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Semiologia Gastrointestinal > Cirrosis > Flashcards

Cirrosis Flashcards

1
Q

Definicion cirrosis:

A

Proceso cronico y Progresivo histologicamente caracterizado por fibrosis y nodulos de regeneracion.

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2
Q

Fisiopatogenia Cirrosis:

A

Agresion Hepatica - Nodulos de regeneracion - Alteracion Circulacion Hepatica - Hipertencion Portal - Circulacion colateral - Provocando Fibrosis - Insuficiencia Funcional Hepatocito.

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3
Q

Causas de Cirosis:

A

Toxicas: alcohol*
Hepatitis crónicas activas: B, C, D, E*
Fármacos

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4
Q

Manifestaciones Cirrosis Descompensada:

A 
Hipertensión portal
esplenomegalia
hemorragias digestivas altas (varizes esofagicas)
Ascitis. 
Coagulopatías:
Encefalopatía hepática
Insuficiencia hepática
*todos os sintomas da compensada*
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5
Q

Manifestaciones Cirrosis COmpensada:

A 
Latente y ASINTOMÁTICA 
Astenia y anorexia 
Malestar en hipocondrio derecho o dolor abdominal.  
Bradipsiquia
anemia 
telangiectasias en facie  
Xantelasma  
Ictericia
Colestasis
Nevos en forma de araña 
Ginecomastia
Hipertrofia parotídea 
Palmas hepáticas: rojas 
Hepatomegalia 
Contractura de Dupuytren 
Uñas blanquecinas (Leuconiquia) 
Equimosis/hematoma
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6
Q

Examens Comlementarios Cirrosis:

A

Laboratorio: Hemograma-Coagulograma-Proteinograa

Alteraciones: Anemia-Leucopenia-Tombocitopenia-Hipoproteinemia-Hipoalbuminemia-BajoTeimpoProtrombina .

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7
Q

Diagnostico Cirrosis COmpensada:

A 
ANTECEDENTES:
 Alcoholismo
Hepatitis
SINTOMAS:
Astenia
Anorexia
Malestar en hipocondrio derecho
Bradipsiquia
Impotencia
Diátesis hemorrágica
SIGNOS: 
Angiomas en araña (spiders)
Ginecomastia
Hipertrofia parotídea
Palma hepática
Hepatomegalia
Esplenomegalia
LABORATORIO:
Pancitopenia
Trombocitopenia y anemia
Hipoalbuminemia
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8
Q

Complicaciones Cirrosis :

A

Insuficiencia Hepatica y Hipertension Portal

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9
Q

Clasificacion ChildPugh:

A 
Bilirubina : 2 - 3 mg/dL
Albumina : 3.5 - 2.8 g/dL
Tiempo quink : 70 - 40
Ascitis : Ausente/Leve/Moderada
Encefalopatia: Ausente / 1-2 / 3-4
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Semiologia Gastrointestinal (14 decks)

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