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Clinica Médica > Insuficienca Hepatica E Cirrose > Flashcards

Insuficienca Hepatica E Cirrose Flashcards

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1
Q

Insuf hepática

Principal sintoma?

A

Fadiga

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2
Q

Child-pugh

Critérios?

A

BEATA

BILIRRUBINA 
ENCEFALOPATIA
ALBUMINA
TAP/INR
ASCITE
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3
Q

CHILD PUGH

VALORES

A 
B - <2 / 2-3 / >3
E - ausente / I e II / III e IV
A - >3,5 / 3,5-3,0 / < 3,0
T - < 1.7 / 1,7-2,3 / > 2.3
A - ausente / leve / moderada ou grave
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4
Q

Child pUgh

Classificação

A

5 e 6 - A
7 a 9 - B
> 10 - C

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5
Q

Varizes de fundo gástrico isolada
Dx?
Doença relacionada?
Tto?

A

Hipertensão porta Segmentar
(Trombose de veia esplênica)

Pancreatite crônica

Esplenectomia

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6
Q

Pós-Sinusoidal

Etiologia?

A

Transplante de medula óssea

Chá jamaicano

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7
Q

Doença de Wilson

Dx?

A

Ceruloplasmina
Cobre urinário em 24h
Bx Hepática

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8
Q

Doença de Wilson

Achado oftalmológico

A

Anéis de Kaiser-Fleischer

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9
Q

Doença de Wilson

Tto

A

Quelantes de Cobre

Penicilamina, trientina

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10
Q

Hemocromatose

Quadro clínico

A

6H

Hepatopatia
Heart 
Hiperpigmentação 
Hiperglicemia
Hipogonadismo
Hartrite
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11
Q

Hemocromatose

Dx

A

Teste genético + IST

Fe Hepático

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12
Q

Hemocromatose

Tto

A

Flebotomias

Tx Hepático

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13
Q

Macrófagos nos hepatocitos

A

Células de Kupffer

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14
Q

Hepatopatia alcoólica

A

Entumecimento de Parotidas + contratura palmar de Dupuytren

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15
Q

Último fator que se altera na Insuf. Hepática

A

Albumina (meia-vida longa)

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16
Q

Principal fator de risco para encefalopatia hep?

A

Hemorragia TGI

17
Q

Síndrome Hepatorrenal

Fisiopatológia

A

Vasconstriccao renal

18
Q

Critérios para Sd. Hepatorenal

A 
Insuf. Hepat + Hip. Portal
Cr > 1.5
Ausência de melhora com expansão volemica/ retirada de diuréticos 
Ausência de causa aparente
Hematuria/ proteinúria
19
Q

Sd. Hepatorrenal

Tipos

A

Tipo 1:
< 2 semanas
Cr > 2,5

Tipo 2:
> 2 semanas
Cr 1,5 a 2

20
Q

Sd. Hepatorrenal

Tto

A

Tx Hepático

21
Q

Sd. Hepatorrenal

Prevenção

A

Albumina +
vasoconstritor esplancnico
(Terlipressina, octreotide)

22
Q

Sd Hepatopulmonar

Manif. Clinica

A

Platipneia (dispneia se agrava com posição sentada ou em pé)

Ortodeoxia ( queda de saturação em ortostase)

23
Q

Sd de Cruveiler-Baumgarten

Definição

A

Recanalizacao da V. Umbilical (ligamento falciforme )

24
Q

Cinoacrilato

Utilização?

A

Varizes gástricas ( profundas)

Clinica Médica (2 decks)

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