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ENFERMEDAD ULCERO PE

ENFERMEDAD ULCERO PEPTICA

QuestionAnswer
COMO SE DEFINE UNA ULCERA PEPTICA Solución de continuidad en la mucosa del estomago
FACTORES DE RIESGO MAS COMUNES DE ULCERA PEPTICA 1. Infección por h PYLORI 2. AINE 3.Tabaquismo 4. Quemaduras 5. PO QX
PRESENTACIONES DE ULCERA PEPTICA ULCERA GASTRICA ULCERA DUODENNAL
EPIDEMIOLOGIA DE ULCERA PEPTICA Ulcera gastrica > Hombres
CAUSA MAS COMUN DE SANGRADO DE TUBO DIGESTIVO ALTO ENF. ULCERO PEPTICA
CUADRO CLINICO DE ULCERO PEPTICA GASTRICA 1.EPIGASTRALGIA que empeora con los alimentos y se irradia a espalda 2. Nausea y/o vomito 3. Anemia ferropenica
CUADRO CLINICO DE ULCERA PEPTICA DUODENAL 1.EPIGASTRALGIA 2. MEJORA CON LA INGESTA DE ALIMENTOS 3. DOLOR A LA MADRUGADA-NOCTURNO
COMO SE ESTABLECE EL DIAGNOSTICO DE ULCERA PEPTICA Endoscopia digestiva alta
MOMENTO IDEAL PARA REALIZAR LA ENDOSCOPIA EN UN SANGRADO CON ULCERA PEPTICA Dentro de las primeras 24 horas
ESCALAS DIAGNOSTICAS QUE EXISTEN PARA EVALUAR AL PACIENTE CON ULCERA PEPTICA BLATCHFORD (SOLO USA DATOS CLINICOS + LABS) ROCKALL
CLASIFICACION ENDOSCOPICA QUE ES UTIL PARA MEDIR RIESGOS DE RESANGRADO EN PX CON ULCERA PEPTICA FORREST
COMO SE DIVIDE LA ESCALA DE FORREST Ia Ib IIa IIb IIc III
FORREST IA SANGRADO A CHORRO
FORREST IB SANGRDO EN CAPA
FORREST IIA Vaso visible
FORREST IIB COAGULO
FORREST IIC Fibrina
FORREST III NO EXISTEN DATOS DE HEMORRAGIA
MANIFESTACIONES QUE DEBEN LLEVAR A LA SOSPECHA DE HEMORRAGIA POR ULCERA Hematemesis 30% Melena 20% Hematoquezia 5%
ESTUDIO DIAGNOSTICO A SOLIICTAR EN CASO DE SOSPECHA DE PERFORACIONN POR ULCERA TAC
MANEJO EN CASO DE HEMORRAGIA GASTRINTESTINAL CAUSADA POR ULCERA 1. Infusion IV de IBP 2. Esquema para la erradicacion de H. Pylori 3. Endoscopia
MANEJO EN CASO DE PERFORACION DE ULCERA 1. Soluciones cristaloides
PRINCIPAL FACTOR DE RIESGO ASOCIADO AL DESARROLLO DE SANGRADO DIGESTIVO AINES
MANIFESTACIONES CLINICAS MAS COMUNES DE SANGRADO DIGESTIVO ALTO 1.Hematemesis 2. Sangrado en posos de café 3. Melena
A PARTUIR DE CUANTOS ML DE SANGRE PUEDE OBSERVARSE LA MELENA 50 ML
DEFINICION DE HEMATOQUEZIA HECES CON SANGRE FRESCA
CLINICA DE OERFIRACION POR ULCERA 1. Dolor abdominal y datos de irritación peritonea 2.Desaparece la matidez hepatica por presencia de aire libre
INTERPRETACION ESCALA DE BLATCHFORD Riesgo alto :5 puntos Riesgo intermedio : 3 -4 puntos Riesgo bajo: 0-2 puntos
puntaje de boey Se utiliza en caso de ulcera peptica complicada con perforacion
Parametros que se utilizan en puntaje de boey 1. Choque preoperatorio 2. Evaluacion ASA III-IV 3. Perforacion mayor a 24 horas
Created by: karmarodi
 

 



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