coledocolitiasis Flashcards

1
Q

En quienes se presenta la coledocolitiasis

A
  • 6-12% en pacientes con litos en VB
  • Edad 20-25% mayores de 60 años
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2
Q

Medidas del colédoco

A

longitud: 5- 15cm
Ancho: 3- 10mm

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3
Q

Porciones del colédoco

A
  • Supraduodenal 2cm
  • retroduodenal 1.5cm
  • pncreática 3cm
  • Intramural 1cm
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4
Q

A donde llega el coledoco

A

Ampula de Vater - Esfinter de Odi

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5
Q

Irrigación del coledoco

A

Riego axil
- Hepática derecha 38%
- Gastroduodenal 60%

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6
Q

clínica de una coledocolitiasis

A
  • Dolor similar a colecistitis
  • Náuseas y vómito
  • Dolor epigástrico o CSD
  • Ictericia
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7
Q

Que es la Ictericia

A

Aumento de bilirrubina

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8
Q

Tipos de bilirrubina

A

Indirecta- liposoluble, no conjugada
Directa - hidrosoluble, conjugada

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9
Q

Valores normales de bilirrubina

A

<1.0

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10
Q

Que se presenta por la Ictericia

A

Coluria
Acolia

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11
Q

Que es Coluria

A

Orina con un color similar a la coca

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12
Q

Que es Acolia

A

Heces blancas

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13
Q

Como puede avanzar la clínica de la coledocolitiasis

A

Triada de Charcot -> Pentada de Reynolds

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14
Q

Triada de Charcot

A
  • Fiebre
  • Dolor
  • Ictericia
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15
Q

Pentada de Reynolds

A
  • Fiebre
  • Dolor
  • Ictericia
  • Deterioro neurológico
  • Choque
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16
Q

Diagnostico de la coledocolitiasis

A
  • Laboratorio
  • Gabinete
17
Q

Estudios de laboratorio de la coledocolitiasis

A
  • BH
  • PFH (pruebas de función hepatica)
18
Q

Estudios de gabinete para la coledocolitiasis

A
  • USG
  • Colangiografía transoperatoria
  • Colangiorresonancia
19
Q

Tratamiento de la coledocolitiasis

A
  • CPRE
  • Exploración de vía biliar
20
Q

Gold estándar para observar la vía biliar

A

Colangioresonancia