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Barberia > Colecisitis y colelitiasis > Flashcards

Colecisitis y colelitiasis Flashcards

1
Q

Colecisititis aguda:
colelitiasis:

A

Colecisititis aguda: inflamacion VB+ dolor HD >12 hr
colelitiasis: litos vesicula biliar

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2
Q

FR

A

mujer, 40 años gorda, fertil, farmacos (AO, TRE, fibratos, ceftriaxona)

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3
Q

Clínica

A

dolor CSD, nausea, vomito y signo de Murphy (+)

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4
Q

Datos de perforación con peritonitis

A

-irritación peritoneal, distensión abdominal
-taquicardia, taquipnea
-acidosis metabólica
-hipotensión, choque

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5
Q

Grados
I, II, III

A

Grados
I: inflamacion leve
II: leucocitosis, masa, >72 hr
III: disfunción orgánica

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6
Q

Estudio de elección
-descripción

A

Estudio de elección: US abdominal
-descripción: grosor >5mm, largo 8, dm 4, sombras acusticas

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7
Q

Tx de elección

A

Colecistectomía laparoscópica

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8
Q

TX ATB
-I, II, III

A

TX ATB
-I: cipro
-II: piper tazo
-III: cefoperazon + sulbactam y anerobios metronidazol

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9
Q

QX ante colecisto y coledocolitiasis

A

CPRE y colecistectomía

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Barberia (8 decks)

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