HEPATOENCEFALOPATIA Flashcards

1
Q

Patogenia

A

Lesao hepatica -> insuf. hepatica -> dimn. da capacidade de detoxicaçao da amonia ate ureia > acumulo de amonia no sangue -> amonia no snc -> lesoes degenerativas (polimicrocavitação, espongiose/malacia de subst. branca)
** Amonia ultrapassa BHE

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2
Q

Sinais clínicos

A

Mudança de comportamento, agressividade, ictericia, baixa albumina, edema

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3
Q

Causas de lesoes hepaticas

A

-> Micotoxinas
-> Intoxicacao por Cestrum spp.
-> Intoxicacap por Brachiaria spp.
-> Cardiopatais com ICC
-> Doença do fígado gordo

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4
Q

Principal DD

A

-> Intoxicacao por ureia - normalmente mais agudo e sem lesao hepatica

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5
Q

Diagnóstico

A

Necropsia = lesao cerebral degenerativa (nao infecciosa) com necrose e lesao hepatica compativel

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