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Semio > durere > Flashcards

durere Flashcards

1
Q

dureri de origine parietala

A

tegumente
musculare - difuze, bine loc in zona afectaat
osteoarticulare - accentuate de presiune
radiculare si nevralgice
de origine mamara

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2
Q

periartrita scapulohumerala

A

indinderi lig ale art
proces fibriomioitic
dureroasa la mobilizare mai ales rotatie si adductie
mase musculare dureroase la palpare

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3
Q

Sindromul Mendlowitz

A

durere de efort in micului pectoral
cuprinde umarul
nu iradiaza in brat

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4
Q

pleurodinia

A

durere vie
laterotoracica
accentuata de miscari si palpare
este expresia unei miozite

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5
Q

fracturi costale

A

dau durere loc, accentuata la palapare in pct fix
cracmente osoase

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6
Q

osteomielita

A

durere surda
continua
de lunga durata

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7
Q

leucemie

A

durere la percutia sternului

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8
Q

formatiuni mediastinale expansive - anevrism

A

durere foarte intensa continua

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9
Q

Sindromul Tietze

A

afectare inflamatorie a art condrosternale
durere loc anterior acc de compresie
zona art e tumefiata, eritematoasa
!! dd cu durere viscerala

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10
Q

spondiloza

A

durere cu caracter de nevralgie
acc in miscari
iritare radacini nervi ic
!! da cefalee prin ct musc de tensiune in zona occipitala

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11
Q

durere radiculara

A

resimtita paravertebral
iritare radacina senzitiva a nervului
iradiaza pe tr nervului
nu se poate dif de durere nevralgica

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12
Q

durere nevralgica

A

irita ic in traiectul sau
iradiaza pe ter nervos
acc de compresia unor pct de sensibilitate - punctele lui M - la emergenta pp ramuri ale nervului
- in sp ic paravertebral
- pe linia axilara medie
- paramedian

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13
Q

dureri mamare

A

inervatia data de ic 2-6
iradiere
- spate
- zone cervicala
- margine cubitala mb sup

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14
Q

mastodinia

A

durere cu dezv progresiva
accentuata premenstrual
in mastoza fibrochistica

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15
Q

structuri resp sensibile la durere

A

trahee
br pp
pleura parietala

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16
Q

str resp insensibile la durere

A

parenchim pulmonar
br lobare si sublobare
pleura viscerala

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17
Q

durere traheobronsica caractere

A
  • zona sternala sup
  • durere profunda
  • difuza
  • purin intensa
  • ca o arsura
  • accentuata de tuse
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18
Q

durere traheobronsica boli

A

traheobronsita acuta
corpi straini aspirati
uneori tumori

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19
Q

durere pleurala caractere

A

junghi pleural
intensa
caracter de intepatura
iradiere transfixant - la spate simetric
loc submamelonar
acc de resp, tuse si miscari torace + presiune

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20
Q

durere pleurala boli

A

pleurite si pleurezii
boli pulm ce dau secundar imflamatie pleurala - pneumonii, infarct pulm, pneumotorax spontan, tumora in pleura

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21
Q

durere diafragmatica

A

afectare pleura sau peritoneu diagrafmatic central
durere specifica
pe marginea ant a trapezului, supraclavicular

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22
Q

durere diafragmatica boli

A

pleurezie
pleurita diafragmatica
abces subfrenic

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23
Q

Morbul lui Pott

A

Infectie osoasa tuberculoasa
Dezvoltare subperiostica si interesarea str perivertebrala

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24
Q

Herniere posterior

A

Nucleul pulpos proemina in canalul rahidian si comprima ms sau coada de caL

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25
Q

Herniere posterolateral

A

Afectare nerv vertebral

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26
Q

Durere discala

A

Incepe brusc
Ridicare sau torsiune a coloanei
Sit median, posterior
Iradiere pe traiectul sciatic prin compresie radiculara

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27
Q

Afectare radiculara cauze

A

Compresie directa
Edem perilezional
Micsorare gaura de conjugare prin deplasare vertebrala
Agravata de tuse/stranut
Nu permite reluarea rectutudinii coloanei

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28
Q

Spondilita anchilozanta

A

Substrat genetic
Inflamatii articulatii vertebrale
Incepe cu sacroiliace

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29
Q

Spondilita anchilozanta durere

A

Durere initial intensa dimineata - in reg art sacroiliace, lombar inferior
Se extinde progresiv in ani, ep repetate pana cuprinde toata coloana
Concomitante diminuare si apoi disparitie durere

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30
Q

Spondiloza

A

Afectarea degenerativa a art coloanei
Dezvoltare de osteofite - productii osoase subperiostice marginale
Degenerare lig si cartilaje -> durere permanenta lombara/ alte segm
Durere acc de miscari

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31
Q

Spasmul muscular

A

Indus de lez articulare sau vertebrale
Contribuie la durere lombara si vertebrala inngeneral

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32
Q

Lumbago

A

Miofibrozita cu debut brusc
Spasm muscular paravertebral
Imobilizare coloana
Durere intensa accentuata de mers

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33
Q

Dd durere coloana sau organe care iradiaza

A

Daca duerea nu e acc de mers, miscari sau percutia si compresia aofizelor spinoase

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34
Q

Iradiere durere biliara in abces hepatic/subdiafragmatic

A

Iradiere posterioara
In baza toracelui
Reg scapulara

35
Q

Iradiere durere ulceroasa im penetratia pancreatica

A

Iradiere posterioara vertebra T10

36
Q

Durere pancr acuta si disectia Ao abd

A

Durere intensa lombara

37
Q

Apndicita cu ap retrocecal

A

Durere laterovertebral
Lombar drept

38
Q

Duere prostatica

A

Lombar inf f rar izolata

39
Q

Durere osoasa

A

Relativ Difuza
Profunda

40
Q

Durere fracturi

A

Intensa
Locala
Acc de miascare pasiva sau activa a segm
Echimoze de intinderi variabile
- rupere sau tensionare periost prin hematom superiostic

41
Q

Infectii osoase - osteomielitele

A

Durere profunda
Prost localizata
Intensitatea variaza cu viteza de dezv a proc infectios
- tbc da durere de mica intesitate
Cand infectia atunge periosul e durere mare
Durerea scade cand se rupe perioastul si se deschide infectia in t inconjuratoare

42
Q

Tumori osoase

A

Dor cand se tesioneaza periostul

43
Q

Boala Paget

A

Afectarea din hiperparatiroidism
Dureri de mica intesitate
Deformare osoasa
Tensionare periost

44
Q

Rupturi musculare

A

Durere localizata
Acc de palparea la locul rupturii

45
Q

Ruptura de fascie

A

Se palpeaza hernierea masei musculare in zona de ruptura

46
Q

Ruptura corp muscular sau tendon

A

Impotenta funtionala a muschiului
Contractura deasupra locului de ruptura

47
Q

Miozita

A

Inflamatie musc
Acc de palpare
Scadre forta musc a muschiului interesat

48
Q

Miozita cauze

A

Secundara unei infectii - virus Coxsackie/ infestatii trichinoza
Intereseaza mai multe gr. musculare - polimiozita
Af sistemica imuna - colagenoza
Manifestare paraneoplazica

49
Q

Ischemia musculara partiala durere caracteristica

A

CLAUDICATIA INTERMITENTA
- durere intensa
- ca o crampa
- apare la efort (niv constant de ex mers)
- dispare in repaus

50
Q

Ischemie musculara cauze

A
  • ateroscleorza obliteranta
  • afectiune inflamatorie a arterelor - arterite
    !!!localizarea musc ischemiate indica locul obstructiei vasculare - deasupra originii arterei care iriga muschiul evident
51
Q

Ischemia musc localizare

A
  • cel mai frecvent obstructie femurala - afectare gamba
  • durerea poate aparea si in laba, coapsa, fesa, mb sup
  • limba in arterita temporala!!
52
Q

Tumori articulare

A

Rare dar cu dureri intense
Acc de miscare

53
Q

Artrita septica

A

Infectie articulatie
Durere intensa, uneori pulsatila
POZITIE ANTALGICA in ca tensiunea din capsul art sa fie minima
De ex pt cot e in extensie si genunchi semiflexie

54
Q

Artrita septica articulatie aspect

A

Intens mdificata inflamator
Tumefiata
Cu bombare funduri de sac sinoviale
Teg supraiacente rosii si calde

55
Q

Artrita gonococica.

A

Diseminare hematogena
Afectare cot cea mai frecventa

56
Q

Tbc poate da monoartrita

A
  • durere initial purin imp
  • acc la miscae sau sprijin pe mb
    Tumefoerea art e importanta DAR semnele inflamatiei sunt sterse, fara caldura sau roseata
    !! La gen sn tumora alba de genunchi
57
Q

RAA

A

Inf streptococica
Art f dureroase cu modif inflamatorii imp
Art are un caracter migrator - dupa cateva zile se dezinflameaza si se muta la alte art
Vindecare fara sechele vasc

58
Q

Poliartrita reumatoida

A

natura imuna
pusee artritice repetate -> deformare osoasa
art mici, simetrice sunt afectata
art interfalangiene proximale - dg in fus, metacarpiene, carpiene si radiocarpiene -> deviate ulnara

59
Q

poliatrita durere

A

nu f intensa
mai intensa dimineata cu redoare
acc de miscare
art tumefiate ci deformari
semne inflamatorii moderate

60
Q

artrita gutoasa

A

inflamatie datorata depinerii de cristale de acid uric articulare si periarticulare
!!! frecv afectare art matetarsofalangiana a halucelui

61
Q

artrita gutoasa caractere

A

dupa masa apare in cateva ore brusc artrita cu inflamatie intensa si f dureroasa
cedeaza in cateva zile fara sechele
reapare dupa un interval la ac sau alta art

62
Q

artroze

A
  • art degenerative
  • osteofite
  • deformari osoase
  • degenerare cartilaj
63
Q

artroza durere

A

din cauza tensiunii ligamentare si a capsulei art
legata de efort sau mobilzare

64
Q

artropatia neuropatica alte denuimite

A

Articulatoa Charcot

65
Q

art Charcot

A

afecatre fb sensib proprioceptiva
nedureroasa
disconfort articular
art f voluminoasa si hipermobila

66
Q

durere de origine musculara

la durere musc avem claudicati aintermitenta dar aici e mai grav

A

obstructie mai importanta
durere permanenta
intreaga extremitate afectata
uneori scade daca mb e in pozitie decliva

67
Q

obstructie durere - embolie tromboza

A

durere violenta
in tot mb
pareza musculara
paloare si racire extremitate
necroza daca nu se repermeabilizeaza in 6 h

68
Q

SINDROMUL RAYNAUD

A

dureri si parestezii in degete la expunerea la frig dupa un SPASM VASCULAR prelungit
paloare extrem degete urmata de VD paralitica

69
Q

manevra Homans

A

dorsiflexia piciorului

70
Q

manevra Homans

A

dorsiflexia piciorului

71
Q

manevra Homans detalii

A
  • Flebitele superficiale dau durere localizata in lungul condonului venos inflamat
  • Flebitele profunde dau o durere surda, difuza in masa musculara a mb afectat ACC DE COMPRESIE MUSCULARA
  • in flebita profunda gambiera - accentuata durerea in dorsoflexie - manevra
72
Q

leziuni radiculare

A

!! durerea e acc de manevre care cresc tensiunea asupra radacinilor spinal - tuse, stranut sau RIDICARE PASIVA A MB INF IN EXTENSIE - manevra LASSEGUE

73
Q

manevra Lassegue

A

ridicare pasiva a mb inf in extensie pt a face compresie pe radacinile spinale si doare mai tare
e positiva cand e efectuata la ambele mb dar la o ridicare mai putin ampla de partea dureroasa

74
Q

ordine frecventa hernii de disc

A

L4-L5 -> L5-S1 -> L3-L4
la cervicala sunt ultimele 2 discuri

75
Q

disc L3-4

A
  • durere lombara
  • iradiere in coapsa anterior
  • diminuare reflex rotulian
76
Q

L4-L5

A
  • durere fata posterioara
  • fata dorsala a labei
  • scade forta dorsiflexorilor labei
77
Q

L5-S1

A
  • durere fata post a mb inf
  • lateral laba
  • diminuare relfex ahilian
78
Q

afectare plex brahial

A

intensa
initail limitata la ter rad afectate
pot cuprinde tot mb sup
acc de miscarile umarului

79
Q

afectare plex brahial cauze

A
  • tumori primare - sd Pancoas Tobias
  • tumori secundare - metastaze gg
  • malformatii - coasta cervicala
80
Q

dureri nevritice

A

caracter de arsura
in ter de distributie al nervului afectat
prestezoo in acelasi teritoriu

81
Q

dureri nevritice

A

caracter de arsura
in ter de distributie al nervului afectat
prestezoo in acelasi teritoriu

82
Q

dureri polinevritice

A

localizate distal, simetric
mai frecv la mb inf
insotite de parestezii
acc de compresie musculara distala - gambiere

83
Q

polinevrite cauze

A

diabet
alcoolism
carente vitamine
paraneoplazice

Semio (16 decks)

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