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      <title>COLECISTITIS AGUDA  by </title>
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      <pubDate>2021-04-19 19:58:27 UTC</pubDate>
      <lastBuildDate>2026-01-11 18:14:53 UTC</lastBuildDate>
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         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435020815</link>
         <description><![CDATA[<div>COLECISTITIS AGUDA </div>]]></description>
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         <pubDate>2021-04-19 19:59:24 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435021786</link>
         <description><![CDATA[<div>CRITERIOS DIAGNÓSTICOS </div>]]></description>
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         <pubDate>2021-04-19 19:59:38 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435026283</link>
         <description><![CDATA[<div>A. SIGNOS DE  INFLAMACIÓN LOCAL&nbsp;<br>1. MURPHY POSITIVO&nbsp;<br>2. MASA, DOLOR, SENSIBILIDAD&nbsp;<br><br></div>]]></description>
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         <pubDate>2021-04-19 20:00:58 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435031059</link>
         <description><![CDATA[<div>B. SIGNOS DE INFLAMACIÓN SISTÉMICA&nbsp;<br>1. FIEBRE<br>2. ELEVACION DEL PCR&nbsp;<br>3. LEUCOCITOSIS&nbsp;</div>]]></description>
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         <pubDate>2021-04-19 20:02:24 UTC</pubDate>
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      <item>
         <title>C. IMAGEN </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435031527</link>
         <description><![CDATA[<div>RESULTADOS DE IMÁGENES CARACTERÍSTICAS DE LA COLECISTITIS AGUDA</div>]]></description>
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         <pubDate>2021-04-19 20:02:32 UTC</pubDate>
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      <item>
         <title>DIAGNÓSTICO SUGESTIVO </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435042225</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:05:21 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435043447</link>
         <description><![CDATA[<div>UN CRITERIO DE A + UN CRITERIO DE B&nbsp;</div>]]></description>
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         <pubDate>2021-04-19 20:05:44 UTC</pubDate>
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         <title>DIAGNÓSTICO DEFINITIVO </title>
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         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:06:08 UTC</pubDate>
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      <item>
         <title>UN CRITERIO DE A + UN CRITERIO DE B + C </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435045899</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:06:28 UTC</pubDate>
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      <item>
         <title>EVALUACIÓN DE LA GRAVEDAD DE LA COLECISTITIS AGUDA</title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435109722</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:25:31 UTC</pubDate>
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      <item>
         <title>GRADO I </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435112308</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:26:13 UTC</pubDate>
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      <item>
         <title>GRADO II </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435113456</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:26:34 UTC</pubDate>
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         <title>GRADO III</title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435113752</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-19 20:26:40 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435128137</link>
         <description><![CDATA[<div>EL GRADO 1 TAMBIÉN SE PUEDE DEFINIR COMO COLECISTITIS AGUDA EN UN PACIENTE SANO SIN DISFUNCIÓN DE ÓRGANOS Y CAMBIOS INFLAMATORIOS LEVES EN LA VESÍCULA, HACIENDO DE LA COLECISTECTOMÍA UN PROCEDIMIENTO OPERATORIO SEGURO Y DE BAJO RIESGO</div>]]></description>
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         <pubDate>2021-04-19 20:30:58 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435130406</link>
         <description><![CDATA[<div>ESTA ASOCIADO CON UNA DE LAS SIGUIENTES CONDICIONES:&nbsp;<br>1. LEUCOCITOSIS ( &gt; 18 000/mm3)<br>2. MASA PALPABLE EN EL CUADRANTE SUPERIOR DERECHO.&nbsp;<br>3. DURACIÓN DE LOS SÍNTOMAS MAS DE&nbsp; &gt;72 HORAS<br>4. INFLAMACIÓN LOCAL MARCADA (COLECISTITIS GANGRENOSA, ABSCESO PERICOLECÍSTICO, ABSCESO HEPÁTICO, PERITONITIS BILIAR, COLECISTITIS ENFISEMATOSA.</div>]]></description>
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         <pubDate>2021-04-19 20:31:41 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435147794</link>
         <description><![CDATA[<div>ESTÁ ASOCIADA CON LA DISFUNCIÓN DE UNO DE LOS SIGUIENTES ÓRGANOS O SISTEMAS:<br>1. DISFUNCIÓN CARDIOVASCULAR ( HIPOTENSIÓN QUE REQUIERE TRATAMIENTO CON&nbsp; &gt;5ug/kg POR MINUTO O UNA DOSIS DE NOREPINEFRINA)<br>2. DISFUNCIÓN NEUROLÓGICA: DISMINUCIÓN DEL NIVEL DE CONCIENCIA<br>3. DISFUNCIÓN RESPIRATORIA: PaO2/FiO2 PROPORCION&nbsp; &lt; 300&nbsp;<br>4. DISFUNCIÓN RENAL: OLIGURIA, CREATININA&nbsp; &gt; 2.0 mgdl&nbsp;<br>5. DISFUNCIÓN HEPÁTICA: INR &nbsp; &gt;1.5&nbsp;<br>6. DISFUNCIÓN HEMATOLÓGICA: PLAQUETAS 100 000/mm 3</div>]]></description>
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         <pubDate>2021-04-19 20:37:29 UTC</pubDate>
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         <title>MANEJO </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435169863</link>
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         <pubDate>2021-04-19 20:45:06 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435175471</link>
         <description><![CDATA[<div>ANTIBIÓTICOS Y CUIDADO DE APOYO GENERAL</div>]]></description>
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         <pubDate>2021-04-19 20:47:01 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435177234</link>
         <description><![CDATA[<div>CIRUGÍA LAPAROSCÓPICA TEMPRANA </div>]]></description>
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         <pubDate>2021-04-19 20:47:41 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435182406</link>
         <description><![CDATA[<div>CCI 5 O MENOS Y/O ASA II  O MENOS </div>]]></description>
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         <pubDate>2021-04-19 20:49:32 UTC</pubDate>
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      <item>
         <title>OBSERVACIÓN </title>
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         <pubDate>2021-04-19 20:50:58 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435188631</link>
         <description><![CDATA[<div>ANTIBIÓTICOS Y CUIDADO DE APOYO GENERAL</div>]]></description>
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         <pubDate>2021-04-19 20:51:47 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435195076</link>
         <description><![CDATA[<div>UN CULTIVO DE SANGRE DEBE TENER EN CUENTA ANTES DE INICIAR LA ADMINISTRACIÓN DE ANTIBIÓTICOS</div>]]></description>
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         <pubDate>2021-04-19 20:54:06 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435210106</link>
         <description><![CDATA[<div>CCI 5 O MENOS Y/O ASA II&nbsp; O MENOS&nbsp;</div>]]></description>
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         <pubDate>2021-04-19 20:59:41 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435210734</link>
         <description><![CDATA[<div>CCI 6 O MAS Y/O ASA III O MÁS</div>]]></description>
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         <pubDate>2021-04-19 20:59:57 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435212100</link>
         <description><![CDATA[<div>CIRUGÍA LAPAROSCÓPICA TEMPRANA/ URGENTE&nbsp;</div>]]></description>
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         <pubDate>2021-04-19 21:00:29 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435216522</link>
         <description><![CDATA[<div>LOS ANTIBIOTICOS Y EL CUIDADO DE APOYO GENERAL NO CONTROLÓ LA INFLAMACIÓN</div>]]></description>
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         <pubDate>2021-04-19 21:02:13 UTC</pubDate>
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      <item>
         <title>CIRUGÍA LAPAROSCÓPICA</title>
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         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435218357</link>
         <description><![CDATA[<div>RETRASADA / ELECTIVA</div>]]></description>
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         <pubDate>2021-04-19 21:02:55 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435220529</link>
         <description><![CDATA[<div>DRENAJE DE LA VESÍCULA BLIAR <br>URGENTE / TEMPRANA<br><br></div>]]></description>
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         <pubDate>2021-04-19 21:03:46 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435469287</link>
         <description><![CDATA[<div>CCI 6 O MAS Y/O ASA III O MÁS</div>]]></description>
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         <pubDate>2021-04-19 23:04:11 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435761632</link>
         <description><![CDATA[<div>ANTIBIÓTICOS Y CUIDADO DE APOYO GENERAL</div>]]></description>
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         <pubDate>2021-04-20 01:08:40 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435764322</link>
         <description><![CDATA[<div>NO FACTORES PREDICTIVOS NEGATIVOS Y FALLA DEL SISTEMA DE ÓRGANOS FAVORABLES</div>]]></description>
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         <pubDate>2021-04-20 01:09:28 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435768413</link>
         <description><![CDATA[<div>FACTORES PREDICTIVOS NEGATIVOS Y/ O NINGUNA  FALLA DEL SISTEMA DE ÓRGANOS FAVORABLES</div>]]></description>
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         <pubDate>2021-04-20 01:11:03 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435770712</link>
         <description><![CDATA[<div>DRENAJE DE LA VESÍCULA BLIAR&nbsp;<br>URGENTE / TEMPRANA</div>]]></description>
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         <pubDate>2021-04-20 01:11:58 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435774193</link>
         <description><![CDATA[<div>BUEN RENDIMIENTO </div>]]></description>
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         <pubDate>2021-04-20 01:13:17 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435774653</link>
         <description><![CDATA[<div>POBRE &nbsp;RENDIMIENTO&nbsp;</div>]]></description>
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         <pubDate>2021-04-20 01:13:27 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435775488</link>
         <description><![CDATA[<div>POBRE RENDIMIENTO&nbsp;</div>]]></description>
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         <pubDate>2021-04-20 01:13:45 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435780898</link>
         <description><![CDATA[<div>CENTRO AVANZADO Y BUEN ESTADO DE RENDIMIENTO</div>]]></description>
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         <pubDate>2021-04-20 01:15:42 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435782056</link>
         <description><![CDATA[<div>CIRUGÍA LAPAROSCÓPICA TEMPRANA&nbsp;</div>]]></description>
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         <pubDate>2021-04-20 01:16:07 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435783720</link>
         <description><![CDATA[<div>CIRUGÍA LAPAROSCÓPICA RETRASADA / ELECTIVA</div>]]></description>
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         <pubDate>2021-04-20 01:16:45 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435785084</link>
         <description><![CDATA[<div>OBSERVACIÓN </div>]]></description>
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         <pubDate>2021-04-20 01:17:14 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435903017</link>
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         <pubDate>2021-04-20 02:01:06 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435907112</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-04-20 02:02:48 UTC</pubDate>
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      <item>
         <title></title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435912495</link>
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         <pubDate>2021-04-20 02:04:52 UTC</pubDate>
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         <title></title>
         <author>aby_fernandez17</author>
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         <pubDate>2021-04-20 02:06:42 UTC</pubDate>
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      <item>
         <title>BIBLIOGRAFÍA: </title>
         <author>aby_fernandez17</author>
         <link>https://padlet.com/aby_fernandez17/pjjptska2fwhrmj0/wish/1435926453</link>
         <description><![CDATA[<div>Toshihiko Mayumi&nbsp; Kohji Okamoto&nbsp; Tadahiro Takada&nbsp; Steven M. Strasberg&nbsp; Joseph S. Solomkin&nbsp; Mayumi T., Okamoto K.,TakadaSchlossberg T., D., Pitt H.,&nbsp;<br>Yoshida M., Gomi H, Miura, T.(2017) Tokyo Guidelines 2018: management bundles for acute cholangitis and cholecystitis.&nbsp;<br>Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1002/jhbp.519</div>]]></description>
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         <pubDate>2021-04-20 02:10:31 UTC</pubDate>
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