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Clínica Médica > Anemias > Flashcards

Anemias Flashcards

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1
Q

Causas de anemias hiperproliferativas

A

Hemolise e sangramentos agudos

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2
Q

Laboratório na hemólise

A

Reticulocitose
Aumento bilirrubina indireta
Aumento ldh
Diminuição haptoglobina

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3
Q

Causas de AHAI por anticorpos frios

A

Mycoplasma

Mieloma multiplo

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4
Q

Imunoglobulina da AHAI por anticorpos frios

A

IgM

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5
Q

Local da hemólise na AHAI por anticorpos frios

A

Intravascular

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6
Q

Tto AHAI por anticorpos frios

A

Evitar exposicao ao frio

Rituximabe

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7
Q

Imunoglobulina da AHAI por anticorpos quentes

A

IgG

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8
Q

Causas de AHAI por anticorpos quentes

A

Idiopática

Secundária: hiv, les, linfome, llc, drogas (penicilina, sulfa, metildopa)

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9
Q

Tratamento AHAI por anticorpos quentes

A

Corticoide
Esplenectomia
Rituximabe (anti cd20)

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10
Q

Local da hemólise na AHAI por anticorpos quentes

A

Extravascular - baço principalmente

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11
Q

O que desencadeia a hemoglobinúria paroxistica por anticorpos de donath landsteiner?

A

Frio

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12
Q

Indicações de uso da hidroxiureia na anemia falciforme

A

Mais que 3 episódios de crise algica em um ano
Anemia grave - hb < 6 por 3meses
Sind toracica aguda/priapismo/alteracao neurologica
Lesao cronica de orgaos: rim, retina

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13
Q

O que a hidroxiureia faz na anemia falciforme?

A

Aumenta hemoglobina fetal

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14
Q

Diagnóstico de anemia falciforme

A

Eletroforese de hemoglobina

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Clínica Médica (5 decks)

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