Colecistitis Flashcards

1
Q

Que es

A

Inflamación de la vesícula biliar

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2
Q

Causas

A

Cálculos
Estasis biliar
Bacterias

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3
Q

Presentaciones clínicas

A
  • asintomática
  • cólico biliar
  • aguda (pared vesicular mayor a 6mm)
  • crónica
  • complicada
  • litiasica
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4
Q

Síntomas de la colecistitis litiasica

A
  • dolor en CSD
  • nauseas y vómito
  • Signo de Murphy
  • masa palpable
  • fiebre
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5
Q

Complicaciones de la colecistitis aguda

A
  • enfisematosa
  • gangrenosa
  • perforada
  • fístula bilioenterica
  • ileo biliar
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6
Q

Dx diferencial

A

Úlcera péptica perforada
Pancreatitis
Hernia hiatal
Apendicitis
Hepatitis

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7
Q

Componentes de los litios

A

70% colesterol, bilirrubina y calcio

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8
Q

Signos y síntomas de la colecistitis no complicada

A

Signo de Murphy
Nauseas
Resistencia muscular en CSD

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9
Q

Signos y síntomas de la colecistitis complicada

A

Taquicardia, hipotensión, inestabilidad hemodinámica y fiebre mayor a 39

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