Mulher de 65 anos, com quadro de dor abdominal de forte - TopicsExpress

Mulher de 65 anos, com quadro de dor abdominal de forte intensidade. na região epigástrica ,com irradiação para hipocôndrio direito, associado a mal estar geral e náuseas. Apresenta como antecedentes : DM em uso de insulina SC e dieta,colesistectomizada há 5 anos. Deu entrada no pronto socorro em REG, desidratada+++++,febril 37,5 C ,ictérica+++++,abdômen doloroso na palpação no epgastro,DR-,RHA+,sua principal HDe: a-colangite,provavelmente associada a coledocolitiase por cálculo neo -formado b-pancreatite aguda , provavelmente associada a neoplasia ampular, já que a paciente tem como antecedente cirúrgico colecistectomia c-colangite, provavelmente associada a Síndrome de Mirizzi , como impactaçao do cálculo no nível da emergência do cístico d-Pancreatite aguda medicamentosa, provavelmente associada ao uso de insulina e-colecistite aguda, provavelmente associada ao cálculo residual por ocasião da colecistectomia ou migração de campo de grampo cirúrgico.

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