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semio > durerea toracica > Flashcards

durerea toracica Flashcards

1
Q

prin anamneza, durerii toracice trebuie sa i se asocieze

A
  1. sediul debutului
  2. iradierea
  3. factorii de declansare
  4. factorii de disparitie
  5. caracter
  6. intensitate
  7. simptome de insotire
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2
Q

sediul durerii submamar

A

pneumonia pneumococica

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3
Q

sediul durerii difuz

A

neoplazii bronhopulmonare avansate

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4
Q

iradierea in abdomen sau in umar

A

pleurezia diafragmatica

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5
Q

iradierea pe traiectul unui nerv intercostal

A

zona zoster
nevralgie intercostala

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6
Q

factori de declansare
expunere la frig, umezeaza

A

pneumonia pneumococica

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7
Q

factori de declansare
traumatisme toracice

A

fisuri, fracturi costale

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8
Q

factori de declansare
consum de carne de porc infectata

A

trichineloza

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9
Q

factori de declansare
acces de tuse puternic

A

pneumotorace

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10
Q

factori de declansare
expunere la fum, frig, praf

A

traheobronsita acuta

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11
Q

factori de disparitie
pozitie antalgica

A

pleurita

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12
Q

factori de disparitie
antialgice majore

A

cancer bronhopulmonar

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13
Q

caracter
arsura

A

traheobronsite acute

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14
Q

caracter
sfasietor, lovitura de pumnal

A

pneumotorace

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15
Q

caracter
junghi

A

pneumonia pneumococica, pleurezii

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16
Q

intensitate
foarte mare, atroce, puternica

A

embolie pulmonara, pneumotorace

17
Q

intensitate
moderata, superficiala

A

pneumonia pneumococica
infarct pulmonar
pleurezie
afectiuni musculare (miozite, trichineloza)

18
Q

simptome de acompaniament
febra, frison

A

pneumonie
infectii acute respiratorii
pleurita
absec pulmonar

19
Q

simptome de acompaniament
dispnee extrema

A
  1. embolie pulmonara
  2. pneumotorace
20
Q

simptome de acompaniament
dispnee moderata

A

pleurezie

21
Q

simptome de acompaniament
tuse

A
  1. pneumonie
  2. pleurezie
  3. cancer bronhopulmonar
  4. traheobronsita
22
Q

simptome de acompaniament
vomica

A
  1. chist hidatic
  2. abces pulmonar
23
Q

simptome de acompaniament
hemoptizie

A
  1. tbc pulmonara
  2. cancer bronhopulmonar
24
Q

cauzele durerii toracice

A
  1. afectiuni pleuro-pulmonare
  2. traheale si bronsice
  3. ale peretelui toracic
  4. digestive
  5. ale coloanei vertebrale
  6. ale umerilor
25
Q

cauzele durerii toracice
afectiuni pleuro-pulmonare

A
  1. pneumonie
  2. pleurita
  3. debutul pleureziei
  4. pleurezie purulenta
  5. pneumotorace
  6. trombembolie pulmonara
  7. cancer bronhopulmonar
26
Q

cauzele durerii toracice
afectiuni traheale si bronsice

A

1, traheobronsite acute
2. traheite

27
Q

cauzele durerii toracice
afectiuni ale peretelui toracic
osoase, costale, sternale

A
  1. fracturi si fisuri costale
  2. tumori costale (osteosarcom, metastaze costale, osteite, osteomielite)
  3. fracturi sternale
  4. leucemii
28
Q

cauzele durerii toracice
afectiuni perete toracic
musculare

A
  1. miozite
  2. mialgia Bornholm (afectiune musculara produsa de virusul Coxackie)
  3. dermatomiozita (facies in ochelari)
  4. trichineloza (se asociaza cu edem palpebral)
29
Q

cauzele durerii toracice
afectiuni perete toracic
mamare

A
  1. mastite
  2. cancer mamar
  3. mastodinie premenstruala
  4. “furia laptelui” (in primele 24-48h de la nastere)
30
Q

cauzele durerii toracice
afectiuni perete toracic
structuri nervoase

A
  1. nevralgie intercostala
  2. zona zoster (durerea precede eruptia cu 1-2 sapt, apoi apare eruptia veziculara pe traiectul unui nerv intercostal; durerea poate persista 2-4 sapt si dupa disparitia eruptiei)
31
Q

cauzele durerii toracice
afectiuni perete toracic
tesut celulo-adipos

A

celulita

32
Q

cauzele durerii toracice
afectiuni perete toracic
articulatii costosternale

A

sdr Tietze (durere la niv articulatiilor condrosternale 1,2 sau 3,4 - boala de etiologie necunoscuta)

33
Q

cauzele durerii toracice
afectiuni digestive

A
  1. esofagiene: arsura retrosternala si pirozis; cancer esofagian (stadiu avansat)
  2. biliare: colica biliala (durere iradiata in umarul drept)
  3. pancreatice: pancreatita (durere iradiata in baza toracelui st)
34
Q

cauzele durerii toracice
afectiuni coloana vertebrala

A
  1. metastaze
  2. tumori
  3. fracturi prin osteoporoza sau traumatisme
35
Q

cauzele durerii toracice
afectiuni umeri

A
  1. periatrita scapulo-humerala
  2. omartroza
  3. traumatisme

semio (17 decks)

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