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EXMEN PREINTERNADO
ESSALUD 2006

Tests

Results

HBsAg
anti-HBc
anti-HBs
HBsAg
anti-HBc
anti-HBs
HBsAg
anti-HBc
anti-HBs
HBsAg
anti-HBc
IgM anti-HBc
anti-HBs
HBsAg
anti-HBc
IgM anti-HBc
anti-HBs
HBsAg
anti-HBc
anti-HBs

negative
negative
negative
negative
positive
positive
negative
negative
positive
positive
positive
positive
negative
positive
positive
negative
negative
negative
positive
negative

Interpretati
on
Susceptible

Immune due to
natural
infection
Immune due to
hepatitis B
vaccination*

Acutely infected

Chronically
infected
Four
interpretations
possible

* Antibody response (anti-HBs) can be measured


quantitatively or qualitatively. A protective antibody
response is reported quantitatively as 10 or more
milliinternational units (>=10 mIU/mL) or qualitatively
as positive. Post-vaccination testing should be
completed 1-2 months after the third vaccine dose
for results to be meaningful.
Four Interpretations:
1. Might be recovering from acute HBV infection.
2. Might be distantly immune and test not
sensitive enough to detect very low level of antiHBs in serum.
3. Might be susceptible with a false positive antiHBc.
4. Might be undetectable level of HBsAg present
in the serum and the person is actually
chronically infected

EDEMA AGUDO
PULMONAR DE
ALTURA Y TEP

Clnica de edema agudo pulmn.


Signos y sntomas de TEP.
Clnica de embolismo graso.

Agudo crnico. Masivo submasivo.


FR EXCLUSIVOS: inmovilizacin,
cirugia <3m, ECV, paresia, paralisis,
TVP, cncer, CVC <3m, ICC. Obesas,
fumadoras pesadas e hipertensas.

OBSTETRICIA

No es til. Asintomticos 32%.


Disnea subita, dolor pleural,
tos, ortopnea, dolor pierna,
edema pierna, sibilantes. Tq, Tf,
rales, bajo MV, 2RC, IY.

Reanimacion:
Soporte hemodinmico: norepinefrina, dopamina,
dobutamina?.
Anticoagulacion:
INICIACION
ELECCION DE FARMACO (HBPM, HNF, fondaparinux,
warfarina, dabigatran)
COMPLICACIONES
DURACION DE TERAPIA (primer episodio: FR
identificable y reversible)(TEP recurrente)
Trombolisis. - Filtros de la VC inferior. - Embolectomia.
Tto ambulatorio.
Tto expectante.
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OBSTETRICIA

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OBSTETRICIA

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VULVOVAGINITIS
CANDIDA

TRICOMONA

GARDENELLA

Frecuencia

La + sintomatica

La menos frec

La ms frec

F Riesgo

Estrogenos, DM,
VIH, ATB, CC

ETS siempre

NO ETS:
gestacin, DIU

Prurito!!!

Leucorea

Asintomtica

Blanquecino y grumoso

Espumoso y con
burbujas

Gris y maloliente

Eritema

Colpitis en fresa

Normal

<4,5

>4,5

>4,5

Esporas

Tricomonas

Clue cels>20%

Diagnstico

Cultivo Saboureaud

Examen en fresco

Prueba de aminas +

Tratamiento

Clotrimazol topico

Metronidazol vo + tto
pareja

Metronidazol o
clindamicina vo/topico

Sintoma ppal
Leucorrea
Exploracin
pH vagina

Microscopia salino

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989233799

986810597

http://www.midis
.gob.pe/dgsye/da
ta1/files/enic/eje
2/estudioinvestigacion/NT_
CRED_MINSA2011
.pdf

TOCOLTICOS

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989233799

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CNCER DE VAGINA
Histology

Number of patients

Incidence

Squamous cell

627

83.4

Adenocarcinoma

70

9.3

Sarcoma

20

2.6

Melanoma

2.6

Undifferentiated

1.0

Small cell

0.7

Lymphoma

0.3

Carcinoid

0.1

Total

753

100.0

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989233799

986810597

SIFILIS GESTANTE
INTRODUCTION Syphilis is a systemic infection caused by the spirochete Treponema
pallidum, which is of particular concern during pregnancy because of the risk of
transplacental infection of the fetus. Congenital infection is associated with several
adverse outcomes [1-5], including:
Perinatal death
Premature delivery
Low birth weight
Congenital anomalies
Active congenital syphilis
in the neonate
Long-term sequelae,
such as deafness
and neurologic
impairment

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989233799

986810597

www.qxmedic.com

qxmedic.gmail.com

989233799

986810597