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GASTRO-CIRUGIA > VESICULA Y PANCREAS > Flashcards

VESICULA Y PANCREAS Flashcards

1
Q

TIPOS DE CALCULOS BILARES MAS COMUN

A

MIXTOS (COLESTEROL Y CARBONATO DE CALCIO)

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2
Q

CAUSAS DE CALCULOS MARRONES

A

INFECCIONES BILIARES

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3
Q

CAUSAS DE CALCULOS NEGROS

A

NUTRICION PARENTERAL, CIRROSIS Y EDAD AVANZADA

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4
Q

COMPOSICION DE LOS CALCULOS PIGMENTARIOS

A

BILIRRUBINATO CALCICO

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5
Q

DX MAS ESPECIFICO DE COLELITIASIS

A

GAMAGRAFIA CON TC HIDA

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6
Q

CUANDO QX LOS CALCULOS

A

SINTOMATICOS O ASINTOMASTICOS MAS DE 2.5, DIABETICOS, ANOMAL OCNGENITAS, ANEMMIA Y VESICULA DE PORCELANA ,,POLIPOS MAS 1CM

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7
Q

QX DE ELECCION

A

LAPAROSCOPICA

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8
Q

SEXO MA FREC DE COLECISITITIS ACALCULOSA Y CAUSAS

A

VARONES …….TRAUMAS, QUEMADOS, CRITICOS, PARENTERAL , DM …..

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9
Q

AGENTE DE VESICULA ENFISEMATOSA

A

C,PERFRINGENS

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10
Q

SX MIRRIZZI

A

FISTULA DE CALCULO A HEPATICO COMUN O COLEDOCO

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11
Q

SX DE BOUVERET

A

FISTULA A DUODENO CON OBSTRUCCION

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12
Q

TX MEDICO EN COLECISTITS LEVE TOKYO

A

FLUOROQUINOL…..CEFALOSPORINAS ….COLE LAP

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13
Q

TX EN COLECISTITIS MOD TOKYO

A

PIPE-TAZO O AMPI SULB O CFA D 2…..VALORAR QX

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14
Q

TX EN COLECISITITIS GRAVE TOKYO

A

CEFAL DE TERCERA O ASTREONAM……ESTABILIZAR…ALORAR DRENAE PERCUTANEO

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15
Q

CUANDO ES MODERA COLECISITIITS TOKYO

A

FIEBRE MAS DE 72H , LEU MAS DE 18MIL, MASA PALPABLE GANGRENA, ENFISEMA, ABSCESO

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16
Q

CUANDO ES GRAVE COLECISTITIS TOKYO

A

FALLA ORGANICA

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17
Q

CX DX DE COLECITITIS

A

EVIDENCIA USG…CLINICA…DATOS DE ALT SISTEMICA CON UNO DE LOS 3 DX

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18
Q

PRUEBA PARA DISCINECIA VESICULAR

A

PRUEBA DE BOYDEN

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19
Q

CX DX PARA COLANGITIS

A

A: FIEBRE O ESCLO MAS LEU MENOS DE 4 O MAS DE 10 O PCR MAS 1 ….B ICTERICIA, PFH ELEV…..C BILATACION BILIAR, EVIDENCIA DE ETIOLOGIA

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20
Q

DX SOSPECHA Y CONFIRMATORIO DE COLANGITIS

A

SOSPE A MAS B O C ….DEFIN A MAS B MAS C

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21
Q

CUENO DEBEN MEDIR LOS LITOS PARA PODER PASAR POR VIAS

A

MEOS DE 5MM

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22
Q

LOCAL MAS FREC DE LA COLEDOCOLIIASIS

23
Q

ESTANAR DE ORO PARA COLECOLITIASIS

24
Q

VIA DE ENTRA DE LA INFECCION EN COLANGITIS

A

VIA PORTAL

25
TRIADA DE CHARCOT
FIEBRE, ICTERICIA Y DOLOR
26
PENTALOGIA DE REYNOLDS
TRIADA DE CAHERCOT MAS SCHOC Y OBNIBULACION
27
TX EN COLANGITITIS
METRO MAS CEFO
28
CAUSA MAS FREC DE PANCREATITIS AGUDA
BILIAR------ALCOHOLICA
29
PORCENTAJE DE PANCREATITIS HEMORRAHICA
3%
30
SIGNOS EN PANCREATITIS HEMORRA Y CUANDO SALEN
EN 48-72HR....GREY TURNER EN FLANCOS....CULLEN PERIUMBILICA Y FOX EN LIG INGUINAL
31
DX DEPANCREATITIS
ELEVACION 3 VECES MAS DE AMILASA ..S.E NORMALIZA 4 A 7 DIAS...MAS DE 7 DIAS COMPLICADA
32
CX DX DE PANCREATITIS
DOLOR, MAS ENIZMAS MAS IMAGEN....CON DOS HACES EL DX
33
CUAL ES LA ENZIMA MAS SENSIBLE Y ESPECIFICA
TRIPSINA..SIN EMBARGO SE USA MAS LA AMILASA
34
ESTANDAR DE ORO INDICADOR DE PX DE GRAVEDAD
PCR
35
CUANDO REALIZAS LA TAC
72-96HRS TAC CON CONTRASTE
36
INDICE DE BALTHAZAR
A PANCREAS NORMAL B AUMENTO DE TAMAÑO C INFLAMACION PERIPAN Y GRASA D COLECCION E MAS DE 2 COLECCIONES O AIRE RETROP
37
PORCENTAJE DE NECROSIS EN INDICE DE BALTHAZAR Y PUNTUACION
A 0% 0PTS..B MENOS DE 30% 2PTS....C 30-50% 4PTS....D MAS DE 50%6PTS
38
CLSIF DE MORTA SEGUN INDICE DE BALTHAZAR
0 A 3 PTS...RIESGOMORTOA 3%.....4-6 PTS RIESGO MORT 6%.....MAS DE 7 MORTA 17%
39
COMPONENTES DE ESCLA DE RANSON AL INGRESO
DHL MAS DE 350, EDAD MAS DE 55 AÑS, LEU MAS 16MIL, GLU MAS DE 200 Y TGO MAS DE 250
40
COMPONENTES DE LA ESCALA DE RANSON A LAS 48HRS
DEFICI BASE MAS DE 4, HTO DISMINUIDO MAS 10%, SEC DE LITROS MAS DE 6, CA MENOR A 8, PO2 MENOR A 60, BUN MAS DE 5
41
CX PARA INGRESAR A UCI
APACHE MAS 8, RANSON MAS DE 3, ISFU ORGANICA
42
PORCENTAJE DE MORTALIDAD SEGUN RANSON
0-2 1%.......3A 4 16&, 5 A 6 40% 7-8 100%
43
UANDO REINICIAS LOS ALIMENTOS EN PANCREATITIS
A LAS 48 HRS DEL CESE DEL DOLOR IY DISMI DE LAS ENXIMAS
44
AGENTES MAS IMPLICADOS EN INF DE NECROSIS
E COLI, KLEBSIELLA Y PSEUDOMONA
45
TX DE ELECCION EN INFECCION EN PANCREATITIS
IMIMPENM ...VANCO SI GRAM POS
46
COMPLIC MAS FREC E PANCREATITIS
PSEUDOQUISTE
47
PORCENTAJE DE PSEUDOQUISTE QUE PERISISTEN Y SE RESOLUCIONAN
RESOLUCION 50% Y PERSISTEN 15%
48
CUANTO TIMEPO DURA UN PSEUDOQUISTE Y APARTIR DE QUE TIEMPO SE QX
SI PERSISTE MAS DE 6 SEM CON SINTOMAS QX. DURAN 3 A 6 SEM
49
LOCAL MAS FREC DE LOS PSEUDOQUISTES
CUERPO Y COLA 85%
50
TX QX SEGUN LOCAL DEL PSEUDOQUISTE
COLA RESECCION...RSSTO DRENAEJE PERCUTANEO
51
CANDO PAFFEN PANCREATITS
MAS DE 30% CO SINTOMAS, MAS 50%, PCR PERSIT ELEVADA, MAS DE 3.5 DIAS CON SRIS AUN CON TX
52
CUANO QX DELA NECROSIS EN PANCREATITIS
DESP DE 3 SEMANAS
53
CAUSA MAS FREC DE PANCREATITIS CORNICA
ALCOHOLICA

GASTRO-CIRUGIA (17 decks)

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