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Lawrence > Stomac si duoden > Flashcards

Stomac si duoden Flashcards

1
Q

Raporturi stomac

A

Sup - diafragm
Lat - splina, ficat
Post - pancreas
Inf - marele epiploon

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2
Q

Celulele stomacului ce produc

A 
Parietale (Oxintice) - HCl
Principale - Pepsinogen
Enterocromafin-like
Cel G - Gastrina -> Antru
Caliciforme - Mucus
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3
Q

Straturile muscularei

A

Ext - Longitudinal
Mij - Circular
Int - Oblic

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4
Q

Artere stomac

A

Gastrice stg / dr
Gastroepiploice stg / dr
Gastrice scurte
Gastroduodenala

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5
Q

Vagul drept si stg

A

Drept - post -> plex celiac -> panceas, intestin subtire, colon prox
- nv Grassi -> stomac
Stang - ant -> hepatic -> vezicula biliara, tract biliar, ficat

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6
Q

Ce secreta duodenul

A

Secretina, CCK

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6
Q

Ce secreta duodenul

A

Secretina, CCK

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7
Q

Artere duoden

A

Gastroduodenala

AMS

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8
Q

Tipuri histologice de adenocc gastric

A
  1. Intestinal - bine dif, varstnici, hematogen

2. Difuz - slab dif, celule inel cu pecete, tineri, limfatic / local

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9
Q

Ggl in adenocc gastric

A

Virchow - supraclav stg

Mary Joseph - ombilical

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10
Q

Metastaze adenocc gastric in

A

Ficat, plaman, ovar

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11
Q

Chimioterapice in adenocc gastric

A

FU, Docetaxel, Oxaliplatin, Leucovorin, Epirubucin, Cisplatin, Capecitabina

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12
Q

Dovada malignitatii GIST

A

Peste 10 mitoze la 50 de campuri

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13
Q

Metastaze GIST

A

Ficat

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14
Q

Valoarea gastrinei pt dg de Zollinger- Ellison

A

> 1000 pg/ml

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15
Q

Investigatia de electie pt Zollinger-Ellison

A

Testul de stimulare la secretina

16
Q

Aspect caracteristic in gastrita de reflux

A

Tirbuson al vaselor de sg submucoase

17
Q

Cine secreta ghrelina

A

Cel oxintice

18
Q

Cel mai prescris med antiobezitate

A

Fentermina

19
Q

Ce se da in diaree post-vagotomie

A 
Codeina
Clorhidrat de difenoxilat
Loperamida
Somatostatina
Colestiramina
20
Q

Ce complicatie precoce nu apare la bandarea gastrica

A

Fistula anastomotica

21
Q

La ce procedura apare hernia interna

A

Roux en Y

22
Q

Complicatii tardive care apare la toate cele 3 proceduri

A
  1. Tulb nutritionale

2. Litiaza biliara

Lawrence (9 decks)

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