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3.4 Vesicula y vias biliares > Coledocolitiasis > Flashcards

Coledocolitiasis Flashcards

1
Q

Síntomas más frecuentes

A

Ictericia, dolor y fiebre

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2
Q

Causa más común

A

Secundaria por migración de litios de vesícula biliar

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3
Q

Estudio diagnóstico de primera linea

A

US abdominal

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4
Q

Porcentaje de probabilidad de coledocolitiasis en criterios de alto riesgo ASEG 2019

A

> 50%

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5
Q

Medida de diámetro de corte para coledocolitiasis

A

6mm y 8 en colecistectomizados

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6
Q

Factor relacionado con el origen primario

A

Infecciones piógenas recurrentes

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7
Q

Complicaciones más frecuentes

A

Colangitis y pancreatitits

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8
Q

Tratamiento de elección

A

CPRE

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9
Q

Manejo aducuado para atrofia/cirrosis por hepatolitiasis

A

Hepatectomía lobal/segmentaria

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10
Q

Incidencia de coledocolitiasis en pacientes con litiasis vesicular

A

3-10%

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11
Q

Sensibilidad de la RM para diagnóstico

A

95%

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12
Q

Incidencia de coledocolitiasis en pacientes mayores con litiasis vesicular

A

> 20%

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13
Q

Criterios de alto riesgo ASEG 2019

A

A. Lito en colédoco en estudio de imagen
B. Colangitis aguda
C. BT >4mg/dl y colédoco dilatado

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14
Q

Criterios de riesgo intermedio ASEG 2019

A

A. PFHs elevadas.
B. Edad >55
C. Colédoco dilatado

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15
Q

Porcentaje de probabilidad de coledocolitiasis en criterios de riesgo intermedio ASEG 2019

A

10-50%

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16
Q

Sensibilidad de los criterior de alto riesgo ASEG 2019

A

94%

3.4 Vesicula y vias biliares (13 decks)

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