%PDF-1.7
%
1 0 obj
<>
endobj
63 0 obj
<>/Font<>>>/Fields 67 0 R>>
endobj
4 0 obj
<>stream
Gnostice PDFtoolkit V2.02
2009-05-07T22:10:21-03:00
PScript5.dll Version 5.2.2
2012-01-28T23:11:04-03:00
2012-01-28T23:11:04-03:00
uuid:b94d3c7f-cd65-4e51-8bd9-b9f70532718f
uuid:0d97b2d1-d1de-4404-b1d1-ff57fcdd959b
application/pdf
Microsoft Word - Prova Medico Proctologista - Tipo 1.doc
Wilson
endstream
endobj
3 0 obj
<>
endobj
5 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
37 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
42 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
45 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
49 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
52 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
55 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>>
endobj
86 0 obj
<>stream
q
/GS0 gs
41.82 0 0 45 529.079956 783.680298 cm
/Im0 Do
Q
BT
/GS0 gs
/TT0 1 Tf
13.02 0 0 13.02 28.62 809.9603 Tm
( )Tj
-0.0003 Tc -0.0021 Tw 10.02 0 0 10.02 28.62 797.9003 Tm
[(PREFEITU)3(R)3(A)-3( MU)3(NICIPA)3(L DO MO)5(RE)8(NO )]TJ
0 Tc -0.0024 Tw 0 -1.15 TD
[(Conc)5(urso P)8(\372blico \226 200)5(9)]TJ
0 Tw 12 0 0 12 147.54 786.3803 Tm
( )Tj
-0.002 Tc -0.0004 Tw 10.02 0 0 10.02 28.62 772.4003 Tm
[(Tipo 1 )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( )-6( Cargo: M\351dico Pr)]TJ
-0.0008 Tc -0.0016 Tw 40.323 0 Td
[(octo)5(logista / N\355v)5(e)-1(l Superior )]TJ
ET
27.12 782.72 539.22 1.5 re
f
27.12 767.72 539.22 1.5 re
f
BT
/TT0 1 Tf
0.0001 Tc 0.0003 Tw 7.98 0 0 7.98 276.96 59.4203 Tm
[(P\341gina 7/)-8(7 )]TJ
ET
27.12 67.82 539.22 1.5 re
f
27.12 55.1 539.22 1.5 re
f
BT
/TT1 1 Tf
0.0016 Tc 0.0006 Tw 6 0 0 6 340.38 49.5803 Tm
[(\311 permitida)8( a r)11(e)-2(prod)12(u\347\343o ap)12(enas p)12(a)-2(ra fin)12(s)-2( did\341tico)12(s, de)8(sde qu)12(e citad)12(a)-2( a fonte.)]TJ
0 Tc 0 Tw 7.98 0 0 7.98 564.84 49.5803 Tm
( )Tj
/CS1 cs 0.647 0.655 0.671 scn
/TT2 1 Tf
13.7281 36.7179 -36.7807 13.7515 413.1 79.4003 Tm
(R)Tj
0.666 0.001 Td
(A)Tj
0.722 0 Td
(S)Tj
0.559 -0 Td
(C)Tj
0.665 0 Td
(U)Tj
0.724 0.001 Td
(N)Tj
0.724 0.001 Td
(H)Tj
ET
q
440.76 250.4 44.94 36.06 re
W n
BT
/TT2 1 Tf
13.7281 36.7179 -36.7807 13.7515 478.56 254.9603 Tm
(O)Tj
ET
Q
BT
0 g
/TT2 1 Tf
10.02 0 0 10.02 28.62 758.5403 Tm
( )Tj
T*
( )Tj
T*
( )Tj
-0.0021 Tc 0.0036 Tw 0 -1.144 TD
[(Sob)-5(r)-4(e o)-5(s)4( tu)-5(m)9(o)-5(res ep)-5(i)6(d)-5(erm)9(\363)-5(id)-5(es do)-5( can)-5(a)-1(l an)-5(al: )]TJ
0 Tc 0 Tw 0 -1.15 TD
( )Tj
0.0024 Tc T*
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
-0.0001 Tc 0.7202 Tw 0.545 0 Td
[(Os que se)7( aprese)7(ntam co)]TJ
-0.0026 Tc 0.7286 Tw 12.755 0 Td
[(m)9( met\341s)-9(tases )6(in)-6(gu)-6(in)-6(ais )]TJ
0.0015 Tc 0.1976 Tw -12.755 -1.144 Td
[(si)4(ncr)5(\364ni)4(cas t)4(\352)8(m)7( u)-7(m)13( prog)5(n\363)5(st)4(i)4(c)2(o )-6(m)13(e)2(l)4(hor d)5(o)-1( q)5(u)-1(e aq)5(uel)4(e)2(s)7( )]TJ
-0.0003 Tc 0.7383 Tw T*
[(e)-6(m)11( que as )-6(m)11(et\341stases)-6( se apresenta)-6(m)11( de forma )]TJ
0 Tw 0 -1.144 TD
(metacr\364nica. )Tj
-0.0023 Tc -1.599 -1.15 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0008 Tc 0.0067 Tw 0.599 0 Td
[(A am)12(puta\347\343o a)8(b)-2(dom)12(i)3(nope)8(rine)8(al do )6(reto \351 )6(o s)7(e)2(u tratam)12(ento )]TJ
-0.0053 Tc 0.0068 Tw 0 -1.15 TD
[(d)-8(e)-5( e)-5(s)-5(co)-8(lh)-8(a.)-7( )]TJ
-0.0023 Tc 0 Tw -1.599 -1.144 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.3428 Tw 0.599 0 Td
[(A e)7(x)-3(cis\343o l)8(o)-3(c)7(a)1(l alarga)7(da \351)7( o tratam)11(ento pre)7(f)-2(e)7(r)-2(encial, )]TJ
0.0017 Tc -0.0002 Tw T*
[(po)5(r)5(que)8( pe)8(rm)13(i)4(t)4(e)-4( p)5(r)-1(eser)5(var)5( )]TJ
0.0004 Tc -0.0049 Tw 10.281 0 Td
[(a fun\347\343o )-6(esfi)9(ncteri)9(ana. )]TJ
0.0024 Tc 0 Tw -11.88 -1.15 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0002 Tc 0.0492 Tw 0.545 0 Td
[(A irra)7(dia\347\343o profil\341tica da regi)]TJ
0.0003 Tc 12.515 0 Td
[(\343o ingui)9(nal, )6(apare)7(n)-3(tem)12(e)1(nte )]TJ
0.0015 Tc -0.006 Tw -12.515 -1.144 Td
[(no)5(rm)13(al)4(, )-6(reduz)8( bast)4(ant)4(e)2( o ri)4(sc)8(o de reci)4(di)4(va)8( )-6(i)4(n)-1(g)5(u)-1(i)4(n)-1(al)4( )-6(t)4(a)8(rdi)4(a)]TJ
/TT4 1 Tf
-0.0045 Tc 0 Tw 22.701 0 Td
(. )Tj
/TT2 1 Tf
0 Tc -24.299 -1.15 Td
( )Tj
T*
( )Tj
0 -1.144 TD
( )Tj
0 -1.15 TD
( )Tj
0.0003 Tc 0.4024 Tw T*
[(O abscess)6(o)-3( a)7(n)-3(orretal, que )6(d\341 ori)9(g)-3(em)12( a)-5( um)12(a)-5( f\355stula e)-11(m)6( )]TJ
0.0012 Tw 0 -1.144 TD
[(ferradura)7(,)-1( inici)9(a)1(-se )6(no es)6(pa\347o:)9( )]TJ
0 Tc 0 Tw 0 -1.15 TD
( )Tj
0.0024 Tc T*
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0002 Tc 0.545 0 Td
(Perianal. )Tj
-0.0023 Tc -1.599 -1.144 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
-0.0021 Tc -0.0024 Tw 0.599 0 Td
[(P\363)-5(s-)-4(an)-5(al pr)-4(of)-4(un)-5(do)-5(. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.15 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
-0.0007 Tc 0.599 0 Td
[(In)-4(teresfin)-4(cterian)-4(o)2(. )]TJ
0.0024 Tc -1.599 -1.15 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
-0.0007 Tc 0.545 0 Td
[(Isqu)-4(iorretal. )]TJ
-0.0001 Tc -1.599 -1.144 Td
(E\))Tj
/TT3 1 Tf
0 Tc 0.94 0 Td
( )Tj
/TT2 1 Tf
-0.0001 Tc 0.659 0 Td
[(Supra)7(-)-2(eleva)7(d)-3(or. )]TJ
0 Tc -1.599 -1.15 Td
( )Tj
0 -1.144 TD
( )Tj
0 -1.15 TD
( )Tj
0.0003 Tc 0.4862 Tw T*
[(A trans)6(f)4(orm)12(a\347\343o m)12(a)1(ligna nos )6(pacientes)6( infectados pelo )]TJ
0.0024 Tc -0.0009 Tw 0 -1.144 TD
[(papi)5(l)5(o)-1(m)14(a)3( v\355)5(r)6(u)-1(s)8( \(H)6(PV)6(\) \351)9( m)14(a)3(i)5(s)2( )-6(fre)9(q\374e)9(nt)5(e )6(no)5( s)8(ubt)5(i)5(p)5(o:)5( )]TJ
0 Tc 0 Tw 0 -1.15 TD
( )Tj
0.0024 Tc T*
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0023 Tc 0.545 0 Td
(4. )Tj
-0.0023 Tc -1.599 -1.144 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0023 Tc 0.599 0 Td
(6. )Tj
-0.0023 Tc -1.599 -1.15 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0023 Tc 0.599 0 Td
[(16)5(. )]TJ
0.0024 Tc -1.599 -1.15 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0023 Tc 0.545 0 Td
[(34)5(. )]TJ
-0.0001 Tc -1.599 -1.144 Td
(E\))Tj
/TT3 1 Tf
0 Tc 0.94 0 Td
( )Tj
/TT2 1 Tf
0.0023 Tc 0.659 0 Td
[(35)5(. )]TJ
0 Tc -1.599 -1.15 Td
( )Tj
T*
( )Tj
0 -1.144 TD
( )Tj
0.0001 Tc 0.2289 Tw 0 -1.15 TD
[(Qual )6(das afirmativas abaixo n\343)7(o faz )6(parte dos crit\351ri)9(os de)7( )]TJ
0 Tc 0.0015 Tw T*
[(Rom)11(a)1( II pa)7(ra )6(defini\347\343o de)7( constipa\347\343o i)8(n)-3(testinal)8(?)-11( )]TJ
0 Tw 0 -1.144 TD
( )Tj
0.0024 Tc 0 -1.15 TD
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.001 Tc 0.0005 Tw 0.545 0 Td
[(Esfor\347)8(o \340s)7( eva)8(c)2(ua\347\365e)8(s)1(. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.15 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
-0.0004 Tc -0.0041 Tw 0.599 0 Td
[(Fezes duras ou )-6(em)11( )-6(c\355balos. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.144 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0001 Tc 0.0014 Tw 0.599 0 Td
[(Sensa\347\343)7(o )6(de e)7(v)3(acua\347\343o inc)7(o)-3(mpleta. )]TJ
0.0024 Tc 0 Tw -1.599 -1.15 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0005 Tc 0.3483 Tw 0.545 0 Td
[(Fre)7(q\374\352)7(ncia de)7( )-6(evac)7(ua\347\343o menor do que )-6(3 vezes por )]TJ
0.0008 Tc 0 Tw 0 -1.144 TD
[(sem)12(a)2(na. )]TJ
-0.0001 Tc -1.599 -1.15 Td
(E\))Tj
/TT3 1 Tf
0 Tc 0.94 0 Td
( )Tj
/TT2 1 Tf
0.0011 Tc 0.0004 Tw 0.659 0 Td
[(San)4(g)-2(ram)13(e)2(nt)4(o \340)8(s)1( evac)8(ua\347)8(\365)-2(es. )]TJ
0 Tc 0 Tw -1.599 -1.15 Td
( )Tj
T*
( )Tj
0 -1.15 TD
( )Tj
T*
( )Tj
0 -1.144 TD
( )Tj
0 -1.15 TD
( )Tj
T*
( )Tj
0 -1.144 TD
( )Tj
0 -1.15 TD
( )Tj
T*
( )Tj
28.527 67.713 Td
( )Tj
T*
( )Tj
T*
( )Tj
-0.0002 Tc 0.0017 Tw -0.557 -1.144 Td
[(Sobre)7( os)6( tum)11(o)-3(res carcin\363ides )6(do ret)8(o)-3(: )]TJ
0 Tc 0 Tw 0.557 -1.15 Td
( )Tj
0.0024 Tc -0.341 -1.15 Td
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0017 Tc 0.0118 Tw 0.545 0 Td
[(Geral)4(m)13(ent)4(e)2( s\343o )6(gra)8(n)5(des l)4(e)2(s)8(\365)5(es pe)8(di)4(cul)4(a)8(das )6(que)8( )6(pre)8(j)-2(u)5(d)-1(i)4(c)2(a)8(m)7( )]TJ
-0.0004 Tc 0.0019 Tw 0 -1.144 TD
[(as evac)6(ua\347)6(\365)-3(es. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.15 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
-0.0002 Tc 0.0915 Tw 0.599 0 Td
[(A s\355ndrom)11(e)1( carcin\363ide )6(ocorre )]TJ
0.0001 Tc 0.0912 Tw 12.503 0 Td
[(ao acas)6(o e )6(n\343o se )6(relaciona)7( )]TJ
-0.0019 Tc -0.0026 Tw -12.503 -1.144 Td
[(ao)-5( p)-5(r)2(og)-5(n\363)-5(stico. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.15 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0006 Tc 0.1925 Tw 0.599 0 Td
(Seu tratam)Tj
10.02 0 0 10.02 327.06 666.5603 Tm
4.491 -1.15 Td
[(ento ser\341 am)12(puta\347\343o ou ressec)7(\347\343o anteri)9(or d)10(o)4( )]TJ
0.0016 Tc -0.0001 Tw -4.491 -1.15 Td
[(ret)4(o)-1(,)6( de)8(pe)8(nde)8(n)5(d)-1(o)5( ape)8(n)-1(as)8( da)8( al)4(t)4(u)-1(ra )6(da l)4(e)2(s\343)8(o. )]TJ
0.0024 Tc 0 Tw -1.599 -1.144 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0013 Tc 0.2218 Tw 0.545 0 Td
[(Tum)13(o)-2(res com)13( at)4(\351 3cm)13( de di)4(\342m)13(et)4(ro de)8(ve)8(m)7( ser ret)4(i)4(r)-1(ad)4(o)4(s)1( )]TJ
-0.0003 Tc 0 Tw 0 -1.15 TD
[(endosc)6(opicamente. )]TJ
-0.0001 Tc -1.599 -1.15 Td
(E\))Tj
/TT3 1 Tf
0 Tc 0.94 0 Td
( )Tj
/TT2 1 Tf
0.0011 Tc 0.0004 Tw 0.659 0 Td
[(O t)4(a)2(m)13(a)2(nho )6(da l)10(e)2(s\343o c)8(o)-2(r)5(r)-1(el)4(aci)4(o)4(n)-2(a-se)8( ao)4( p)4(r)5(og)4(n)4(\363)-2(st)4(i)4(c)2(o. )]TJ
0 Tc 0 Tw -1.258 -1.144 Td
( )Tj
T*
( )Tj
T*
( )Tj
0.0021 Tc -0.0006 Tw -0.347 -1.144 Td
[(O sa)9(ng)5(ram)14(e)3(nt)5(o t)5(a)3(rdi)11(o)-1( )6(p\363s)8( he)9(m)14(o)-1(rroi)5(d)-1(ect)5(om)14(i)5(a)3( oc)9(or)6(re:)5( )]TJ
0 Tc 0 Tw 0.347 -1.15 Td
( )Tj
0.0024 Tc T*
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
-0.0004 Tc 0.0019 Tw 0.545 0 Td
[(At\351 72 )6(horas)6( a)6(p\363s)6( a cirurgia. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.144 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0018 Tc -0.0063 Tw 0.599 0 Td
[(Em)13( )-6(t)4(o)-1(rno d)5(o)-1( 7)]TJ
0 Tc 0 Tw 6.48 0 0 6.48 388.02 533.0603 Tm
(o)Tj
-0.0003 Tc 0.0018 Tw 10.02 0 0 10.02 391.2 528.5603 Tm
[( dia a)6(p)-3(\363s a cirurgia. )]TJ
-0.0023 Tc 0 Tw -7.659 -1.15 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0023 Tc -0.0068 Tw 0.599 0 Td
[(Ap)5(\363s o 1)5(5)]TJ
0 Tc 0 Tw 6.48 0 0 6.48 371.64 521.5403 Tm
(o)Tj
0.0013 Tc 0.0002 Tw 10.02 0 0 10.02 374.88 517.0403 Tm
[( )6(di)4(a da ci)10(ru)4(rgi)4(a)2(. )]TJ
0.0024 Tc 0 Tw -6.03 -1.15 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
0.0015 Tc -0.006 Tw 0.545 0 Td
[(Ap)5(\363s 3)5(0)-1( di)4(as d)5(a)2( )-6(ci)4(ru)5(rgi)4(a)2(. )]TJ
-0.0001 Tc 0 Tw -1.599 -1.144 Td
(E\))Tj
/TT3 1 Tf
0 Tc 0.94 0 Td
( )Tj
/TT2 1 Tf
0.0015 Tw 0.659 0 Td
[(Ap\363s )6(seis m)11(e)1(s)-6(e)1(s da)7( cirurgia. )]TJ
0 Tw -1.599 -1.15 Td
( )Tj
T*
( )Tj
0 -1.144 TD
( )Tj
0.0017 Tc 0.1675 Tw -0.347 -1.15 Td
[(Paci)4(ent)4(e)2( com)13( )-6(68 a)8(n)-1(o)5(s)2( sabi)4(d)5(a)-4(m)13(e)2(nt)4(e port)4(a)8(d)5(o)-1(ra )6(de di)4(ve)8(rt)4(\355)4(c)2(ul)4(os)14( )]TJ
0.0019 Tc 0.0355 Tw T*
[(do)5( )-6(si)4(gm)13(\363i)4(de )-6(c)9(o)-1(m)13( )-6(qua)9(dr)6(o de ent)4(e)3(r)6(o)-1(r)6(ragi)4(a)3( )-6(e)9( hi)4(p)5(o)-1(t)4(e)3(ns\343)9(o)-1( h\341)9( cerca)9( )]TJ
-0.0021 Tc 0.7102 Tw 0 -1.15 TD
[(d)-5(e)-1( 48)-5( )6(ho)-5(ras. Realizo)-5(u)-5( )6(co)-5(lon)-5(o)1(scop)-5(ia, en)-5(do)-5(scop)-5(ia alta, )]TJ
0.0003 Tc 0.1988 Tw T*
[(anteriogra)7(fia e cintilografia )6(que)]TJ
-0.0002 Tc 0.1993 Tw 13.222 0 Td
[( )6(n\343o esclareceram o s\355tio do )]TJ
0.0014 Tc 0.0001 Tw -13.222 -1.144 Td
[(san)4(g)-2(ram)13(e)2(nt)4(o. )6(Qual)4( a)8( m)13(e)2(l)4(hor )6(das c)8(o)4(nd)4(ut)4(as a)8(b)-2(ai)4(x)4(o)10(?)-10( )]TJ
0 Tc 0 Tw 0.347 -1.15 Td
( )Tj
0.0024 Tc -0.27 -1.15 Td
(A\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
-0.0001 Tc 0.0016 Tw 0.545 0 Td
[(Colectom)11(ia es)-6(que)7(rda c)7(o)-3(m)11( transvers)6(o)-3(-reto anastom)11(o)-3(se. )]TJ
-0.0023 Tc 0 Tw -1.599 -1.144 Td
(B\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0014 Tc 0.7007 Tw 0.599 0 Td
[(Si)4(gm)13(oi)4(dect)4(om)13(ia com)13( col)4(o)-2(st)]TJ
-0.0019 Tc 0.704 Tw 12.545 0 Td
[(o)-5(m)10(ia )-6(ter)-10(m)10(i)-5(n)-5(al e f\355stu)-5(l)1(a )]TJ
-0.0114 Tc 0 Tw -12.545 -1.15 Td
[(mu)-14(c)-11(o)-14(s)-11(a)-11(.)-13( )]TJ
-0.0023 Tc -1.599 -1.15 Td
(C\))Tj
/TT3 1 Tf
0 Tc 1 0 Td
( )Tj
/TT2 1 Tf
0.0003 Tc 0.0012 Tw 0.599 0 Td
[(Sigm)12(oidectom)12(ia com)12( anastomose c)7(o)-3(loretal. )]TJ
0.0024 Tc 0 Tw -1.599 -1.144 Td
(D\))Tj
/TT3 1 Tf
0 Tc 1.054 0 Td
( )Tj
/TT2 1 Tf
-0.0002 Tc 1.4508 Tw 0.545 0 Td
[(Sigm)11(oidectom)11(ia com a)-5(n)-3(astom)11(o)-3(se coloretal e )]TJ
-0.0006 Tc 0.0021 Tw T*
[(trans)5(v)-4(ers)5(o)-4(st)8(omia de )6(prote\347\343o. )]TJ
-0.0001 Tc 0 Tw -1.599 -1.15 Td
(E\))Tj
/TT3 1 Tf
0 Tc 0.94 0 Td
( )Tj
/TT2 1 Tf
-0.0014 Tc 0.0029 Tw 0.659 0 Td
[(Co)-4(lecto)-4(m)10(ia to)-4(t)-5(a)-1(l e \355leo)-4(-)2(reto)-4( an)-4(asto)-4(m)10(o)-4(se. )]TJ
0 Tc 0 Tw -1.329 -1.144 Td
( )Tj
T*
( )Tj
T*
( )Tj
0 -1.144 TD
( )Tj
ET
296.4 77.78 0.72 689.94 re
f
/CS1 CS 0 0 0 SCN
1 j
q 1 0 0 1 101.34 746.84 cm
0 0 m
183.12 0 l
S
Q
/CS1 cs 0 0 0 scn
283.92 747.38 0.96 -6.9 re
284.88 747.38 m
h
287.4 741.5 m
284.4 735.5 l
281.4 741.5 l
f
8 M 0 j 1 J
101.04 755.9 -73.32 -17.1 re
27.72 755.9 m
h
S
q
35.88 742.94 57 8.82 re
W n
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 35.88 743.7803 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
-0.0008 Tc -0.0027 Tw 7.98 0 0 7.98 42.66 743.7803 Tm
[(UEST)-11(\303O)-8( 34)]TJ
/TT0 1 Tf
0 Tc 0 Tw 6.293 0 Td
( )Tj
ET
10 M 1 j 0 J
q 1 0 0 1 101.52 557.9 cm
0 0 m
183.06 0 l
S
Q
/CS1 cs 0 0 0 scn
284.04 558.44 1.02 -6.9 re
285.06 558.44 m
h
287.52 552.56 m
284.52 546.56 l
281.52 552.56 l
f
8 M 0 j 1 J
101.22 566.96 -73.32 -17.1 re
27.9 566.96 m
h
S
q
36 554 57 8.82 re
W n
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 36 554.8403 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
-0.0008 Tc -0.0026 Tw 7.98 0 0 7.98 42.78 554.8403 Tm
[(UEST)-11(\303O)-8( 35)]TJ
/TT0 1 Tf
0 Tc 0 Tw 6.293 0 Td
( )Tj
ET
10 M 1 j 0 J
q 1 0 0 1 101.52 432.8 cm
0 0 m
183.06 0 l
S
Q
/CS1 cs 0 0 0 scn
284.04 433.34 1.02 -6.9 re
285.06 433.34 m
h
287.52 427.46 m
284.52 421.46 l
281.52 427.46 l
f
8 M 0 j 1 J
101.22 441.86 -73.32 -17.1 re
27.9 441.86 m
h
S
q
36 428.9 57 8.76 re
W n
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 36 429.6803 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
-0.0008 Tc -0.0026 Tw 7.98 0 0 7.98 42.78 429.6803 Tm
[(UEST)-11(\303O)-8( 36)]TJ
/TT0 1 Tf
0 Tc 0 Tw 6.293 0 Td
( )Tj
ET
10 M 1 j 0 J
q 1 0 0 1 101.52 306.08 cm
0 0 m
183.06 0 l
S
Q
/CS1 cs 0 0 0 scn
284.04 306.62 1.02 -6.9 re
285.06 306.62 m
h
287.52 300.68 m
284.52 294.68 l
281.52 300.68 l
f
8 M 0 j 1 J
101.22 315.08 -73.32 -17.1 re
27.9 315.08 m
h
S
q
36 302.12 57 8.82 re
W n
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 36 302.9604 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
-0.0008 Tc -0.0026 Tw 7.98 0 0 7.98 42.78 302.9604 Tm
[(UEST)-11(\303O)-8( 37)]TJ
/TT0 1 Tf
0 Tc 0 Tw 6.293 0 Td
( )Tj
ET
10 M 1 j 0 J
q 1 0 0 1 382.44 748.16 cm
0 0 m
183.12 0 l
S
Q
/CS1 cs 0 0 0 scn
565.02 748.7 0.96 -6.9 re
565.98 748.7 m
h
568.5 742.82 m
565.5 736.82 l
562.5 742.82 l
f
8 M 0 j 1 J
382.14 757.22 -73.32 -17.1 re
308.82 757.22 m
h
S
q
316.98 744.26 57 8.76 re
W n
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 316.98 745.0403 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
-0.0008 Tc -0.0027 Tw 7.98 0 0 7.98 323.76 745.0403 Tm
[(UEST)-11(\303O)-8( 38)]TJ
ET
10 M 1 j 0 J
q 1 0 0 1 382.74 583.58 cm
0 0 m
183.12 0 l
S
Q
/CS1 cs 0 0 0 scn
565.32 584.12 0.96 -6.9 re
566.28 584.12 m
h
568.8 578.18 m
565.8 572.18 l
562.8 578.18 l
f
8 M 0 j 1 J
382.44 592.58 -73.32 -17.1 re
309.12 592.58 m
h
S
q
317.28 579.62 57 8.82 re
W n
BT
0 g
/TT5 1 Tf
0 Tc 0 Tw 7.98 0 0 7.98 317.28 580.4603 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 324.06 580.4603 Tm
[(UEST)-11(\303O)-8( 39)]TJ
ET
10 M 1 j 0 J
q 1 0 0 1 382.74 466.4 cm
0 0 m
183.12 0 l
S
Q
/CS1 cs 0 0 0 scn
565.32 466.94 0.96 -6.9 re
566.28 466.94 m
h
568.8 461.06 m
565.8 455.06 l
562.8 461.06 l
f
8 M 0 j 1 J
382.44 475.46 -73.32 -17.1 re
309.12 475.46 m
h
S
q
317.28 462.5 57 8.82 re
W n
BT
0 g
/TT5 1 Tf
0 Tc 0 Tw 7.98 0 0 7.98 317.28 463.3403 Tm
(Q)Tj
ET
Q
BT
0 g
/TT5 1 Tf
7.98 0 0 7.98 324.06 463.3403 Tm
[(UEST)-11(\303O)-8( 40)]TJ
ET
q
1 0 0 1 228.125 8.7720337 cm
0 G
10 M 0 J
/GS1 gs
0 Tc 0 Tw /Fm0 Do
Q
endstream
endobj
88 0 obj
<>/Subtype/Form/Type/XObject>>stream
1 g
1 0 0 1 0 0 cm
229.625 10.272 m
365.5327 10.272 l
365.5327 22.368 l
229.625 22.368 l
229.625 10.272 l
f
endstream
endobj
35 0 obj
<>stream
HWisJjdypP:ZpH%$B7^$ $5Ç*Z}rn@;;?~yuuu}sN15'7gg0nn_]qͼB3 2uf`߾gu1 Ygg\LNq)0o&¸58\]-DbpW7B:U@\
N{8 {O&&5F#]ds<6w0oc`0Fˇq8ǓCa([.Sm=(m[ۓTI2Qg2iE{$\F(#ӧeYĕ U
{gʟs̫{B0@0`Z ej$ \y3ѠC>J&?;-fTMѸȩrL!gƼǐGSYT=hcȩ{Jm5c|wh ,Gqd]]~qC.BޱJ^F׆Y
-Tq@ITAV*ɒ_x;Ve<4xFWlQ9ȕU.cj&3u+I%e!aGPۗf8~՞dY =F+. !مldeqH'7!n}W4J9LlÞ$w25qvɢ>5R*B
Q(9YWl~h9p##vjKݕ=Ы]G^.4twu zXu'R:iGLw;9,k>9U g_
N<#+]EЎ*X9>Cr;I2rV
ϕ T2D:>>D|sz*tiPǠ#?k{aC:{!J:6qV&(AJw\3u{m'v|%7(p_sayCu6KDFa)AG |'K\Ց_RbW!yuz**`.Yhtdjq%]͉8Qwպ~/vl4d]ɽ/J5*`y^X]6d~~uvgc.dOe>FhsȨVg#$6Fb1:ՑFkS7mڶth6mۤt>MCjYloӶiVLm@ȋMYN<.=Xa^&n<6AFZ0Iڒu8Lx4u繞WŒId
fy ϦJ8&i<7CdpfZ0t@ƃP a/đ
)Tn30 {akSmW/a*ģbFJ6``3 Wi%l7VQ5!TVDEiC7֘(H!!:-W _lS(:4)ADK8c 5Х6mʲLP(ׅLA!jyepsJ,X8wqy<ָIK|/0g1[\a̯
G_=a6jf{-∴Yqw%e>tkE қPh6IgͣoY-z\֗pc ;?ߜv7!w~o2߶܀dơU|: Vۂ8TnlF#",j0Yհ-6mno
&@ƄVwе`xٺ+aA2]m
?دWm-*`;6aLW&͙iNӏSNg>\]]?^{-7#WH4$B% -qܙUgW1jp
6ӑtN^Rv4Jz['פ{gF#!LwǎXG0Rd\J_MXY[zj3M;ҦjrOEDEkI,2BOm}⛣3Mg>ﯝeU6,*eC! yhO8dzd8GԸ xgޝq$qskzsSvLy!~Hں,dq+rf'%TZ 3 4.èp49Fl,4ɌN;G9?#|7UtЕtL.=RDq ܪ3"<.o!Qf؏ϫ~j'3~h؏.j8)gx<ʻʏ4wVOrX#k䕨mĥPj/hH,3fq)Gi]MtYCk(86sU_HB}Pbn;:/z}GT]~ts