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Anato clínica AS > Coledocolitiasis > Flashcards

Coledocolitiasis Flashcards

1
Q

Prevalencia

A

6-12% de px

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2
Q

¿Cuánto mide el colédoco?

A

5 - 15 cm de largo
3 - 10 mm de ancho

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3
Q

Porciones del colédoco

A

Supraduodenal 2 cm
Retroduodenal 1.5 cm
Pancreático 3 cm
Intramural 1 cm

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4
Q

Irrigación del colédoco

A

Hepática derecha
Gastroduodenal

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5
Q

Signos (clínica):

A

Dolor similar a colecistitis
Náusea y vómito
Dolor epigástrico o CSD
Ictericia

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6
Q

Valor total de bilirrubina

A

menor o igual a 1

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7
Q

Bilirrubina indirecta

A

Liposoluble

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8
Q

Bilirrubina directa

A

hidrosoluble

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9
Q

¿De qué color son las heces fecales sin bilirrubina?

A

blancas (ACOLIA)

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10
Q

Triada de Charcot

A

Fiebre
dolor
Ictericia

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11
Q

Pentada de Reynolds

A

Fiebre
Dolor
Ictericia
Deterioro neurológico
Choque

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12
Q

¿Qué es la coluria?

A

Orina sin bilirrubina

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13
Q

Estudio de lab

A

Pruebas de función hepática
BH

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14
Q

Estudio gold estándar

A

Ultrasonido

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15
Q

Estudio gold estándar en vía biliar

A

Colangiorresonancia

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16
Q

Tratamiento

A

CPRE (colangiopancreatografía retrógrada endoscópica
Exploración de vía biliar

Anato clínica AS (16 decks)

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