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Pediatria > Infecçoes Congenitas > Flashcards

Infecçoes Congenitas Flashcards

1
Q

Sifilis congenita: transmissao

A

Em qualquer estagio da dç materna

Maior do 1 e 3 trimestre

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2
Q

Clinica sifilis congenita precoce

A

<2 anos
Rinite
Lesoes cutaneas e mucosas
Lesoes osseas

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3
Q

Lesoes cutaneas da sifilis congenita precoce

A

Placas mucosas
Condiloma plano
Penfigo sifilitico

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4
Q

Lesoes osseas da sifilis congenita precoce

A

Periostite

Osteocondrite

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5
Q

O que a osteocondrite da sifilis congenita precoce causa e como é a caracteristica

A

Lesao litica na metafise

Chora durante troca de fralda
Pseudoparalisia de Parrot

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6
Q

Clinica da sifilis congenita tardia

A 
> 2 anos
Fronte olimpica
Nariz em sela
Rágades
Alteraçoes dentarias
Tibia em sabre
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7
Q

Alteraçoes dentarias da sifilis congenita tardia

A

Dente de hitchinson: incisivo central deformado

Molar em amora

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8
Q

Como fazer avaliaçao RN suspeita de sifilis

A

Avaliaçao clinica + VDRL sangue

Hemograma

Analise liquor

Rx ossos longos

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9
Q

Caracteristicas liquor sifilis congenita

A

VDRL
Celulas > 25
PTN > 150

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10
Q

Como tratar sifilis congenita?

A

Depende do tto da gestante

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11
Q

Sifilis congenita nao tratada ou inadequada: CD

A

Realizar todos os exames

Tratar todos os casos

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12
Q

Tto RN de mae com sifilis inadequadamente tratada: liquor alterado

A

Penicilina cristalina 10 dias

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13
Q

Tto RN de mae nao tratada sifilis: liquor normal + outra alteraçao

A

P. Cristalina ou P procaina 10 dias

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14
Q

Tto Rn de mae nao tratada sifilis: rn assintomatico e exames todos normais

A

P benzatina 1x + acompanhamento

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15
Q

Rn filho de mae adequadamente tto para sifilis: Rn sintomatico ou VDRL>materno

A

Fazer todos os exames

P cristalina ou P procaina

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16
Q

Rn filho de mae tto adequadamente sifilis: Rn assintomatico

A

VDRL NR: acompanhamento
Sem acompanhamento: Bezetacil

VDRL< materno: acompanhamento
Sem acompanhamento: colher exames e tratar

17
Q

Transmissao rubeola congenita

A

So qnd gestente tem inf aguda

Maior transmissao no 1 e 3 trim

18
Q

Clinica sd rubeola congenita

A

Surdez (mais comum)
Catarata (+ especifico)
Cardiopatia congenita
PCA; estenose de arteria pulmonar

19
Q

Tto sd rubeola congenita

A

Manejo sequelas

Evitar a transmissao

20
Q

Clinica da toxoplasmose congenita

A

Triade de sabin

21
Q

Triade se sabin

A

Corioretinite
Hidrocefalia
Calcificaçao intracraniana difusa

22
Q

Tto toxoplasmose congenita

A

Sulfadiazina
Pirimetamina
Ac folinico
Por 1 ano

Corticoide se: coriorretinite grave ou PTN liquor> 1g/dL

23
Q

Clinica CMV congenito

A

Calcificaçoes periventriculares

24
Q

Tto CMV congenito

A

Ganciclovir 6 semanas

25
Q

Sequelas CMV congenito

A

Surdez

Principal causa de surdez neurossensorial nao hereditaria

Pediatria (16 decks)

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