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Medicina general

Temas varios

QuestionAnswer
Placa Heráldica Pitiriasis Rosada
Papulas, planas, poligonales, purpúricas, pruriginosas Liquen Plano
Mancha ungeal de aceite, piting, onicolisis Psoriasis
Ampollas flácidas + Nikolski positivo Ampolla intradermica Pénfigo
Anciano + Ampollas tensas + prurito. Ampolla subepidermica Penfigoide
Impide absorcion de Eutirox Hierro, Calcio, Colestiramina, Sucralfato, IBP, Enfermedad celiaca, EII.
Cuando tratar Hipertiroidismo subclinico TSH > 10
Dermatopatia de enfermedad de graves Mixedema pretibial (en piel de naranja)
Tirotoxicosis Facticia TGB disminuidas
Contraindicaciones trombolisis en ACV 1/2 1. HIC actual / previa 2. TCE o ACV en 3 m previos 3. Neoplasia intracraneal 4. MAV o aneurisma 5. CX intracraneal / intrarraquidea reciente
Contraindicaciones trombolisis en ACV 2/2 6. Hemorragia interna activa 7. Puncion arterial no compresible 8. PA alta 9. Infarto multilobar 10. Pkts < 100.000 11. INR > 1.7 12. Tto con inhib. Xa 13. TTP > 40 14. Glu < 50
Tto Secundario del AVC 1. Antiagregante pkt (AAS, Clopidogreol + AAS) 2. Anticoagulacion 3. PAS (120-139) 4. Estatina (Atorva 80mg- meta LDL < 70) 5. Fluoxetina 6. Pioglitazona 7. Revascularizacion carotidea
Hernia lateral a vasos epigastricos inferiores Hernia inguinal directa
Hernia inguinal directa Medial a vasos epigastricos inferiores
Tto HPB #1> Bloqueadores de recetores alfa-1
Sindrome compartimental - 6 P's Pain (dolor desproporcionado con respecto a la lesion) - es mas preciso Palidez Paralisis Parestesias Pulso ausente Poiquilotermia
Orden de afectacion de senos en Sinusitis Maxilar Etmoidal Frontal Esfenoidal
Tto Sinusitis Leve-> AINE's + Antihistaminicos + Descongestionante Severo -> ATB
Nodulo Tiroideo sospechoso de malignidad Nodulo adherido a la musculatura circundante
Masa cervical indolora en linea media del cuello Quiste tirogloso
Hematoma epidural Intervalo lucido de minutos a horas, luego coma (deterioro cognitivo)
Signo de resistencia a insulina Acantosis nigricans
Anemias microciticas Ferropenica, Talasemias, Toxicidad por plomo, anemia de la enfermedad cronica
Lactante con Hipotonia del SNC Hipotonia central, hipotonia axial mas prominente, reflejos exaltados
Lactante con Hipotonia de Neurona Motora Debilidad generalizada, respeta diafragma, musc. facial, pelvis y esfinteres
Lactante con Hipotonia del Nervio Afecta grupos musculares distales, debilidad con atrofia
Lactante con Hipotonia de Union Neuromuscular Bulbar, mas musc. oculomotores
Lactante con Hipotonia del Musculo Debilidad Prominente
Escala CURB-65 en Insuf Respi Confusion Urea >45 / BUN >20 Resp > 30 rpm Blood Pressure <90/60 65 años o mas
Neumonia Atípica Mycoplasma pneumoniae C. psitacci Legionella pneumophila Chlamydia pneumoniae Cloxiella burnetti
Created by: nsanchun
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