1 Slide • 6 Questions

Cazul 3

M.V, b, 56 ani

Clinic - durere in hipocondrul dr, mai ales in inspir
- greturi , varsaturi
- febra, frisoane
APP - diverticulita complicata in antecedente
Serologic - leucocitoza cu neutrofilie, anemie, PCR crescut, FA crescuta, Bilirubina crescuta, transaminaze crescute

2

Multiple Select

Ce patologii pot fi luate in considerare in urma datelor anamnsestice?

1

Colecistita acuta

2

chist hidatic

3

abces hepatic

4

hepatocarcinom

3

Multiple Select

Ce relevă imaginea alăturată?

1

hepatocarcinom

2

abces hepatic

3

metastaze hepatice

4

chist hidatic

4

Multiple Choice

Ce tehnica imagistica imediata recomandati in continuare?

1

CT

2

RMN

3

CEUS

4

Power Doppler

5

Multiple Choice

Ce tip de leziune este relevata prin aceasta examinare?

1

abces hepatic

2

hepatocarcinom

3

metastaza hepatica

4

chist hidatic

6

Multiple Select

Ce tratament recomandati pacientului?

1

tratament antibiotic

2

drenaj percutan + cultura

3

hepatectomie partiala

4

ablatie cu radiofrecventa

7

Multiple Choice

Care credeti ca este cauza mai probabila a abcesului hepatic in acest caz?

1

Colangita

2

Diverticulita

3

Echinococcus granulosus

Cazul 3

M.V, b, 56 ani

Clinic - durere in hipocondrul dr, mai ales in inspir
- greturi , varsaturi
- febra, frisoane
APP - diverticulita complicata in antecedente
Serologic - leucocitoza cu neutrofilie, anemie, PCR crescut, FA crescuta, Bilirubina crescuta, transaminaze crescute

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