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nevrologia > kef 29 loimwkseis kns > Flashcards

kef 29 loimwkseis kns Flashcards

1
Q

melitaios piretos

A

apo brucella melitenesis( apo mi pasteriomeno gala i tiri i nosounta zoa)…sto eny exoume avksisi kitarwn kailefkwmatos fisiologiki glikozi

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2
Q

antidrasi Wright

A

orologikes eksetaseis pou anagnwrizoun tin brucella sto eny kai sto aima

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3
Q

therapeia brucellosis

A

rifampikini me trimethoprimi .soulfamethoksazoli i tritis genias kefalosporini

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4
Q

vaktiridio sifilis

A

wxra spiroxiati (treponima palladiium)

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5
Q

ti katastrefei i tritogonos simfili

A

nevriko kardiagkeiako alla kai kathe organo

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6
Q

okseia sifilidiki minigkitida diagnwsi

A

sto eni avksisi avksisi lemfokitarwn , leykomatos thetiki stin oroantidrasi VDRL(thetikes oroantidraseis)

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7
Q

Nwtiaia fthisis

A

15-20 xronia meta tin prwtomilinsi apo treponima palladum, mielorizonevropatheia,flegmoni stis opisthies rizes,ta nwtiaia gagglia kai opisthies desmes

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8
Q

argyl robertson (misi stin prosarmogi kai oxi sto fws)

A

stin nevrosifili kai stin diavitiki nevropatheia

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9
Q

farmako eklogis sifilis

A

penikilini(kristaliki penikilini G) se alergeia erithromikini kai tetrakiklini

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10
Q

nosos Lyme pou ofeilete

A

stin speiroxaiti Borrelia burgdoferi apo krotones (tsimpouria)

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11
Q

eny stin noso lyme

A

avksimena lemfokittara(3000) , avksisi lemfwmatos kai fisiologiki glikozi(opws vroukelwsi kai kapws stin sifili) ….diagnwsi me elisa

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12
Q

nosos pou prokaleite apo molismeni epafi me oura troktikwn

A

leptospeirwsi (leptospira interrogans)

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13
Q

therapeia fimatiwdous minigkitidas

A

isoniazidi , aithamvoutoli ,streptomikini , piridoksini (vB6)

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14
Q

simantikotero antimikitiasiko farmako

A

amfoterikini B(nefrotoksikotita ,anaimia)

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15
Q

toxoplasma gondi endokitario parasito varia vlavi pou mporei na kanei

A

diaxiti nekrwtiki egkefalitida

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16
Q

kata tin emvriiki loimwksi to toxoplasma kanei-

A

idrokefalia,mikroegkefalia ,epilipsia ,noitiki kathisterisi tiflwsi ,an ginei stin arxi to emvrio apovallete

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17
Q

therapeia toksoplasmatos

A

soulfadiazini kai pirimethaminis

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18
Q

oi iogeneis loimwkseis kanoun _ ston egkefalo enw oi bakritiakes kanoun _

A

diaxati prosvoli(ektos hsv1 topika) ————topiki logo nekrwsi kai mporei apostima

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19
Q

poia einai ta pathogona mikrovia okseias piwdous minigkitidas(flwgmoni ston iparaxnoeidi)

A

pnevmoniokokkos (>20) , miniggitidokokkos(paidia kai neous enilikes) , listeria se ilikiomenous kai anosok , aimofilos 10%

20
Q

pathofisiologia minigkikis loimwksis

A

1.apo mikrovia fisiologikou apoikismou tou rinofarigga pou pernoun ton aeff 2. epektasi paraminiggikis loimwksis 3.miniggiko rigma 4.xeirourgiki epemvasi 5.riksi egk apostimatos

21
Q

kliniki eikona okseias piwdis miniggitidas

A

piretos ,isxii kefalalgia ,diskampsia evxena epiliptikes kriseis ,kerning brudzisky

22
Q

exoume mesi otitida kai minigkitida,apo poio organismo

A

pnevmoniokokkos

23
Q

se kak ti pathogono gia minigkitida

A

stafilokokkos

24
Q

ti kanoume se piwdi minigkitida

A

kaliergeia aimatos kai empeiriki antiviwtiki agwgi,onp(prwta ct se ipopsia xorokataktitikis eksergasias) afta paraklinika

25
Q

poia einai i empeiriki antimikroviaki therapeia se okseia piwdi miniggitida

A

kefalosporini tritis genias (kefotaksimi kai keftriaksoni) kai vankomikini gia pnevmoniokokko ,streptokokko b kai aimofilo ….listeria -ampikillini ……stafilokokkos i psevdomonada vankomikini+ kseftazidimi

26
Q

gia aftous pou prepei na kanoun ximeioprofilaksi apo piodi miniggitida(miniggitidokokiki)

A

rifampikini minokiklini soulfadiazini

27
Q

kliniki eikona apostimatos

A

simeia xorokataktitikis eksergasias,endokrania ipertasi ,estiakes epiliptikes kriseis,apiretos (xamilos), sos onp oxi!! ,defterogenis epilipsia simantikoteri epiploki

28
Q

pou vriksete to empiima kai ti kanei

A

iposkliridio xoro,thromvoflevitidws kolpwn

29
Q

episkliridio apostima

A

apo osteomielitida kraniou ,vgenei pio apo afti ,provlima sto tridimo kai apagwgw sixnotero pathogono xrisizon stafilokokos

30
Q

nevrosifili meta apo 15-20 xronia kanei nwtiaia fthisi poia einai ta simptwmata(mielorizonevropwtheia)

A

aftomata keravnovola algi kiriws katw akrwn, aisthitiki ataksia,diataraxes ourisis,simeia: argyl robertson ,apousia antanaklastikwn katw akrwn ,thetiko romberg

31
Q

diagnwsi toksoplasmatos

A

ct :pollaples asvestopoiimenes esties ,elisa( kai lyme)

32
Q

iogeneis loimwkseis n.s

A

pathogenesi eitai kanoun miniggitida,eitai prosvoli faias ousias polioegkefalitida, mono se prosvoli nevrwnwn prosthiwn keratwn n m poliomielitida kai lefkoegkefalopatheies(otan pan oi ioi sta gloiaka kitara kai kanoun apomielinwsi)

33
Q

okseia iogenis miniggitida

A

piretos ,kakouxia ,kinagxi ,kefalalgia ,fotofovia,ipnilia ,ipia i katholou miniggika simeia

34
Q

eni stin okseia iogenis miniggitida

A

afksisi lemfokittarwn mikri avksisi lefkwmatwn ,kai glikozi fisiologiki

35
Q

se poies loimwkseis exoume fisiologiki glikozi sto eny

A

brukelwsi lyme kai okseia iogenis

36
Q

pio varia apo oles tis iogeneis egkefalitidees einai i loimwksi apo

A

io tou aplou erpita tipou 1(sto ieg kanei oksiaixma kimata megalou ipsous ana 2-3 sec) therapeia akikloviri

37
Q

o vzv erpitoios(akiklobiri),otan epanenergopoiithei analoga me to simeio pou kanei vlaves

A

gasereio gagglio(v1) ston ofthalmo ,eripis gonatwdous swmatos (vii) rumsay hunt-paralisi prosopou kai fisalidwdes eksanthima limwksi nwtiaiwn gaggliwn(aisthitikwn) sinithws th3-th12 fisalides ,algi rizitikis katanomis

38
Q

proodevtiki poliestiaki lefkoefkefalopateia

A

apo io papova JC ,nevrotropos gia oligodendrokittara ,aftos kanei apomielinwtikes esties se imisfairia stelexos paregkefalida agwgi me: CIDOFUVIR

39
Q

ti simvainei se ena pou exei ipokseia sklirintiki panegkefalitida

A

aftos epathe lipwksi apo ilara se ilikia mikroteri 2 etwn,lanthanon xronos 5-6 xronia ,ekptwsi iq ,ataksia miokloniki kwma ,sto eny exoume g sfairines kai antiswmata kata tis ilaras

40
Q

poios ios kanei tropiki spastiki tetraparesi

A

HTLV-1

41
Q

TI klinika sindroma apo n.s tha kanei o hiv

A

asipti miniggitida,hiv egkefalopatheia(prosvoli lefkis ousias) ,mielopatheia(spastikotaksiki sindromi) ,prosvoli periferikou n s (gb i cidp)

42
Q

poio einai to sixnotero loimogono aitio miniggitidas apo aids

A

kriptokokos

43
Q

ti kanei tis spoggwdeis egkefalopatheies

A

ta prions (nosos creutzfeldt -jakob)

44
Q

oi nosoi prion( einai eitai sporadikoi eite klironomikes einai apotokes molinsis)

A

exoume diataraxi metavolismou prion prwteinis,fisiologiki PrPc nosogonos PrPSc(PRNP gonidio) .i nosogonos morfi den diaspate apo enzima kai kanei inidia SAFs enonontai kai kanoun amiloeides –> plakes –> egkefaliki vlavi

45
Q

pathan prions nosou

A

spoggomorfi ekfilisi,astrogloiwsi ,apousia flegmonis

46
Q

kliniki eikona kai parakliniki eksetasi spogodoys egkefalopatheias

A

ekptwsi noitikwn leitourgeiwn ,thanatos entos 6-12 minwn,xaraltiristika: mioklonies prwimi anoia ekfortiseis ieg,sto eni exoume prwteini 14-3-3

nevrologia (21 decks)

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