Colangite Aguda Flashcards

Vias Biliares

1
Q

Qual definição?

A

Infecção e inflamação DAS VIAS BILIARES
Presença de bactérias no trato biliar Obstrução biliar parcial ou completa

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2
Q

Causa mais comum?

A

Coledocolitiase com aumento da pressão dos ductos - bactérias

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3
Q

Bactéria mais comum?

A

E.coli

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4
Q

Quadro Clínico

A

Triade de Charcot
Pentade de Raynald

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5
Q

Triade de Charcot?

A

Febre, Ictericia e dor abdominal

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6
Q

Pentade de Reynald?

A

1 ictericia
2 febre com calafrios
3 hipotensão
4 hepatomegalia
5 alteração do estado mental

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7
Q

Pêntade de Reynald: Triade de Charcot + hipotensão + obnubilação =

A

Colangite TOXICA

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8
Q

Diagnóstico é _ _ _ _ _ _ _!

A

Clínico!

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9
Q

O que solicitar pra identificar Etiologia?

A

USG, TC ou RNM

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10
Q

Exames laboratoriais?

A

Fosfatase Alcalina, GAMA-GT, Bilirrubina Total, Hemograma.

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11
Q

Tratamento Clínico

A

Clínico com ATB

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12
Q

Indicação de Cirurgia?

A

Sem melhora de tratamento clínico em 12/24hrs e Colangite TOXICA

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13
Q

Cirurgia para Colangite?

A

Drenagem por CPRE ou Laparotomia

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14
Q

Antibioticos?

A

Rocefin e metronidazol

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