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SEMIOLOGIA FICATULUI.pdf

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obstacol pe căile biliare<br />

intrahepatice<br />

CBP, Hep.cr. colestatice<br />

extrahepatice<br />

Benigne<br />

maligne<br />

Tablou clinic<br />

icter intens,<br />

prurit,<br />

Icterul posthepatic<br />

!!!<br />

Ecografie<br />

Colangio-MRI<br />

CRE<br />

scaune acolice (absenţa stercobilinogenului)<br />

urini hipercrome (bilirubinurie)<br />

diaree (steatoree);<br />

tulburări în absorbţia vitaminelor liposolubile<br />

Laborator<br />

hiperbilirubinemie conjugată,<br />

hipercolesterolemie,<br />

fosfataza alcalină , GGT<br />

probele hepatice –iniţial normale<br />

TP -poate fi corectat cu vit K1

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