{"id":18272,"date":"2024-03-12T07:30:44","date_gmt":"2024-03-12T07:30:44","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=18272"},"modified":"2024-02-28T15:45:06","modified_gmt":"2024-02-28T15:45:06","slug":"quiz-caso-clinico","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/quiz-caso-clinico\/","title":{"rendered":"QUIZ! Caso Cl\u00ednico"},"content":{"rendered":"\n

CASO CL\u00cdNICO:<\/strong><\/p>\n\n\n\n

Paciente feminina, 76 anos, hipertensa e diab\u00e9tica, refere dor abdominal, sem sintomas colest\u00e1ticos ou altera\u00e7\u00f5es laboratoriais, encaminhada por colega gastroenterologista para avalia\u00e7\u00e3o de altera\u00e7\u00f5es em exames de imagem. Nega tabagismo, etilismo ou antecedentes cir\u00fargicos abdominais.<\/p>\n\n\n\n

Laborat\u00f3rio:<\/em><\/p>\n\n\n\n

Hb 15,5; Ht 47%; Leuco 7.800; Plaq 244.000, INR 0,93; Amilase 73; BT 0,7; BD 0,6; FA 79; GGT 25; TGO 32; TGP 23<\/p>\n\n\n\n

Colangiopancreatografia por Resson\u00e2ncia Magn\u00e9tica:\u00a0<\/em><\/p>\n\n\n\n

Ectasia de vias biliares extrahep\u00e1ticas e ducto pancre\u00e1tico principal, com col\u00e9doco de 1,8 cm, possivelmente secund\u00e1ria ao divert\u00edculo duodenal. Divert\u00edculo duodenal de 2,6 cm determinando impress\u00e3o em col\u00e9doco distal. <\/p>\n\n\n\n

Ecoendoscopia:<\/em><\/p>\n\n\n\n

Dilata\u00e7\u00e3o do ducto col\u00e9doco sem fator obstrutivo – janela transbulbar (ducto col\u00e9doco medindo cerca de 16 mm). Discreta dilata\u00e7\u00e3o do ducto pancre\u00e1tico principal. Ves\u00edcula com m\u00ednimas forma\u00e7\u00f5es polip\u00f3ides de 2,5 mm, sem imagens sugestivas de c\u00e1lculos em seu interior.<\/p>\n\n\n\n\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

CASO CL\u00cdNICO: Paciente feminina, 76 anos, hipertensa e diab\u00e9tica, refere dor abdominal, sem sintomas…<\/p>\n","protected":false},"author":5752,"featured_media":18273,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[143],"tags":[748,294],"ano":[742],"tipo":[155,448],"volume":[263],"class_list":["post-18272","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-quiz","tag-colestase","tag-cpre","ano-742","tipo-cpre","tipo-figado","volume-volume-i"],"yoast_head":"\nQUIZ! 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