colecistitis litiacica Flashcards

1
Q

Factores de la colecistitis?

A

Raciales
Edad
M3:1H
Hereditarias
Crohn

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2
Q

Formacion de litos por colesterol?

A

Colesterol puro 10%
Variables 70%

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3
Q

Quien irriga la vesicula?

A

La arteria cistica
viene de la hepatica comun o hepatica derecha

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4
Q

quien drena la vesicula ?

A

vena porta

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5
Q

partes de la vesicula

A

Fondo
cuello
cuerpo
Bolsa de hardman

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6
Q

Como puedes ubicar el conducto cistico, conducto hepatico y el coledoco?

A

Ubicando el tringulo de Calot

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7
Q

Factores de riesgo para desarollar colecistitis?

A

Obesidad
Embarazo
Multiparidad
Mujer
Medicamentos: ceftriaxona,estrogenos postmenopausia y NPT

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8
Q

Cuales son las 4 F´s

A

Fat
female
fourty
Fertile

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9
Q

Cual es la clinica de la colecistitis?

A

80% Dolor
Fiebre
Anorexia
Nausea y vomito (Bilis
Signo de Murphy +

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10
Q

Cual es el tamaño de la pared de la bilis?

A

2-4mm

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11
Q

Como diagnosticas esto?

A

clinica
USG

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12
Q

manejo de la enfermedad?

A

fluidos intravenosos
analgesia
antibioticos
dieta de lipidos
COLECISTECTOMIA

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13
Q

Complicaciones ?

A

Hemorragia
pancreatitis
derrame de bilis

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14
Q

Que es colangiografia?

A

sirve para ver litos que se fuerom a los conductos

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