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DST's > Cancro Mole > Flashcards

Cancro Mole Flashcards

1
Q

Definição

A

Transmissão exclusivamente sexual

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2
Q

Ag etiologico

A

Hemofilos ducreyi

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3
Q

Incubação

A

4-7 dias

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4
Q

Clínica

A

Papula eritematosa, progredindo para pustulas que se rompem em 2-3 dias originando lesões DOLOROSAS

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5
Q

Úlceras

A

Lesões dolorosas
Múltiplas
Fundo irregular, com exsudato necrótico
Disuria, dor a defecação, sangramnto retal, dispareunia e corrimento

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6
Q

Linfonodos

A

Bubão
Unilateral
Adenomegalia dolorosa
50% -> fistuliza

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7
Q

Cancro misto de Rollet

A

Cancro mole + cancro duro

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8
Q

Diagnóstico - Aula MED

A

Multiplos, dolorosas, fundo sujo/necrotico ; adenopatia que fistuliza p/ 1 orifício

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9
Q

Complementar

A

Gram ou Giemsa

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10
Q

Diagnóstico na prática

A

Presença de uma ou mais lesões
Ausência de T. pallidum
Aspecto da ulcera e do linfonodo compatíveis
Teste negativo para herpes-virus

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11
Q

Tratamento

A

1ª opção:
Azitromicina 1g DU VO
Ceftriaxona 500mg DU IM

2ª opção:
Cipro + Doxiciclina

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12
Q

Principal Ddx

A

Herpes virus

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13
Q

O que fazer com os bubões?

A

Aspiração com agulha de grosso calibre

Contraindicação de incisão

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DST's (15 decks)

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