COLECISTITIS Flashcards

1
Q

Cómo hacemos el dx de una colecistitis crónica

A

Estudio de histopatología

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2
Q

Hallazgo en estudio de sangre ante colecistitis aguda

A

Leucocitosis con elevación de bandas

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3
Q

Sintomatologia de colecistitis aguda

A

-Dolor prolongado en HD 4-6hrs
-Fiebre
-Leucocitosis

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4
Q

Labs a solicitar en colecisittis aguda

A

-BH
-PFH
-Bilirrubinas
-ES
-Amilasa y lipasa
-PIE (edad fertil)

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5
Q

Signo sonografico diagnostico en Colecistitis aguda

A

Signo Murphy sonografico

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6
Q

Complicación más frecuente colecistitis aguda

A

Colecistitis grangrenosa

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7
Q

Microorganismo asociado al desarrollo de Colecistitis enfosematosa

A

Clostridum welchii

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8
Q

Enfermedad asociada con frecuencia al desarrollo de Colecistitis enfisematosa

A

Diabetes Mellitus

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9
Q

Hallazgo laboratorial que observamos en una Colecisittis enfisematosa

A

Elevacion de bilirrubina indirecta

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10
Q

Estudio de imagen con mayor grado de sensibilidad y especificidad para dx colecistitis

A

Colecistografía

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11
Q

Engrosamiento de la pared vesicular por imagen que indica colecsititis

A

≥ 4mm

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12
Q

Mediciones de la vesicula bilair sugerentes de colecistitis aguda

A

≥ 8cm eje largo
≥ 4cm eje corto

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13
Q

Metodo de imagen con mayor sensibilidad y especificidad para dx de Colecistitis Gangrenosa

A

-TAC contrastada
-MRI contrastada

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14
Q

Metodo de imagen con mayor sensibilidad y especificidad para dx de Colecistitis Enfisematosa

A

TAC abdomen simple

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15
Q

Unidades Hounsfield para el Gas y que nos ayuda a identificar colecistitis enfisematosa

A

-1,000 UH

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16
Q

Cuál es el signo de Courvoisier Terrier

A

-Ictericia
-Masa palpable adolora HD
-Acolia

17
Q
A