simulacro 2 pediatria
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SIMULACRO 2
PEDIATRIA
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FARINGOAMIGDALITIS AGUDA
HERPANGINA•Causada por el virus Coxsackie del grupo A.
•Se caracteriza por:• Vesículas y úlceras dolorosas de base
blanquecina con borde eriteatoso! en elpaladar blando! en los pilares anteriores y
en la "aringe.
• #iebre alta
• $dino"agia con salivaci%n.
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Gingivoestomatitisherpética•Causada por el virus &erpes tipo '.
•(ayorente en ni)os enores de * a)os.
•Cursa con "iebre alta! dolor y eriteaoro"aríngeo.
•+resentan de últiples vesículas que se
trans"oran en úlceras dolorosas!
localizadas en la cavidad oro"aringea y
labios.
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Exantema por Enterovirus
Producida por el Virus
Coxsakie A16
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DIAGNÓSIC! DI"E#ENCIA$%
Se e!e i"erenciar e# CRUP e otras ca$sas menos"rec$entes % mas graves e o!str$cci&n e v'asrespiratorias a#tas(
Epi&lotitis a&uda )haemophi#$s in*$en+ae tipo ,-( In*amaci&n e estr$ct$ras s$prag#&ticas .$e pro$ce
o!str$cci&n respiratoria m$% grave % p$ee ser morta#sin terapia inmeiata/ E# rango e ea es ma%or( 2 a 0 a1os/ ie!re a#ta3 apariencia t&4ica/ Posici&n en tr'poe/
La tos es rara % e# estrior es tar'o )signo inminente eo!str$cci&n respiratoria comp#eta-/
Si e sospecha( R5 #at/ C$e##o( Engrosamiento e #aepig#otis )La epig#otis hinchaa es ##amaa 6signo e#p$#gar7-/
Con8rmaci&n( #aringoscopia en SOP
$A#ING!#A'(EIIS
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Epi&lotis normal en la #x lateral de cuello) con undi*u+o de dic,a re&i-n en cuadro ./
En los cuadros C 0D un paciente con epi&lotitis/
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Paciente intu*ado con Epi&lotis% Se aprecia #aepig#otis eritematosa % eemati+aa con e
aspecto e cere+a
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Epi&lotis normal 0 epi&lotitis/A- Epig#otis norma#/
,- Eema % eritema caracter'sticos e #a epig#otitisag$a/
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$a posici-n en tr2pode3 %E# tronco inc#inao hacia ae#ante3
E# c$e##o hipere4tenio3
< e# ment&n ap$ntano haciaae#ante
,a ni)a con epiglotitis que asue la
característica posición de olfateoo de aspirar ! posici%n que
axiiza la pereabilidad de la vía
a-rea.
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SIGN!S%
aringe % am'ga#as
eritematosas
E4$ao !#anco=amari##ento
Pete.$ias en e# pa#aar
Escar#atina
Aenitis e #a caenacervica# anterior/
Do#or a!omina#
)aenovir$s-/
FARINGOAMIGDALITIS AGUDA
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Criterios e Centor
Es recomena!#e rea#i+ar #e iagnostico c#'nicopara "arin&itis estreptoc-cica en #os pacientesma%ores e : a1os con(
ie!re E4$ao amiga#iano3 in*amaci&n amiga#iana
o "aringe hipéremica/
Aenopat'a cervica# anterior o#orosa o#in"aenitis/
A$sencia e tos/
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FARINGOAMIGDALITIS AGUDA
"A#ING!A4IGDA$IISS(P(#ADA
)Principa#mente por e#Streptococc$s p%ogenes-
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ESCA#$AINA Pro$cia por #a to4ina eritrogénica e# Streptococc$s
p%ogenes
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Varicela 5oster
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Varicela 5oster
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Varicela complicada
9arice#a
Ampo##osa
Varicela complicada
con so*reinecci-n*acteriana
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Varicela complicada
"ascitisNecroti7ante
8S/ p0o&enes9
Celulitis8S/ aureus)
Estreptococos9
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Panencealitis Esclerosante de Da:sonEs $na en"ermea in*amatoria3 ne$roegenerativa3 cr&nica % pococom>n .$e a"ecta principa#mente a ni1os % a$#tos ?&venes3 ca$saapor $na in"ecci&n e# vir$s e# sarampi&n
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SA#A4PIÓN%
La séptima ca$sa e morta#ia in"anti# a nive# m$nia#
ie!re3 tos 3 cori+a3 con?$ntivitis3 e4antema mac$#opap$#osocon*$ente3 pr$riginoso3 e inicio en Reg retroa$ri$c$#ar%
progresa en "orma centri"$ga/
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SA#A4PIÓN%
4anc,asde
;oplik
Preceden alexantema) duran <
a = d2as
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ESCA#$AINA%
Producida por la toxinaeritro&>nica del
Streptococcus p0o&enes
8 Strep *eta,emolitico del G&upoA9
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ESCA#$AINA• Pro$cia por #a to4ina eritrogénica e# Streptococc$s p%ogenes
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Enermedad de ;a:asaki
S'nromeaenom$coc$taneo
9asc$#itism$#tisistemica3 a#parecer meiaapors$perantigenos/
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#AA4IEN!%
Gamag#o!$#ina intravenosa en osis>nica e 2 g@g a pasar en B2 horas/)ismin$%e #a inciencia eane$rismas coronarias ese B a2 hasta F a 0-/
Aspirina( e a B mg@g@'a v'aora# caa 0 horas hasta e# 'a BF e#a en"ermea3 % hasta .$e e# ni1opermane+ca a"e!ri# por ms e F0horas/ L$ego contin$ar con mg@g@'a v'a ora# por H a 0 semanaso hasta .$e se norma#icen #asp#a.$etas o #a 9SG3 oine8niamente si e4istecompromiso coronario/ Aneurisma de la arteria
coronaria/
•$a aecci-n cardiacaaparece a las < sem•Puede producir ICC)Derrame 0 arritmias/
•$as alteracionescoronarias puedenproducir muerte s?*ita
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DE"INICI!NES @Los criterios genera#mente aceptaos para #as conv$#siones "e!ri#esinc#$%en(
Una conv$#si&n asociaa a $na temperat$ra e#evaa ma%or .$e :0 JC Un ni1o e ms e tres meses % menores e seis a1os e ea A$sencia e in"ecci&n o in*amaci&n e# sistema nervioso centra# A$sencia e a#teraci&n meta!&#ica sistémica ag$a .$e p$eepro$cir conv$#siones
Ko ha% anteceentes e conv$#siones a"e!ri#es anteriores
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Las conv$#siones "e!ri#es se ivien en os categor'as(
Convulsiones e*riles simples) e# tipo ms com>n3 secaracteri+a por conv$#siones .$e se genera#i+an3 $ran menos eB min$tos3 % no se repitan en $n per'oo e 2F horas/
Convulsiones e*riles comple+as se caracteri+an por episoios
.$e tienen $n inicio "oca# )por e?emp#o3 #a agitaci&n se #imitan a $nae4tremia o $n #ao e# c$erpo-3 $rar ms e B min$tos3 oaparecer ms e $na ve+ en 2F horas/
La istinci&n entre simp#e % comp#e?o tiene imp#icacionespron&sticas(