5 colecist si cb
DESCRIPTION
ecografieTRANSCRIPT
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COLECISTCOLECISTCOLECISTCOLECIST
Dr. A SantaDr. A SantaDr. A SantaDr. A Santa
ANATOMIEANATOMIEMETODOLOGIE DE EXAMINAREMETODOLOGIE DE EXAMINARELITIAZA BILIARALITIAZA BILIARA
ANATOMIEANATOMIEMETODOLOGIE DE EXAMINAREMETODOLOGIE DE EXAMINARELITIAZA BILIARALITIAZA BILIARA
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ANATOMIEANATOMIEANATOMIEANATOMIE
• NORMALANORMALA• POZITIEPOZITIE
• STRUCTURASTRUCTURA
• PARTI PARTI COMPONENTECOMPONENTE
• CAICAI
• RAPORTURI RAPORTURI ANATOMICEANATOMICE
• VARIANTEVARIANTE
• NORMALANORMALA• POZITIEPOZITIE
• STRUCTURASTRUCTURA
• PARTI PARTI COMPONENTECOMPONENTE
• CAICAI
• RAPORTURI RAPORTURI ANATOMICEANATOMICE
• VARIANTEVARIANTE
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METODOLOGIE DE METODOLOGIE DE EXAMINAREEXAMINARE
METODOLOGIE DE METODOLOGIE DE EXAMINAREEXAMINARE
• ABORDURIABORDURI
• STAREA PACIENTULUISTAREA PACIENTULUI
• TRADUCTORITRADUCTORI
• SURSE DE EROARESURSE DE EROARE• APARATAPARAT
• PACIENTPACIENT
• EXAMINATOREXAMINATOR
• KINEZIE (BOYDEN)KINEZIE (BOYDEN)
• ABORDURIABORDURI
• STAREA PACIENTULUISTAREA PACIENTULUI
• TRADUCTORITRADUCTORI
• SURSE DE EROARESURSE DE EROARE• APARATAPARAT
• PACIENTPACIENT
• EXAMINATOREXAMINATOR
• KINEZIE (BOYDEN)KINEZIE (BOYDEN)
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COLECIST Fisura interlobara Ram porta
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PORTAFISURA INTERLOBARAPORTAFISURA INTERLOBARA
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1 COLECIST2 FISURA INTERLOBARA3 Art HEP si PORTA
1 COLECIST2 FISURA INTERLOBARA3 Art HEP si PORTA
1 23
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POSTPRANDIALPOSTPRANDIAL
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LITIAZA BILIARALITIAZA BILIARALITIAZA BILIARALITIAZA BILIARA
• AVANTAJELE ECHOGRAFIEIAVANTAJELE ECHOGRAFIEI
• RANDAMENTRANDAMENT
• FALS POZITIV - FALS NEGATIVFALS POZITIV - FALS NEGATIV
• ARTEFACTE UTILIZATE DE ARTEFACTE UTILIZATE DE EXAMINATOREXAMINATOR
• CON ACUSTIC POSTERIOR - GENEZA SACON ACUSTIC POSTERIOR - GENEZA SA
• AVANTAJELE ECHOGRAFIEIAVANTAJELE ECHOGRAFIEI
• RANDAMENTRANDAMENT
• FALS POZITIV - FALS NEGATIVFALS POZITIV - FALS NEGATIV
• ARTEFACTE UTILIZATE DE ARTEFACTE UTILIZATE DE EXAMINATOREXAMINATOR
• CON ACUSTIC POSTERIOR - GENEZA SACON ACUSTIC POSTERIOR - GENEZA SA
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ASPECTE ECHOGRAFICEASPECTE ECHOGRAFICEASPECTE ECHOGRAFICEASPECTE ECHOGRAFICE
• REPERE de REPERE de descoperire ale descoperire ale colecistuluicolecistului
• COLECIST EXCLUSCOLECIST EXCLUS• ARTEFACTE - fals ARTEFACTE - fals
pzitivepzitive• CALCULI flotanti, CALCULI flotanti,
multipli, infundibulari, multipli, infundibulari, • DG. DIFERENTIAL !DG. DIFERENTIAL !
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ASPECTE ECHOGRAFICEASPECTE ECHOGRAFICEASPECTE ECHOGRAFICEASPECTE ECHOGRAFICE
• EXAMINAREA COLECISTULUI EXAMINAREA COLECISTULUI ++• PATUL COLECISTIC PATUL COLECISTIC
• C.B.PC.B.P
• C.B. INTRAHEPATICEC.B. INTRAHEPATICE
• EXAMINAREA COLECISTULUI EXAMINAREA COLECISTULUI ++• PATUL COLECISTIC PATUL COLECISTIC
• C.B.PC.B.P
• C.B. INTRAHEPATICEC.B. INTRAHEPATICE
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HIPERECOGENCU CONHIPERECOGENCU CON
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HIPERECOGEN, CU CON MINIMHIPERECOGEN, CU CON MINIM
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FLOTANTFLOTANT
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FLOTANTI, MOBILIFLOTANTI, MOBILI
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MICI, DECLIVIMICI, DECLIVI
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COLECIST CALCULOSEXCLUSCOLECIST CALCULOSEXCLUS
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CALCUL INFUNDIBULO-CISTICCALCUL INFUNDIBULO-CISTIC
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ARTEFACTE !ARTEFACTE !
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CALCUL INCISTIC ?CALCUL INCISTIC ?
NU!TABLETA INDUODEN!
NU!TABLETA INDUODEN!
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CALCULIBILIARI?CALCULIBILIARI?
NU!AER IN DUODEN!NU!AER IN DUODEN!
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CAI BILIARECAI BILIAREDr. A. SantaDr. A. Santa
CAI BILIARECAI BILIAREDr. A. SantaDr. A. Santa
ANATOMIAANATOMIA
METODOLOGIA DE METODOLOGIA DE EXAMINAREEXAMINARE
PATOLOGIEPATOLOGIE
ANATOMIAANATOMIA
METODOLOGIA DE METODOLOGIA DE EXAMINAREEXAMINARE
PATOLOGIEPATOLOGIE
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ANATOMIEANATOMIEANATOMIEANATOMIE
• CBP = CISTIC+ CBP = CISTIC+ HEPATICHEPATIC
• HEPATIC COMUN = HEPATIC COMUN = HEPATIC STG si DRHEPATIC STG si DR
• TRIADA HEPATICATRIADA HEPATICA
• CBP = CISTIC+ CBP = CISTIC+ HEPATICHEPATIC
• HEPATIC COMUN = HEPATIC COMUN = HEPATIC STG si DRHEPATIC STG si DR
• TRIADA HEPATICATRIADA HEPATICA
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EXAMINAREEXAMINAREEXAMINAREEXAMINARE
• METODOLOGIEMETODOLOGIE
• REPEREREPERE
• ARTEFACTEARTEFACTE
• SECTIUNI STANDARDSECTIUNI STANDARD
• METODOLOGIEMETODOLOGIE
• REPEREREPERE
• ARTEFACTEARTEFACTE
• SECTIUNI STANDARDSECTIUNI STANDARD
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PATOLOGIEPATOLOGIEPATOLOGIEPATOLOGIE
• ASPECTUL ECHOGRAFIC AL ASPECTUL ECHOGRAFIC AL DILATARII C.B.DILATARII C.B.
• ORIENTARE SPATIALA ORIENTARE SPATIALA
• DILATARI SEGMENTARE / DILATARI SEGMENTARE / GLOBALEGLOBALE
• ASPECTUL ECHOGRAFIC AL ASPECTUL ECHOGRAFIC AL DILATARII C.B.DILATARII C.B.
• ORIENTARE SPATIALA ORIENTARE SPATIALA
• DILATARI SEGMENTARE / DILATARI SEGMENTARE / GLOBALEGLOBALE
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PATOLOGIEPATOLOGIEPATOLOGIEPATOLOGIE
• OBSTRUCTIEOBSTRUCTIE• BENIGNABENIGNA
• MALIGNAMALIGNA– KLATSKINKLATSKIN– AMPULOM VATERIANAMPULOM VATERIAN– ALTELE (PANCREAS, duoden)ALTELE (PANCREAS, duoden)
• CAROLICAROLI• COMPRESIE (Mirizzi)COMPRESIE (Mirizzi)• ANOMALII CONGENITALEANOMALII CONGENITALE
• OBSTRUCTIEOBSTRUCTIE• BENIGNABENIGNA
• MALIGNAMALIGNA– KLATSKINKLATSKIN– AMPULOM VATERIANAMPULOM VATERIAN– ALTELE (PANCREAS, duoden)ALTELE (PANCREAS, duoden)
• CAROLICAROLI• COMPRESIE (Mirizzi)COMPRESIE (Mirizzi)• ANOMALII CONGENITALEANOMALII CONGENITALE
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EXAMINAREEXAMINAREEXAMINAREEXAMINARE
• ALTE METODE DE EXPLORARE ALTE METODE DE EXPLORARE (E.R.C.P., C.T., R.M.N.)(E.R.C.P., C.T., R.M.N.)
• RANDAMENT, INDICATII, LIMITERANDAMENT, INDICATII, LIMITE
• ALTE METODE DE EXPLORARE ALTE METODE DE EXPLORARE (E.R.C.P., C.T., R.M.N.)(E.R.C.P., C.T., R.M.N.)
• RANDAMENT, INDICATII, LIMITERANDAMENT, INDICATII, LIMITE
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