Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Kumar > Ciroza > Flashcards

Ciroza Flashcards

(49 cards)

Start Studying
1
Q

Cauze comune de ciroza

A
  1. Alcool
  2. Hepatite: B (+/- D), C
  3. NAFLD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cauzele cirozei micronodulare

A

Alcool, boli ale tractului biliar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cauza cirozei macronodulare

A

Hepatita cronica virala

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cei mai buni indicatori ai functiei hepatice

A

Albumina si TP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Concentratia creaininei serice ca marker de prognostic nefavorabil

A

> 130 micromol/ L (>1,5 mg/dL)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Valoare alfa-fetoproteina sugestiva pt CHC

A

> 200 mg/mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

La ce pacienti nu se poate folosi Fibroscan

A

Cu ascita si obezitate morbida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Standardul de aur in ciroza

A

Biopsia hepatica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Parametri folositi in scorul Child-Pugh

A
  1. Ascita
  2. Encefalopatie
  3. Bilirubina
  4. Albumina
  5. TP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Parametri folositi in scorul MELD

A
  1. BIlirubina
  2. Creatinina
  3. INR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Contraindicatii absolute in transplantul de ficat

A
  1. Sepsis activ (altundeva decat in arborele biliar)
  2. Tumori maligne extrahepatice
  3. Metastaze hepatice (exceptie neuroendocrine)
  4. Lipsa angajament pacient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Din ce se formeaza vena porta

A

Venele mezenterica sup + splenica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Presiunea normala in vp

A

5-8 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Principalele locuri de apartie ale colateralelor

A
  1. Jonctiunea gastro-esofagiana
  2. Rect
    3, Vena renala stg
  3. Diafragm
  4. Retroperitoneu
  5. Perete abd ant (v ombilicala)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Caracteristici gastropatie si colopatie hipertensiva portala

A

Eritem punticform si eroziuni care pot sangera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cauze tromboza vena porta

A
  1. Anomalii congenitale
  2. Sepsis nn al v ombilicale
  3. Afectiuni protrombotice mostenite (fV Leiden)
    4, Boli mieloproliferative primare
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cel mai bun tratament in varicele gastrice

A

Injectarea endoscopica de cianoacrilat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Contraindicatii si RA Terlipresina

A

!!! Boala cardiaca ischemica

RA: Colici abdominale, scaun ?, paloare faciala

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Instrumentul folosit in tamponamentul cu balon

A

Sonda Sengstaken-Blakemore

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Complicatiile tamponamentului cu balon

Study These Flashcards
A
  1. Pneumonia de aspiratie
  2. Ruptura esofag
  3. Ulcerarea mucoasei
21
Q

Beta blocante neselective in varice

Study These Flashcards
A

Propranolol, carvedilol

22
Q

Complicatia suntului portosistemic chirurgical

Study These Flashcards
A

Encefalopatia hepatica

23
Q

Factori in patogenia ascitei

Study These Flashcards
A
  1. Retentia de sodiu si apa
  2. HT portala
  3. Scaderea albuminei serice
24
Q

Gradient albumina - ascita in HTp

25
Gradient albumina - ascita < 11 g/L in
1. Carcinomatoza peritoneala 2. TBC peritoneala 3. Pancreatita 4. Sd nefrotic
26
Tratament in PBS
Atb cu spectru larg -> se schimba dupa cultura + perfuzii cu sol albumina
27
Mecanismul principal in encefalopatia portosistemica
Alterarea dezechilibrului neurotransmitatorilor cerebrali de amoniac
28
Semne clinice in encefalopatia portosistemica
1. Fetor hepaticus 2. Flapping tremor 3. Apraxia constructiva 4. Scaderea calitatii functiei intelectuale
29
Atb in encefalopatia portosistemica
Rifaximina Metronidazol NU Neomicina
30
Unde apare sd hepatorenal
1. Ciroza avansata 2. HT portala 3. Icter 4. Ascita
31
Ce precipita sd hepatorenal
1. Diureticele excesive 2. AINS 3. Diaree 4. Paracenteza 5. Infectie (PBS)
32
Colangita biliara primitiva
Distrugere progresiva a canalelor biliare interlobulare
33
Atc si atg in ciroza biliara primitiva
Atc anti-mitocondriali (AMA) -> aproape toti Atc anti-gp210 -> 50% -> progrsia spre insuf hep Atg mitocondrial M2 -> specific
34
Cel mai precoce simptom in ciroza biliara primitiva
Prurit
35
Maniestari asociate colangita biliara primitiva
1. Autoimune - Ssj, Sclerodermie, tiroidita 2. Keratoconj sicca 3. Acidoza tubulara renala, GN membranoasa, boala celiaca, pneumonie interstitiala
36
Colangita biliara primitva - histologie specifica
Infiltrat in spatiile porte cu Ly, Pl, granuloame
37
Unde se mai gasesc granuloamele hepatice
1. Sarcoidoza 2. TBC 3. Schistosomiaza 4. Reactii med 5. Bruceloza 6. Paraziti (Strongiloidoza)
38
Colangita sclerozanta primitiva
Distrugerea inflamatorie fibrozanta a canalelor biliare intra + extra hepatice
39
Atc in colangita sclerozanta prrimitiva
ANCA -> se asociaza cu CU
40
Simptome in colangita sclerozant primitiva
1. Prurit fluctuant 2. Icter 3. Colangita
41
Transmiterea tipurilor de hemocromatoza
1, 2, 3 - autozomal recesiv | 4 - autozomal dominant
42
Triada clasica in hemocromatoza
1. Pigmentarea bronzata a pielii 2. Hepatomegalie 3. DZ
43
Manif cardiace in hemocromatoza
1. Insuf cardiaca | 2. Aritmii
44
Unde se absoarbe cuprul
Stomac si int subtire proximal
45
Unde se depune cuprul in boala Wilson
1. Ficat 2. Nucleii de la baza creierului 3. Cornee
46
Semn specific in boala Wilson
Inelul Kayser-Fleischer = depunerea de cupru in mem Descemet
47
Tratament in boala Wilson
Penicilamina | Trientina, acetat de zinc
48
Aspectul de coaja de ceapa la ex hp apare in
Colangita sclerozanta primitiva
49
Nivelul normal de Fe din organism
3-4 g

Kumar (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions