7/25/2019 Casos Clinicos 1 Ciruga General La Salle 2016

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Case 1

At the emergency room, you attend a male, 58 years old, who has a abdominalpain, at lower and middle area, its began 3 days before and now, the pain is just inLefth area, that pain is qualifying as 8 at pain score, with other symptoms as:nausea, vomit, chiglls, abdominal distention, at exploration you find 135/85 mmHg,110 beats per minute, 14 breaths, 39C, intense pain at tact, not peritonealirritation, peristalsis so low, you decide order the follow, for you diagnostic?

A) TC abdominal

B) MR

C) Abdominal US

D) Artheriography

2. In that exam, you found a level II, of your diagnostic, what is that youdecide in this patient?

A) Percutaneous drainage

B) Laparoscopic surgery

C) Open surgery

D) Antibiotics and Fast

3. How long do you expect for see the Health-recover?

A) 12 h

B) 24 h

C) 36 h

D) 48 h

7/25/2019 Casos Clinicos 1 Ciruga General La Salle 2016

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Case 2

Woman, 31 years old, who has a abdominal pain, located at right flank, tha painbegan after emotional event, accompanied of nausea, vomit, three times, the last,with almost abolition of pain, 120/80 mmHg, 90 beats per minute, 12 bhreaths,36.9C, with Murphy positive, nothing else at exploration.

1. First exam to order?

A) Abdominal RX

B) USg abdominal

C) TC abdominal

D) MRI

2. The mostly of this disease are related with?

A) Cholesterol

B) Triglycerides

C) Bile pigments

D) Glucose

3. Percentage?

A) 70%

B) 80%

C) 90%

D) 100%