#Gastroenterología Masculino de 65 años de edad, blanco, se - TopicsExpress

#Gastroenterología Masculino de 65 años de edad, blanco, se presenta al servicio con escalofríos y dolor en el cuadrante superior derecho de 6 horas de evolución. Se observa ictérico. Sus transaminasas ligeramente elevadas, bilirrubina directa de 6 mg/dl y leucocitos de 18,000. ¿Cuál sería la primera opción desde elpunto de vista terapéutico? 1. Obtener una imagen por resonancia magnética del hígado 2. Ordenar estudios de serología para hepatitis viral 3. Realizar una colangiopancreatografía endoscópica retrógrada (CPRE) 4. Obtener una tomografía computarizada del hígado 5. Administrar antibióticos de amplio espectro por vía venosa #DrLalo

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