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Cirurgia 1 Flashcards

(59 cards)

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1
Q

Criterio MELD

A

B ILIRRUBINA
I NR
C retinina

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2
Q

Budd-Chiarri

A

Trombose da Veia Hepática

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3
Q

Qual atb na profilaxia para PBE na Varizes de esôfago?

A

Ceftraxone
Norfloxacina

Por 7dias

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4
Q

Tto de PBE

A

CEFOTAXIMA 5 dias +

Albumina

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5
Q

Diag diferencial de PBE

A
  • bacteriascite
  • Ascite neutrofilica
  • Peritonite Bacteriana Secundaria
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6
Q

Tto de Sind Hepatorrenal

A

Albumina + terlipressina

Transplante hepatico

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7
Q

Pressao para Ruptura de Varizes

A

> 12mmHg

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9
Q

Criterios do CHILD pugh

A 
B ilirrubina
E ncefalopatia
A scite
T ap
A lbumina
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10
Q

Mutacao do HFE

A

Hemocromatose Hereditaria

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11
Q

Pressao para formação de varizes de esôfago

A

> 10mmHg

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12
Q

Triagem na Hemocromatose

A

👆🏻 ferritina e Sat Transferrina

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13
Q

Definição de PBE

A

PMN > 250 + cultura

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14
Q

Qual veia leva a varizes de fundo gastrico

A

Veias Gastricas Curtas

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15
Q

Clinica da cirrose

A

Hiperestrogenismo + hipoandrogenismo
Baqueteamento digital
Tumefacao das parotidas

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16
Q

Qm tem profilaxia primaria de Varizes de esôfago

A

CHILD B/C
Varizes Medio/grande calibre
Cherry red spots (pontos vermelhos)

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17
Q

Qual GASA é hipertensão porta?

A

> = 1.1

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18
Q

Exame de triagem da D.Wilson

A

Ceruloplasmina 👇🏻

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20
Q

Objetivo do Tto da Hepatite C

A

HCV-RNA -

Resp virologica sustentada

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21
Q

Tto de Peritonite Bacteriana Secundaria

A

Cefotaxima + Metronidazol

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22
Q

Jovem + insuf Hepatica + parkinsonismo

A

D.Wilson

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23
Q

Causa de Hipertensão Porta Sinusoidal

A

Cirrose

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24
Q

6 Hs da Hemocromatose hereditaria

A 
Heart
Hiperpigmentação 
Hiperglicemia 
Hipogonadismo 
Hepatomegalia
Hartrite
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25
Q

Tto de encefalopatia hepática

A
  • nao restringir proteina
  • lactulose
  • atb ( rifaximina, neomicina, metronidazol)
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27
Q

Qual veia leva Varizes de Esôfago?

Study These Flashcards
A

Veia Gastrica Esquerda

28
Aumento de Cobre
D.Wilson
29
DM bronzeada
Hemocromatose hereditária
30
Diag de Sind Hepatorrenal
IRA pre renal que nao melhora com volume
31
Manifestação extra da Hep B
PAN Glomerulonefrite Membranos Gianiti Crosti
32
Causa de Hip Portal pre sinusoidal
Esquistosomose
33
Tto da Hemocromatose hereditária
Flebotomia Seriada | Nao deu certo/ transplante
34
Albumina no CHILD
1pt- >3,5 2pts 3-3,5 3 pts < 3
35
Diureticos na PBE
Suspender!
37
Tto para profilax primaria de varizes esôfago
B-Bloq ou Ligadura eslastica
38
Liquido ascitico com Prot > 1g ou Glicose < 50 ou LDH elevado
Peritonite bacteriana Secundaria
38
Tto de Ascite Neutrofilica
= PBE
39
Tto de Ascite
Restrição de Sodio | Diur- Furosemida + espironolactona
40
Causa de hipertensão porta Pre Hepatica
Trombose veia porta | Trombose veia esplenica ( pancreatite cronica)
43
CHILD A
5-6
44
Conduta na Varizes esôfago sangrando
1- estabilizar ( vol e octreotide) 2- EDA 3- ATB (PBE) 4- B-Bloq para profilax secundaria
44
Contratura de dupuytren
4/5o dedo | Alcool
45
Definição de Hepatite B cronica
HBsAg > 6 meses
46
Qnts litros de paracentece tem q por albumina?
> 5litros
47
Causa de hipertensão porta pos sinusoidal
Doença veno oclusiva | Cha da hamaica
47
Encefalopatia no CHILD
1pt- ausente 2pts - grau I/II 3pts- Grau III
48
Manifestação Extra da Hep C
Crioglobulinemia C | GN mesangiocapilar
49
Tto de D.Wilson
Quelante- Trientina
50
Como é a profilaxia secundaria da varizes de esôfago?
B-Bloq + Ligadura
53
Pressao para Hipertensão Portal
> 5mmHg
53
Bilirrubia no Child
1pt = < 2 2ts = 2-3 3pts > 3
54
O que leva a Encefalopatia hepática
Aumento NH3 (amonia)
54
TAP ou INR no CHILD
1pt- <4s 2 pts : 4-6s 3 pnts > 6s
54
CHILD B
7-8-9
55
CHILD C
>= 10
56
Atb para profilaxia secundaria de PBE
Norfloxaxina
56
AST/ALT NO ALCOOL
AST > 2ALT
57
Ascite no CHILD
1pt- ausente 2pts - leve 3pts- moderada/grande
57
Drogas para tto de Hepatite B cronica
Alfa PEG-INF Tenofovir Entegravir
58
Objetivo do tto da Hep B cronica
HBsAg - | Anti HBeAg +
59
Aneis de Kayser-Fleisher
D.wilson

-Cirurgia (10 decks)

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