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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

A

DISTAL

23
Q

ESTANAR DE ORO PARA COLECOLITIASIS

A

CPRE

24
Q

VIA DE ENTRA DE LA INFECCION EN COLANGITIS

A

VIA PORTAL

25
Q

TRIADA DE CHARCOT

A

FIEBRE, ICTERICIA Y DOLOR

26
Q

PENTALOGIA DE REYNOLDS

A

TRIADA DE CAHERCOT MAS SCHOC Y OBNIBULACION

27
Q

TX EN COLANGITITIS

A

METRO MAS CEFO

28
Q

CAUSA MAS FREC DE PANCREATITIS AGUDA

A

BILIAR——ALCOHOLICA

29
Q

PORCENTAJE DE PANCREATITIS HEMORRAHICA

A

3%

30
Q

SIGNOS EN PANCREATITIS HEMORRA Y CUANDO SALEN

A

EN 48-72HR….GREY TURNER EN FLANCOS….CULLEN PERIUMBILICA Y FOX EN LIG INGUINAL

31
Q

DX DEPANCREATITIS

A

ELEVACION 3 VECES MAS DE AMILASA ..S.E NORMALIZA 4 A 7 DIAS…MAS DE 7 DIAS COMPLICADA

32
Q

CX DX DE PANCREATITIS

A

DOLOR, MAS ENIZMAS MAS IMAGEN….CON DOS HACES EL DX

33
Q

CUAL ES LA ENZIMA MAS SENSIBLE Y ESPECIFICA

A

TRIPSINA..SIN EMBARGO SE USA MAS LA AMILASA

34
Q

ESTANDAR DE ORO INDICADOR DE PX DE GRAVEDAD

A

PCR

35
Q

CUANDO REALIZAS LA TAC

A

72-96HRS TAC CON CONTRASTE

36
Q

INDICE DE BALTHAZAR

A

A PANCREAS NORMAL B AUMENTO DE TAMAÑO C INFLAMACION PERIPAN Y GRASA D COLECCION E MAS DE 2 COLECCIONES O AIRE RETROP

37
Q

PORCENTAJE DE NECROSIS EN INDICE DE BALTHAZAR Y PUNTUACION

A

A 0% 0PTS..B MENOS DE 30% 2PTS….C 30-50% 4PTS….D MAS DE 50%6PTS

38
Q

CLSIF DE MORTA SEGUN INDICE DE BALTHAZAR

A

0 A 3 PTS…RIESGOMORTOA 3%…..4-6 PTS RIESGO MORT 6%…..MAS DE 7 MORTA 17%

39
Q

COMPONENTES DE ESCLA DE RANSON AL INGRESO

A

DHL MAS DE 350, EDAD MAS DE 55 AÑS, LEU MAS 16MIL, GLU MAS DE 200 Y TGO MAS DE 250

40
Q

COMPONENTES DE LA ESCALA DE RANSON A LAS 48HRS

A

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
Q

CX PARA INGRESAR A UCI

A

APACHE MAS 8, RANSON MAS DE 3, ISFU ORGANICA

42
Q

PORCENTAJE DE MORTALIDAD SEGUN RANSON

A

0-2 1%…….3A 4 16&, 5 A 6 40% 7-8 100%

43
Q

UANDO REINICIAS LOS ALIMENTOS EN PANCREATITIS

A

A LAS 48 HRS DEL CESE DEL DOLOR IY DISMI DE LAS ENXIMAS

44
Q

AGENTES MAS IMPLICADOS EN INF DE NECROSIS

A

E COLI, KLEBSIELLA Y PSEUDOMONA

45
Q

TX DE ELECCION EN INFECCION EN PANCREATITIS

A

IMIMPENM …VANCO SI GRAM POS

46
Q

COMPLIC MAS FREC E PANCREATITIS

A

PSEUDOQUISTE

47
Q

PORCENTAJE DE PSEUDOQUISTE QUE PERISISTEN Y SE RESOLUCIONAN

A

RESOLUCION 50% Y PERSISTEN 15%

48
Q

CUANTO TIMEPO DURA UN PSEUDOQUISTE Y APARTIR DE QUE TIEMPO SE QX

A

SI PERSISTE MAS DE 6 SEM CON SINTOMAS QX. DURAN 3 A 6 SEM

49
Q

LOCAL MAS FREC DE LOS PSEUDOQUISTES

A

CUERPO Y COLA 85%

50
Q

TX QX SEGUN LOCAL DEL PSEUDOQUISTE

A

COLA RESECCION…RSSTO DRENAEJE PERCUTANEO

51
Q

CANDO PAFFEN PANCREATITS

A

MAS DE 30% CO SINTOMAS, MAS 50%, PCR PERSIT ELEVADA, MAS DE 3.5 DIAS CON SRIS AUN CON TX

52
Q

CUANO QX DELA NECROSIS EN PANCREATITIS

A

DESP DE 3 SEMANAS

53
Q

CAUSA MAS FREC DE PANCREATITIS CORNICA

A

ALCOHOLICA

GASTRO-CIRUGIA (17 decks)

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