HCM - Egreso - Manejo De Ascitis

DR. MARCOS G. CRUCES O. RESIDENTE DE 1 ER NIVEL UNIVERSIDAD DE CARABOBO SERVICIO AUTÓNOMO “HOSPITAL CENTRAL DE MARACAY” POSTGRADO DE MEDICINA INTERNA MARACAY – JUNIO 2008

[object Object],Liver cirrhosis. Lancet 2008; 371: 838–51

[object Object],[object Object],[object Object],[object Object],CIRRHOSIS AND ITS SEQUELAE Goldman: Cecil Medicine, 23rd ed

Liver cirrhosis. Lancet 2008; 371: 838–51

CIRRHOSIS AND ITS SEQUELAE Goldman: Cecil Medicine, 23rd ed FIGURE 157-1 Gross and microscopic images of a normal and cirrhotic liver. A , Gross image of a normal liver with a smooth surface and homogeneous texture. B , Microscopically, liver sinusoids are organized and vascular structures are normally distributed. C , Gross image of a cirrhotic liver. The liver has an orange-tawny color with an irregular surface and a nodular texture. D , Microscopically, the architecture is disorganized and there are regenerative nodules surrounded by fibrous tissue.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CIRRHOSIS AND ITS SEQUELAE Goldman: Cecil Medicine, 23rd ed Liver cirrhosis. Lancet 2008; 371: 838–51

[object Object],[object Object],[object Object],Management of Ascites in Cirrhosis. Clin Liver Dis 9 (2005) 715– 732 Guidelines on the management of ascites in cirrhosis Gut 2006;55;1-12

Management of Ascites in Cirrhosis. Clin Liver Dis 9 (2005) 715– 732 FISIOPATOLOGÍA

[object Object],[object Object],[object Object],[object Object],International Ascites Club HEPATOLOGY, Vol. 38, No. 1, 2003

[object Object],[object Object],[object Object],International Ascites Club HEPATOLOGY, Vol. 38, No. 1, 2003

[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Management of Cirrhosis and Ascites N Engl J Med 2004;350:1646-54.

[object Object],[object Object],[object Object],[object Object],Management of Ascites in Cirrhosis. Clin Liver Dis 9 (2005) 715– 732

Paracentesis. N Engl J Med 2006;355:e21.

[object Object],[object Object],[object Object],[object Object],[object Object]

Paracentesis.N Engl J Med 2006;355:e21

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Guidelines on the management of ascites in cirrhosis Gut 2006;55;1-12

Paracentesis.N Engl J Med 2006;355:e21 Gradiente >1,1gr/dl Hipertensión Portal Gradiente < 1,1gr/dl Cirrosis Carcinomatosis peritoneal Hepatitis alcohólica Peritonitis tuberculosa Ascitis cardiaca Ascitis pancreática Trombosis de vena porta Ascitis biliar Sind. De Budd-Chiari Síndrome nefrótico Metástasis hepática Serositis

[object Object],[object Object],[object Object],Management of Cirrhosis and Ascites N Engl J Med 2004;350:1646-54.

[object Object],[object Object],[object Object],[object Object],Management of Cirrhosis and Ascites N Engl J Med 2004;350:1646-54.

[object Object],[object Object],Management of Cirrhosis and Ascites N Engl J Med 2004;350:1646-54.

[object Object],[object Object],[object Object],[object Object],Guidelines on the management of ascites in cirrhosis Gut 2006;55;1-12

[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Guidelines on the management of ascites in cirrhosis Gut 2006;55;1-12

[object Object],[object Object],[object Object],[object Object],[object Object],Guidelines on the management of ascites in cirrhosis Gut 2006;55;1-12

[object Object],[object Object],[object Object],[object Object],[object Object],HEPATOLOGY, Vol. 39, No. 3, 2004

[object Object],[object Object],HEPATOLOGY, Vol. 39, No. 3, 2004

[object Object],[object Object],[object Object],[object Object],[object Object],Management of Cirrhosis and Ascites N Engl J Med 2004;350:1646-54.

Management of Cirrhosis and Ascites N Engl J Med 2004;350:1646-54.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],.

HCM - Egreso - Manejo De Ascitis

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HCM - Egreso - Manejo De Ascitis