Sme Coledocociano Flashcards

1
Q

Caracteristica Sme Coledocociano

A

Ictericia - Acolia - Coluria - > Directa : 0.3 mg/dL

Bilirubina Normal 1-2mg/dL

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2
Q

Etiologias Sme Coledocociano

A

Benigno: Litos - Estenosis - Parasitos - SmeMirizzi
Maligno:CaPancreas - CaBiliar - CaAmpolla

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3
Q

Presentacion Clinica Sme Coledocociano

A

Inflamatorio/Caliente : Dolor Continuo - NauseasVomito-Fiebre-Acolia-Coluria

Tumoral/FRio : Inapetencia-Dispepsia-Prurito-IctericiaProgrsiva/fiebreoDOlorRelativo

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4
Q

Colangitis = Triada de Charcot + Pentada de REynolds

A

TRiada de charcot: Ictericia+Dolor+/fiebre

Pent. Reynold : Deterioro Sensorio + Shock

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5
Q

Examen Fisico Sme Coledocociano:

A

Inspeccion: Ictericia - Prurito - LesionRascado

Palpacion : Murphy+ - BardyPick + CourvoisierTerrier

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6
Q

Examenes Complementares Sme Coledociano

A

Laboratorio: Leucositosis(Neutrof) -PatronColestasico
Bilirubnemia Directa - FAL+5N+ GAMAGlutamilT

Ecografia : >Calibre/Paredes/Inflamacion/Lito

TC - ColangioPancreatoGRafiaREtrograda CPRE

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