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Clínica médica > Diarreia > Flashcards

Diarreia Flashcards

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1
Q

Crianca com diarreia + crises convulsivas

A

Shigella

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2
Q

Individuo com diarreia e dps guillain barre

A

Campylobacter jejuni

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3
Q

Individuo com diarreia que evoluiu abcesso hepatico/esplenico

A

Salmonellose

Diag diferencial com amebiase

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4
Q

Antibiotici de escolha na sind hemolitico uremica?

A

Nenhum!!!!!!!

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5
Q

Quais diarreias cursam com pseudoapendicite

A

Yersinia enterocolica e campylobacter

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6
Q

Sitio mais comum de tumores neuroendócrinos

A

Apendice > ileo > reto

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7
Q

Principal fator de risco para gravidade de tumores neuroendócrinos

A

Tamanho > 1 cm

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8
Q

Conduta nos tumores neuroendocrinos

<1 cm
> 2cm

A

Ressecação local

Resseccao ampliada dependendo do local

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9
Q

Indivíduo 30 anos relata episódios de diarreia intermitente há 6 meses associado a FLUSH facial e em tronco.
Ao exame físico hepatomegalia e sopro de foco tricúspide.

Diag?

A

Síndrome carcinoide

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10
Q

Conduta na síndrome carcinoide?

A

Ressecar tumor
+
Controlar sintomas (ocreotide)

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11
Q

Precisa drenar abcesso amebiano???

A

NÃO

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12
Q

Helmintiases que possuem larva filarioide com clinica de Rash pruriginoso, serpentinoso…

Qual diag diferencial das duas helmintíases sistêmicas??

A

Ancilostomiase

Estrongiloidiase

Ancilostoma brasiliensis ( bicho geográfico )

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13
Q

Na strongiloidiase o humano infectado elimina qual estágio do verme??

A

Larva rabditoide

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14
Q

Método diagnóstico na estrongiloidiase??

A

EPF com técnicas de Baermann e Moraes)

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15
Q

Paciente com história de contato com água parada (riacho,lagoa,represa) em geral, homem, evolui com febre alta, mialgia, hepatoesplenomegalia e eosinofilia.

Diag?

A

Febre de Katayama

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16
Q

Deficiência de Niacina (B3)

Clínica?

A

Demência, dermatite, diarreia

17
Q

Protozoários de intestino delgado em pacientes imunodeprimidos??

A

Isospora belli, microsporidium e cryptosporidium (mais comum)

18
Q

Paciente com diarreia crônica, apresenta-se com flush facial, hipocloremia e hipocalemia

Diag

Caract de metástases

A

Vipoma

Maioria ja tem meta ao diag

19
Q

Paciente com diarreia pós vagotomia troncular/colecistectomia

Conduta?

A

Colestiramina

20
Q

Cuidado antes de iniciar tratamento para cisticercose com praziquantel + Dexa??

A

Fundo de olho, excluir doença ocular

21
Q

Qual principal agente viral de diarreia em > 2 anos e adultos

A

Calcivirus

Clínica médica (16 decks)

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