durerea toracica

Question 1

prin anamneza, durerii toracice trebuie sa i se asocieze

Answer 1

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

Question 2

sediul durerii submamar

Answer 2

pneumonia pneumococica

Question 3

sediul durerii difuz

Answer 3

neoplazii bronhopulmonare avansate

Question 4

iradierea in abdomen sau in umar

Answer 4

pleurezia diafragmatica

Question 5

iradierea pe traiectul unui nerv intercostal

Answer 5

zona zoster
nevralgie intercostala

Question 6

factori de declansare
expunere la frig, umezeaza

Answer 6

pneumonia pneumococica

Question 7

factori de declansare
traumatisme toracice

Answer 7

fisuri, fracturi costale

Question 8

factori de declansare
consum de carne de porc infectata

Answer 8

trichineloza

Question 9

factori de declansare
acces de tuse puternic

Answer 9

pneumotorace

Question 10

factori de declansare
expunere la fum, frig, praf

Answer 10

traheobronsita acuta

Question 11

factori de disparitie
pozitie antalgica

Answer 11

pleurita

Question 12

factori de disparitie
antialgice majore

Answer 12

cancer bronhopulmonar

Question 13

caracter
arsura

Answer 13

traheobronsite acute

Question 14

caracter
sfasietor, lovitura de pumnal

Answer 14

pneumotorace

Question 15

caracter
junghi

Answer 15

pneumonia pneumococica, pleurezii

Question 16

intensitate
foarte mare, atroce, puternica

Answer 16

embolie pulmonara, pneumotorace

Question 17

intensitate
moderata, superficiala

Answer 17

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

Question 18

simptome de acompaniament
febra, frison

Answer 18

pneumonie
infectii acute respiratorii
pleurita
absec pulmonar

Question 19

simptome de acompaniament
dispnee extrema

Answer 19

1. embolie pulmonara
2. pneumotorace

Question 20

simptome de acompaniament
dispnee moderata

Answer 20

pleurezie

Question 21

simptome de acompaniament
tuse

Answer 21

1. pneumonie
2. pleurezie
3. cancer bronhopulmonar
4. traheobronsita

Question 22

simptome de acompaniament
vomica

Answer 22

1. chist hidatic
2. abces pulmonar

Question 23

simptome de acompaniament
hemoptizie

Answer 23

1. tbc pulmonara
2. cancer bronhopulmonar

Question 24

cauzele durerii toracice

Answer 24

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

Question 25

cauzele durerii toracice afectiuni pleuro-pulmonare

Answer 25

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

Question 26

cauzele durerii toracice afectiuni traheale si bronsice

Answer 26

1, traheobronsite acute 2. traheite

Question 27

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

Answer 27

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

Question 28

cauzele durerii toracice afectiuni perete toracic musculare

Answer 28

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

Question 29

cauzele durerii toracice afectiuni perete toracic mamare

Answer 29

1. mastite 2. cancer mamar 3. mastodinie premenstruala 4. "furia laptelui" (in primele 24-48h de la nastere)

Question 30

cauzele durerii toracice afectiuni perete toracic structuri nervoase

Answer 30

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)

Question 31

cauzele durerii toracice afectiuni perete toracic tesut celulo-adipos

Answer 31

celulita

Question 32

cauzele durerii toracice afectiuni perete toracic articulatii costosternale

Answer 32

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

Question 33

cauzele durerii toracice afectiuni digestive

Answer 33

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)

Question 34

cauzele durerii toracice afectiuni coloana vertebrala

Answer 34

1. metastaze 2. tumori 3. fracturi prin osteoporoza sau traumatisme

Question 35

cauzele durerii toracice afectiuni umeri

Answer 35

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