Cai biliare

Question 1

Triunghiul Calot

Answer 1

Sup - marg inf ficat
Med - canalul hepatic comun
Lat - canalul cistic

Question 2

Factori de risc pt calculi

Answer 2

1. Obezitate
2. Scadere rapida pond
3. Multiparitate
4. Contraceptive orale
5. Hipocolesterolemiante
6. Nutritie parenterala prelungita

Question 3

Compozitie calculi micsti

Answer 3

Ac biliari + lecitina + colesterol

Question 4

Ce calculi apar in infectia bilei

Answer 4

Bruni

Question 5

Calculii pgmentari sunt radioopaci

Answer 5

Da

Question 6

Ce contine namolul

Answer 6

1. Mucoproteine
2. Cristale de colesterol
3. Bilirubinat de Ca

Question 7

Semnul Courvoisier

Answer 7

Colecist destins, fara sensibilitate la palpare + icter

Question 8

Dif FA hepatobiliara de osoasa

Answer 8

Stabilitate laa temp ridicate

Question 9

FA + GGT&raquo_space;» AST + ALT

Answer 9

= Obstructie biliara

Question 10

Cand e calea biliara dilatata

Answer 10

> 7mm

Question 11

La ce pacienti apare rez fals neg la HIDA

Answer 11

1. Exclusiv nutritie parenterala

2. Hepatita cronica

Question 12

Complicatii colecistita

Answer 12

1. Empiem
2. Gangrena
3. Perforatie

Question 13

Dg dif colecistita acuta

Answer 13

1. Hepatita acuta
2. Pancreatita acuta
3. Ulcer perforat
4. Apendicita acuta

Question 14

Trat initial colecistita acuta

Answer 14

1. Oprire alim po
2. Lichide iv
3. Atb

Question 15

Dg dif colecistita cronica

Answer 15

1. Ulcer peptic
2. Reflux gastroesofagian
3. Obstructie ureterala
4. Intestin iritabil
5. Angina pect

Question 16

Cum e icterul in cancere

Answer 16

Progresiv

Question 17

Investigatia imagistica initiala de electie in litiaza coledociana

Answer 17

Eco

Question 18

Investigatia de electie in ileus biliar

Answer 18

CT contrast

Question 19

Cel mai frecv simptom in cancerul veziculei biliare

Answer 19

Durerea in HD

Question 20

Cel mai frecvent colangiocarcinom

Answer 20

Extrahepatic - perihilar (confluenta canalelor hep dr si stg pana la cistic)

Question 21

Ce sugereaza dg de colangiocarcinom la eco

Answer 21

Dilatatii de cai biliare fara calculi

Question 22

Care sunt tumorile Klatskin

Answer 22

Perihilare

Question 23

In tumorile de CBP distala se foloseste Whipple. Ce presupune

Answer 23

Rezectie CBP distala (+tumora), capul pancreasului, duodenul

3 anastomoze pt pancreas, ductul hepatic si duodenul la o ansa

Question 24

Consecinte strictura biilara nedg si netrat

Answer 24

1. Ciroza

2. Hipertensiune portala