Download - TRAUMA URETRAL
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Dr Juan Manuel Jimenez Torrado
MANEJO DE LA URETRA EN EL PACIENTE AGUDO
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PROYECTILES
ARMABLANCA
DESGARRO MORDEDURAS
CONTUSIONES
FRACTURAS DEPELVIS
FRACTURA DE PENEINSTRUMENTACION URETRAL
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URETRA POSTERIOR Uretra prostática
Uretra membranosaURETRA ANTERIOR Uretra bulbar
Uretra peneana Uretra glandelar
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CLINICAUretrorragia
Dolor
Globo vesical
Hematoma
Ascenso prostátic
o
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LESIONES DE URETRA ANTERIOR
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LESIONES POR CATETERISMO
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RETENCION AGUDA DE ORINA DE ORIGEN NO TRAUMATICO
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TECNICA DE CATETERISMO URETRAL
Elementos
Guantes EsterilesGasas EsterilesCampo fenestrado2 Jeringas de 10 y 20mlLidocaina jalea EsterilAgua destiladaSonda vesicalBolsa colectoraDesinfectante
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FRACTURA DE PENE
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LESIONES DE URETRA POSTERIOR
Fractura de pelvisProyectilesCatéteresArma blanca
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FRACTURA DE PELVIS
PolitraumaGravesLa mayoría completasFrecuente asociación a lesión vesical
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URETROCISTOGRAFIA RETROGRADA
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FRACTURA DE PELVIS/PACIENTE ESTABLE
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FRACTURA DE PELVIS/PACIENTE INESTABLE
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RaroEscasa longitudIatrogénico (Cirugía transvaginal)Fractura de pelvisOtros
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Traumatismos VesicalesPoco frecuentes.Alta mortalidad.Asociados a otros traumatismos.
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SintomatologíaMACROHEMATURIA (95 – 100%)
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diagnosticoCUGR
Se debe llenar la vejiga completamente (350ml)
Se debe realizar una placa premiccional y post miccional.
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DEBIDO A QUE ESTOS PACIENTES REQUIEREN USUALMENTE UNA TAC SE PUEDE APROBECHAR LA MISMA PARA REALIZAR UNA CUG.
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CLASIFICACIONHEMATOMAINTRAPERITONEALRETROPERITONEAL