{"id":8881,"date":"2017-10-27T08:00:21","date_gmt":"2017-10-27T08:00:21","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/quiz-qual-sua-hipotese-e-tratamento-para-esse-caso\/"},"modified":"2021-09-22T19:14:32","modified_gmt":"2021-09-22T19:14:32","slug":"quiz-qual-sua-hipotese-e-tratamento-para-esse-caso","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/quiz-qual-sua-hipotese-e-tratamento-para-esse-caso\/","title":{"rendered":"QUIZ – Qual sua hip\u00f3tese e tratamento para esse caso?"},"content":{"rendered":"

Masculino, 32 anos, previamente h\u00edgido, procura atendimento em unidade de emerg\u00eancia com queixa de dor epig\u00e1strica de forte intensidade h\u00e1 6 dias, associada \u00e0 intoler\u00e2ncia alimentar, sem melhora com pantoprazol e outras medica\u00e7\u00f5es sintom\u00e1ticas. Nega n\u00e1useas e v\u00f4mitos. Nega altera\u00e7\u00e3o do habito intestinal e emagrecimento. Refere\u00a0febre e\u00a0calafrios h\u00e1 2 dias, e uso\u00a0recente\u00a0de corticoster\u00f3ide para tratamento de sinusopatia.<\/p>\n

Tomografia de abd\u00f4men evidencia espessamento da parede g\u00e1strica, sem outros achados.<\/p>\n

Achados da endoscopia digestiva alta:<\/strong><\/p>\n

\"\" <\/a>\"\"<\/a>\"\"<\/a><\/p>\n

Realizadas bi\u00f3psias g\u00e1stricas. An\u00e1tomo-patol\u00f3gico:<\/strong><\/p>\n

– L\u00e2mina pr\u00f3pria com vasos congestos, exuberante infiltrado inflamat\u00f3rio neutrof\u00edlico formando abscessos confluentes em fov\u00e9olas e edema.<\/p>\n

– Presen\u00e7a de neovasculariza\u00e7\u00e3o no c\u00f3rion adjacente \u00e0 \u00e1rea de eros\u00e3o, com exocitose de eosin\u00f3filos.<\/p>\n

– Aus\u00eancia de bacilos morfologicamente compat\u00edveis com H. pylori. Aus\u00eancia de sinais de malignidade no material examinado.<\/p>\n\n

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

Masculino, 32 anos, previamente h\u00edgido, procura atendimento em unidade de emerg\u00eancia com queixa de…<\/p>\n","protected":false},"author":965,"featured_media":9686,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[143],"tags":[],"ano":[276],"tipo":[153],"volume":[147],"class_list":["post-8881","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-quiz","ano-276","tipo-endoscopia-digestiva-alta","volume-volume-ii"],"yoast_head":"\nQUIZ - Qual sua hip\u00f3tese e tratamento para esse caso? • Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/quiz-qual-sua-hipotese-e-tratamento-para-esse-caso\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"QUIZ - 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