ESTASIS VENOSA E HIPERCOAGULABILIDAD
¿QUE PROBABILIDAD CLINICA DE TROMBOEMBOLIA PULMONAR EN ESTE PACIENTE? ALTA
¿CUAL ES EL SIGUIENTE PASO DENTRO DEL ABORDAJE DIAGNOSTICO EN ESTE CASO? ANGIOTOMOGRAFIA HELICOIDAL PULMONAR
DENTRO DEL ABORDAJE ¿CUAL ES LA PRINICIPAL UTILIDAD DEL DIMERO D? ALTA SENSIBILIDAD Y VALOR PREDICTIVO NEGATIVO
¿CUAL ES EL HALLAZGO ELECTROCARDIOGRAFICO MAS ESPECIFICO DE TROMBOEMBOLIA PULMONAR? PATRON S1Q3T3 O COMPLEJO DE MCGINN-WHITE
¿CUAL ES EL TTO INICIAL DE ELECCION EN ESTE PACIENTE? HEPARINA DE BAJO PESO MOLECULAR
¿CUAL ES EL MANEJO DE ELECCION COMO PREVENCION SECUNDARIA TRAS EL EGRESO EN ESTA PACIENTE? HEPARINA DE BAJO PESO MOLECULAR
¿CUAL ES EL MECANISMO DE ACCION DE EXANOPARINA? INHIBICION DEL FACTOR XA
A LARGO PLAZO, EN PTE CON ENFERMEDAD TROMBOEMBOLICA VENOSA, ¿CUAL ES LA META TERAPIA CON EL USO DE CUMARINICOS? MANTENER UN INR DE 2 A 3
DE FORMA GENERAL¿POR CUANTO TIEMPO SE RECOMIENDA LA ANTICOAGULACION EN PTES CON UN PRIMER EVENTO DE ENFERMEDAD TROMBOEMBOLICA VENOSA PROVOCADA POR UN FACTOR DE RIESGO TRANSITORIO (CX, INMOVILICACION, ETC) TRES MESES
Created by: GACF
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