clinica - lab- imagenes- dif Flashcards

1
Q

clínica 6

A

1 dispepsia
2dolor en HD que se irradia hacia región sub o interescapular derecha
3 náuseas y vómito
4 fiebre: 37.5-38.5 - hipersensibilidad
5 murphy +
6 25%: courvossier terrier

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2
Q

labs

A

1 hemograma
2 perfil hepático: Bilirrubinas, GGT, TGP, TGO, FA, tiempos de coagulación
3 amilasa y lipasa

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3
Q

rx

A

identifica cálculos de ca

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4
Q

ecografia

A

gold estandar
identifica bien los calculos. puede verse una sombra acustica que genera el calculo

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5
Q

tac

A

se miran los litos

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6
Q

ecoendoscopia

CPRE

A

se mira miy bien: identifica el higado y el coledoco

CPRE: Se inyecta medio de contraste

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7
Q

colangiorresonancia

A

es la mejor de todas
veo la vesicula
conductos hepaticos derecho e izquierdo

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8
Q

dx diferenciales 8

A

colangitis
pancreatitis
ap
enf diverticular
hepatitis viral
colon irritable
IAM - neumonia basal derecha
urolitiasis

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