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  • Protocol de Diagnostic Si Tratament Pentru "Icter Mecanic (Chirurgical) "

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    adriana76_2010
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    This document outlines the diagnostic and treatment protocol for mechanical (surgical) jaundice at Dorohoi Municipal Hospital. It lists the reasons for admission including benign jaundice preceded by right upper quadrant pain and fever, and malignant jaundice characterized by progressive, persistent jaundice without pain. Investigations include blood tests to check bilirubin, liver enzymes, and a triad suggesting biliary obstruction. Imaging includes ultrasound, CT, and X-rays. Surgical treatment involves exploratory laparotomy followed by cholecystectomy, choledocholithotomy, bile duct exploration, or bypass depending on the underlying cause and findings.

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    protocol

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    PDT_CH_09

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    This document outlines the diagnostic and treatment protocol for mechanical (surgical) jaundice at Dorohoi Municipal Hospital. It lists the reasons for admission including benign jaundice preceded by right upper quadrant pain and fever, and malignant jaundice characterized by progressive, persistent jaundice without pain. Investigations include blood tests to check bilirubin, liver enzymes, and a triad suggesting biliary obstruction. Imaging includes ultrasound, CT, and X-rays. Surgical treatment involves exploratory laparotomy followed by cholecystectomy, choledocholithotomy, bile duct exploration, or bypass depending on the underlying cause and findings.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    7 views2 pages

    Protocol de Diagnostic Si Tratament Pentru "Icter Mecanic (Chirurgical) "

    Uploaded by

    adriana76_2010
    This document outlines the diagnostic and treatment protocol for mechanical (surgical) jaundice at Dorohoi Municipal Hospital. It lists the reasons for admission including benign jaundice preceded by right upper quadrant pain and fever, and malignant jaundice characterized by progressive, persistent jaundice without pain. Investigations include blood tests to check bilirubin, liver enzymes, and a triad suggesting biliary obstruction. Imaging includes ultrasound, CT, and X-rays. Surgical treatment involves exploratory laparotomy followed by cholecystectomy, choledocholithotomy, bile duct exploration, or bypass depending on the underlying cause and findings.

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    © All Rights Reserved
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    of 2

    Ediţia: I Revizia: 0

    Spitalul Municipal Dorohoi ICTER MECANIC (CHIRURGICAL)


    Nr. exemplare: 1
    CHIRURGHIE GENERALA
    PDT_CH_09 Pagina 1 din 2

    PROTOCOL DE DIAGNOSTIC SI TRATAMENT PENTRU “ICTER


    MECANIC (CHIRURGICAL)”

    MOTIVELE INTERNARII

    Icter benign:
     Precedat de dureri colicative in hipocondru drept
     Febra ondulanta
     Urini hipocrome
    Icter malign:
     Progresiv
     Persistent
     Nedureros
     Pruriginos
     Scaderi in greutate
     Hepatomegalie
     Urini hipercrome

    INVESTIGATII
    Probe biologice:
     Bilirubinemie directa crescuta
     Hemoleucograma
     Examen urina
     Transaminase
     Triada: fosfataza alcalina crescuta, cholesterol crescut, bilirubinemie directa
    crescuta
    Paraclinice:
     Ecografie abdominala (ficat, pancreas, cai biliare)
     CT
     Radiografie (pentru calculi radioopaci)
     Tranzit baritat
    Elaborat Verificat Aprobat
    Functia Medic Sef Sectie Director Medical Manager
    Data
    Dr. Pintilei Georgeta Dr. Perianu Cristian Dr. Vamvu Emilian
    30.05.2017
    Semnatura
    Spitalul Municipal Dorohoi
    Ediţia: I Revizia: 0
    Spitalul Municipal Dorohoi ICTER MECANIC (CHIRURGICAL)
    Nr. exemplare: 1
    CHIRURGHIE GENERALA
    PDT_CH_09 Pagina 2 din 2

    Tratament chirurgical:
     Laparatomia explorator
     Atitudine chirurgicala in functie de:
    o Cauza icterului
    o Rezultatele explorarilor intraspitalicesti: colecistectomie, coledoco,
    litotomie cu extragerea calculilor si drenaj biliar
    o Anastomoza pentru icterele neoplazice.

    Elaborat Verificat Aprobat


    Functia Medic Sef Sectie Director Medical Manager
    Data
    Dr. Pintilei Georgeta Dr. Perianu Cristian Dr. Vamvu Emilian
    30.05.2017
    Semnatura
    Spitalul Municipal Dorohoi

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