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Cirurgia > Figado > Flashcards

Figado Flashcards

1
Q

Icteria - primeiro exame

A

USG abdominal

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2
Q

Ictericia flutuante - HD?

A

Coledocolitiase

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3
Q

Ictericia Progressiva / massa indolor / idoso / emagrecimento / sinal Courvoisier

A

Tumor cabeca pancreas

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4
Q

Padrao ouro dx Coledocolitiase

A

CPRE (dx e terapeutico)

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5
Q

SD Colestatica + Colangite recorrente

A

Mirizzi

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6
Q

Triade Charcot

A

Colangite bact aguda NAO SUPURATIVA

- febre / dor abd / ictericia

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7
Q

Pentade Reynolds

A

Colangite bact Aguda Supurativa
. Triade charcot (ictericia / febre / dor abd)
. Hipotensao
. Alt nivel consciencia

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8
Q

Polipos vesiculas (cirurgia)

A

. Sintomaticos

. Assintomaticos (. Colelitiase ; idade > 60a ; D > 1cm ; cresc documentado US)

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9
Q

Classificacao Tu Klatskin

A

I - hep comum
II - confluencia
III - a) direito b) esquerdo
IV - tudo

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10
Q

Tu periampular - cir

A

Whipple

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11
Q

Colangite Esclerosante Primaria - relacao

A

RCU e P-anca

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12
Q

Colangite esclerosante primaria - dx

A

CPRE em “contas de rosario”

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13
Q

Cirrose Biliar Primaria - marcador

A

Anticorpo Antimitocondria

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14
Q

Cisto de caroli

A

Cisto grau V (intra-hepatico)

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15
Q

Cistos biliares

A

Infancia.

< 2a, dor em QSD, massa palpavel, ictericia

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16
Q

Hiperbilirrubinemia indireta

A

Hemolise cronica
Ou
Sd Gilbert

17
Q

Sd Crigler-Najjar

A

Hiperbilirrybinemia indireta
Def glcuroniltransferase
opistotono

18
Q

Hep B - tto

A

HBeAg + = Interferon

HBeAg neg - Tenofovir

19
Q

Hep B com Cirrose - TTo

A

Se:
. HBeAg +
. Child B/C
. HBeAg neg com ALT aumentada ou CV > 200

Entecavir

20
Q

Hep C - Avaliacao Inicial e Tto

A

. CV
. Biopsia
. Genotipo

Sofosbuvir + Daclatasvir

21
Q

Hemocromatose (6)

A 
Sobrecarga ferrica levando a:
. Hepatomeg
. Cardiopatia
. DM
. Hipogonadismo
. Hiperpigm cutanea
. Artrite
22
Q

Dç Wilson

A 
Acumulo de cobre:
. Cirrose ( <40 anos, sorologias negativas)
. Dist movimentos
. Aneis Kayser-Fleischer
. Anemia hemolitica coombs neg

Cirurgia (1 decks)

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