BOLI HEMATOLOGICE Flashcards

1
Q

Care sunt simtomele generale din bolile hematologice?

A
  • astenia
  • febra si frisonul
  • transpiratiile
  • scaderea in greutate
  • durere la nivelul ganglionilor
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2
Q

Care sunt sindroamele in bolile hematologice?

A
  • s. anemic
  • s. adenomegalic
  • s. splenomegalic
  • s. hemogripar
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3
Q

Anemia este INTOTDEAUNA secundara! A/F?

A

A

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4
Q

Care sunt simtomele sindromului anemic?

A
  • astenia
  • cefaleea
  • ameteli
  • palpitatii
  • dispnee
  • angina pectorala
  • parestezii
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5
Q

Care sunt semnele sindromului anemic?

A
  • paloare
  • icter
  • hemoragii
  • par si unghii friabile
  • sufluri cardiace
  • tahicardie
  • edeme
  • hepato si spleno megalie
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6
Q

Cum se defineste anemia?

A

scaderea Hb totale circulante <13g/dl la barbati, <12g/dl femei, ,11g/dl la varstnici

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7
Q

Ce analize sunt indicate in sindromul anemic?

A
  • hemoleucograma
  • frotiu sangvin periferic
  • formula leucocitara
  • nr de trombocite
  • sideremia si transferina, feritina, bilirubina
  • nivel seric de vitamina B12 si al acidului folic
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8
Q

Cum se defineste sindromul adenomegalic?

A

cresterea in dimensiuni a ganglionilor limfatici, astfel incat acestia devin palpabili sau evidentiati prin mijloace paraclinice

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9
Q

Care sunt simtomele sindromului adenomegalic?

A
  • durere in regiunea respectiva
  • disfagie
  • dispnee
  • astenie
  • scadere ponderala
  • febra
  • prurit
  • transpiratii nocturne
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10
Q

Ce investigatii se sugereaza in sindromul adenomegalic?

A
  • hematologice
  • imunologice
  • microbiologice
  • medulograma
  • radiografii, CT
  • ecografia abdominala
  • limfografia
  • punctia/biopsia ganglionara
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11
Q

Cum se defineste sindromul splenomegalic?

A

cresterea in dimensiuni a splinei

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12
Q

Si splina de volum normal se poate palpa! A/F?

A

F- splina palpabila este intotdeauna patologica

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13
Q

Care sunt simpomele sindromului splinomegalic?

A
  • dureri/jena in hipocondrul/flancul stang
  • febra
  • astenie
  • tulburari de tranzit intestinal
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14
Q

Care sunt investigatiile indicate in sindromul splenomegalic?

A
  • hematologice
  • ecografie abdominala
  • laparoscopie
  • scintigrafia hepatosplenica
  • medulograma
  • hemoculturi
  • explorare hepatica
  • endoscopia dirstiva
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15
Q

Cum se defineste sindromul hemogripar?

A

tulburarea procesului de hemostaza la diferite nivele: hemostaza primara, coagulare plasmatica sau fibrinoliza

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16
Q

Care sunt manifestarile clinice din sindromul hemogripar?

A
  • epistaxis
  • gingivoragii
  • hemoptizie
  • purpura
  • echimoze
  • petesii
  • hematoame

-anemie, splenomegalie, ischemie cerebrala

17
Q

Care sunt investigatiile indicate in sindromul hemogripar?

A
  • frotiu sangvin periferic
  • nr trombocite
  • timp de sangerare
  • timp de coagulare
  • APTT
  • timpul Quick
  • fibrinogenul