Historia Clínica (Cirrosis Hepatica)

c

c

c

c

c

cccccc c c c c

c
ccccccccccccccccccccccccccccccccccccccccccc

c

c
 c 


 c c
cc
 c 
 c  c 
 cc  ccc c   c cccccccccc  c
c  c cc c  ccc   c c cccc cc    ccccc c c 
 c   c !"ccc!
 cccc c#ccc c c c  cc  cc c$ c
ccc c  c 
cc c c c c  c%cc cc##c c   ccccccc

c &'()'(*cccccccccccccccccccccccccccccccccccc

c

ccccccccccccccccccccccccccccccccccccccc c

+)(&+,*c-c &./&+*c 0ccc
!c.
c c1 c c
 
 c c
 cc .cc
!c.
c c1 c c
 
 c c
 c  c2
2c#cc  c cc

c c

0+*,'&/*c',c0&(,/34,*c cccc !!c!c"#c$ c%cc!c$&c'#c%#c% c(c)"cc ! "c& "cc "*% "c +,#-c &#)c .c !/0c c % c 1" "-c % %c % c ,"c# c c%c (c % $!"c !"-c &"c %#&"c " c  $  %"c .c c  $ %&2%"-c % c ,""c !"$#!"c !c %"c  /"c %&!"c%&"-c, "-c&,#$ ""cc"#c!c!cc3"c4c c(c*%"c&c!5c% c"#"c "%* "c %$ "c !c  c .c %&&! c !&c !"#6"c !c %!c c &$ c  "#$c ,#c #%!c  7$!$c8cc4cc#c% c#c%#! c!c*%#%2c% $& c %*!!c5"%cc$5$c c ",#5 cc "* c

c c

0+*,'&/*c0&(,/34,*c

c cc!%! c"$2cc&c!!c!c89c3 "-c,cc!%! c "c$!!"c!c&c 3)c ,c %!"c '#:,% "c %2c #c "#"2c ",#5c %c 1c 3 "c  c "c  c ,c % "#$ c !c % -c c &c % "#$ c !c &%  &c !"!c %c (9c 3 "c % $c c !/! c!c% "#$& c%c4c$""c c% "#$c! ,"c &c %c ,c "c $!!"c .c  c c % "#$ c !c $!%$ "c "c $, c c &c 7!cc"c%#c "c'#cc!, "% c!c% ""c"c"%%c$ c!c* &#%2c c&c$!!cc&cc$ c ,c&,c$!%$ "c c&$%c

c

0&).'(,c&(5&/c c% c!c"5 $"c%c1c!5"c% c!%#&!cc" c ,"*c!"!c& "c$! "cc& c '#3 c "#) "c % "c &"c  c %#%! "c .c $&"c ,&c c "#c &&,!c "c *& ! c  c &c "*% c !c #,%"c %#! c "#c 7& %2c 5"%c "c &,%""-c c &c 27c "$#%2c !&c $#$#&& c*"%#&c"&c!%c% ! c5$% "-c!$% "-c! $c% c!c* "c% &&c.c c#$&%&c!c#c8%$c!c!;$ c 7$!$c!c,#&c $c"! c"%"-cc"2c.c % ;! "c!" ! cc "*c%&#&"cc&c && c!% c.c,2c c!&c% c!"&c!c &cc)'#!c% c% & c.c# c& %&cc&)c"5""c% c"&!c!c&5'#! c% c!/c!c<&-c !/c'#c " $c"cc&ccc" "c$ $ "cc&c%c"c "*c% c#c&, c c %6% c $"! c %&$c c &c "%&2%-c ", "c *&"c "&"-c &-c %#" c % c %&!!c!c"#3 c" &2,% c

c

c c '(++,4&(,+,c0,+c&0&+&(,*c-c**(.&*c

c

 c ,c! & c% !&-c& $"-c cc!$"-c,c% ""-c$ ""-c"7"-c! & c ;%% -c '#-c!cc% $ $" c%! #&$ c

c

c cc!",-c ! ,-c ""-c,#,% "c ,c#""c.c*2$ "cc*%#c8c*)c&c !5c

c

 c cc! -cc! & c&c -c!#""c $&-c*! c!c%#! cc&c%!!c!c%#! c% c&c ,"c!c&5'#! c ,c"$ -c$#-c#cc.c &'##ccc cccc

=c ,c &,"c c ! & c c &c ) c !% c "%#! c c %5!c !"!c &c &#c !c #c ; &c !c ) c%c 7$!$c8
c

  c c  c 7 &$ "-c "#! %2-c %$ "c c &c * )-c ""&!!-c %$ "c c &c &c c c  "c!c%6c cc&#%#% "cc&c" cc%$ "cc&c c

c

c c% !c"#"c$ *$ "-c""&!!c $&c&c%& -c! & -c c"c;&""-c$& "cc.c ""-c.cc% %&c&c"#3 c" &2,% c $&$c

c

60/,+&3'c 7*&c
c   c  c
c   c 
  c  c  c #c8c %c  9#c c ##$ #c : 9 ;c '*03'c4'+&/c


  c +c%c

c


%c $"%#& c !c>4c 3 "c !c )c $ -c &c &,$c !"!!c .c % c &, c c %6% -c &!)c!c,#$ -c!c% "#%2c,-c% "-c'#& -c% ! -c% c#c$$ c.cc ! cc"% c.c" c c cc$ c

c c

&<=&cc
& c!c7#c $! ?c&c%&&#!c"c&" "c +>',c"$6% c.c&" c ,?,*c#c *"2c c$ "c / "?c % /#*c c  "!?c"%&2%c&%?c #&"c ! !"-c " % %"-c  $ &7%"cc$ ,"cc ,7),*c"c#!%2c $&-c% c% & %2c $&c '&+=c$#% "c "!-c'#c$!&c <,&c$#% "c "!-c%!"c!&"c% $&"-c&,#c$!&-c,c"c7#!! "ccc

c

5//,c &c c$" $  -c"$6% -c% & c% !c% c&c" c!&c%# c"c"%c!c&" "c!6$%"cc &c&%2c c"c% 2c&*%2c!c"#c$#-cc"c%  c%% "-c%%$ "-cc # "c! &  " "c
#&" c% ! c"-c $&-c5$% c.c% !c&c%&c

c

(3+&6c &5!% -c"c&,%"-c&&c% "&c,-c"$6%c c&c&%2c c"c%%$ -c %%2c c # "c ! &  " "-c $&7 c .c $&7% c "c .c  $&"?c c &c %#"2c "c %#c #! c %& c #&$ c "c &% "?c c &c #"%#&%2c &c $#$#&& c *"%#&c "c %#c !"$#! c! $$c&c"&c!% cc@A7c$c

c

&<),.'cccc ! $c&! c!"&-c% & c% !c% c&c" c!&c%# -c%%)c#$&%&c"-c% cc !c&c$"$c% c 7$!$c8c%$c!c!;$ -c"c"%"cc"2c c!c%#c c ,""c c &c &c $!c #$&%&c )'#!c "%#!c c %""c c &c #"%#&%2c #! "c ";&% "c ""c "c &% "c c $ c c .c %#%c c &c &%2c "c %#c ! $c !"&c "c "%c!c # "c ! &  " "c c&c %#"2c $!)cc &cc ;%c .c $;% c c  ! c&c" c!&c! $c

c

,/5.'&c@+(<+&/c c "c %#c&% "c!c $ %-c  c "c %c !"*% "c &2,%"-c c"c%c &% "c !c &"c *"-c & "c , "c !c $ *$ "c "c "c  $&"c c 7"c # "c ! &  " "cc&c&%2-c"c%c#c"$5c c ;%%c% $ c6&*%cc&72c%c&cc.c &&c"c%#c $&"c c.c$""c$#"%#&"c $&"c

c

c c c c c

c c

c

6&.'*c)c/&<,+&(,+,c

c c%c&   "c" &%! "c $c$%-c ccA4@-c c4@1-c c((A-c
&'#"c84Bc $&-c&#% % "c4<<99c+B>
c

=c&#% "c81>-cc4<@-cc >-c c84-c %! c% c4Ac

c
c % & &c 888-c  "c  &"c @(c &#$c 1A-c & #&"c <1-c &&#c  &c @41-c &#c !%c<(1-c&#c!%c8A-c c814-c c
c

&% & "c"% " c c8(4-cCc1@-c&c899c  ,#&% c c&'#"c81Bc$&-cc49A-c
c(A1c",c

c
%c % c $c "c &#% % ""c c 7""c !c # &c /#"%&c  c  %" "c %% " "c #&$ c
c% c&*% c c c% %c&% & "c $&"ccccc

c c c

)&4'3*(,c(,/34,c

c %% "c*&"-c$!!"c# $$#"-c!3 c!#%! c c;$% "-c% &"""c.c $!"c$2&%"cc c ',*,/34,ccc c  c c '(4+&/c c
!%$ c !#%! c c&c,"c!c!"c&% 2&%"cc7%" cc&c%#&c!! cc&c&"2c!c &"c%6&#&"c!&c6'#$c;% -c&c5,! c"c&$c.c#$c!c$3 -c"c !#%c ""c &c ,"c&c$!!-c&c5,! c"c%c'#3 -c!# c.c !#&c c&c$ -c"c!c"#c '#%#c $&-c"5c% $ c&c"#%#c!c& "c*" "c",#5 "c.c&;% "c!! c&#,cc#c "#%%c;%c c c c