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Semio > Locomotor, atitudine, febra > Flashcards

Locomotor, atitudine, febra Flashcards

1
Q

Leziuni cerebeloase

A

Baza de sustinere largita, cu picioarele departate
Proba romberg

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2
Q

Leziuni vestibulare

A

Tendinta de a cadea intr-o parte
Proba romberg

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3
Q

Hipotensiune ortostatica

A

Asimptomatici in clinostatism, dar nu pot mentine pozitia ortostatica din cauza deficitului de irigatie cerebeala

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4
Q

Mers cosit

A

Hemiplegie spastica
Mb inf e fixat in extensie, rigid

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5
Q

Mers in foarfeca

A

Pareza spastica bilaterala

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6
Q

Mers ebrios

A

Leziuni cerebeloase si labirintice
In afectarea labirintica, tendinta este de deviere catre o singura parte, in timp ce afectarea cerebeloasa nu da lateralizare

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7
Q

Mers stepat

A

Paralizie nerv peronier (scaitic popliteu extern)
Bolnavul nu mai poate ridica vf piciorului sau sta pe varfuri

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8
Q

Mers parkinsonian

A

Sdr parkinson
Bolna rigid, sta putin aplecat inainte, cu genunchii usor flectati. Mersul porneste greu, cu pasi mici si accelereaza progresiv, ca si cum bolnavul ar fugi dupa centrul sau de greutate

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9
Q

Mersul de rata

A

Luxatia de sold bilaterala

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10
Q

Luxatia unilaterala congenitala

A

Bolnavul se apleaca pe spate si de partea luxatiei la fiecare pas

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11
Q

Mersul salutand

A

Bolnavul se apleaca in fata la fiecare pas
Coxalgie

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12
Q

Decubit peritonita

A

Decubit dorsal, imobil, cu abdomenul escavat, fara miscari sincrone cu respiratia

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13
Q

Decubit meningian

A

In cocos de pusca
Decubit lateral, cu extensia capului, flexia mb inferioare si superioare

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14
Q

Decubit colici abdominale

A

Decubit lateral, rar dorsal, isi apasa cu mana zona dureroasa

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15
Q

Decubit pleurita uscata

A

Sta culcat pe partea sanatoasa

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16
Q

Decubit psoita

A

Coapsa si gamba de partea respectiva puternic flectate

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17
Q

Decubit artrita coxofemurala

A

Coapsa respectiva in rotatie externa, abductie si semiflexie

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18
Q

Decubit artrita

A

Artrita genunchi - semiflexie
Artrita cot - flexie fortata

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19
Q

Decubit tetanos

A

Opistotonus
Sprijinit pe ceafa si calcaie, arcuat, cu membrele superioare flectate
Pleurostatotonus = incurbare pe o parte
Emprostotonus = incurbare inainte ca fatul in uter

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20
Q

Sindromul Marfan

A

Boala a tesutului conjunctiv manifestata prin anomalii oculare, skeletice si cardiovasculare

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21
Q

GINOIDA:

A

depozite adipoase predominant pe coapseANDROIDA

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22
Q

ANDROIDA:

A

depozite adipoase predominant pe abdomen

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23
Q

sdr. Sheehan

A

necroza hipofizara postpartum)

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24
Q

sdr. Simmons

A

distructie hipofizara ex. craniofaringiom

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25
Q

Febrain platou

A

Febra in platou (continua) = oscilatii zilnice < 1ºC
-pneumonie
-erizipel
-febra tifoida, etc

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26
Q

Febra remitenta

A

Febraremitenta= oscilatii zilnice> 1ºC fara revenirela normal
bronhopneumonie
supuratii
TBC, etc

27
Q

Febra intermitenta

A

Febra intermitenta = oscilatii mari cu revenire la normal

28
Q

Febra intermitenta sistematizata

A

malarie

29
Q

Febra intermitenta nesistematizata

A

cancer
infectii urinare, biliare

30
Q

Febra intermitenta hectica >3 grade

A

stari septice
tbc cavitar

31
Q

Febra recurenta

A

Febra recurenta= episoade febrile repetitive; intre ele-afebrilitate
- viroze, spirochetoze

32
Q

Febra ondulanta= varietate de febra recurenta

A

in care perioadele febrile sunt prelungite, cu ascensiune si scadere progresiva
-Boala Hodgkin (febra Pel-Ebstein)
- endocardite
- bruceloza

33
Q

Febra in dromader

A

Febrain dromader= febra recurenta cu doua episoade, primul cu valori mai mari, separate de 24-48 ore de afebrilitate
-virozerespiratorii

34
Q

Febra neregulata

A

Febra neregulata= nesistematizabila
-stariseptice
-supuratii

35
Q

NODULI HEBERDEN

A

deformarea articulatiilor inferfalangiene distale;

36
Q

NODULI BOUCHARD

A

deformarea articulatiilor inferfalangiene proximale

37
Q

DUREREA LOCALIZATA (LOMBAR, CERVICAL

A

OSTEOFITE

38
Q

DUREREA IRADIATA PE UN TRAIECT NERVOS

A

PROTRUZIE DISCALA

39
Q

DUREREA LA FLEXIA CV

A

SUFERINTA DISCALA

40
Q

DUREREA LA EXTENSIA CV

A

SPONDILOLISTEZIS, STENOZA SPINALA

41
Q

SPONDILOLISTESIS

A

alunecarea unui corp vertebral

42
Q

HERNIA DE DISC

A

alunecarea nucleului pulpos cu compresie medulara/radiculara

43
Q

HERNIA DE DISC L2/L3/L4-

A

Fata ant a coapsei, reg medialaa gambei

44
Q

HERNIA DE DISC L5

A

fata lata mb inf, insprefata dorsalaa piciorului. Nu merge pe calcaie

45
Q

HERNIA DE DISC S1

A

Fata post a mb inf siplanta. Nu merge pe varfuri

46
Q

HERNIA DE DISC S2/S3/S4

A

incontinenta urinara si fecala; disfunctia sexuala

47
Q

reflex rotulian diminuat/absent in hernia de disc

A

L3-L4

48
Q

reflex ahilean diminuat/absent in hernia de disc

A

L5-S1

49
Q

PERIARTRITA SCAPULOHUMERALA

A

DURERE LA PALPAREA INTERLINIULUI GLENOHUMERAL
CRACMENTE LA MOBILIZARE
LIMITAREA MISCARILOR DE ROTATIE

50
Q

sindrom Reiter

A

artrita+ secretie uretrala+ conjunctivita

51
Q

guta

A

hiperuricemie
depunerede urat in articulatii
tofi
depunere de urat in interstitiul renal

52
Q

Puseul acutde guta

A
  • I artic metatarsofala haluce(podagra), genunchi, glezna, degete
  • durere vie + semne de inflamatie
53
Q

guta cronica - tofi gutosi

A

tofigutosi-noduli duri, calcarosi sau nisiposi la nivelul pavilionului urechii, articulatiilor si tesuturilor adiacente (ligamente, tendoane, burse)

54
Q

MORBUL POTT

A

spondilodiscita;
-prabusirea vertebrei ->gibozitate;
-cel mai frecv toracal inf/lombar

55
Q

PAR deformari

A

GAT DE LEBADA, BUTONIERA, PICIOR IN CIOCAN, HALLUX VALGUS

56
Q

LES

A
  • artalgie
  • manifest curanate - eritem, fotosens, alopecie
  • afectare multisistemica - pulm, cardiaca, renala, GI
57
Q

sclerodermie

A

FACIES BIZANTIN
FENOMEN RAYNAUD
SCLERODACTILIE
DISFAGIE
MANIFESTARI PULMONARE,
HTPulmonara

CREST - calciul depozitat in piele
reynauld
esofag cu aciditate si scadere motilitate
sclerodermie - subtiere piele maini si degete
telengiectazii

58
Q

SPONDILITA ANCHILOZANTA general

A
  • ARTRITA PERIFERICA, ASIMETRICA SI OLIGOARTICULARA
    -SACROILEITA
    Uveita, IAo, boala pulmonara restrictiva
59
Q

SPONDILITA ANCHILOZANTA manifestari

A
  • Durere la nivelul coloanei lombare si al feselor, accentuata in repaus, nocturn
  • Cifoza toracala si scaderea mobilitatii coloanei
  • Tulburari ventilatorii
60
Q

test Schober

A

semn la spinele iliace posterioare - L5
apoi 5 cm inf
10 cm superioar
se apleaca pacientul
daca se mareste cu mai mult de 5 cm e f bine
daca nu, testul e pozitiv

61
Q

teste spondilita anchilozanta

A

Test Schober
Distanta tragus-perete (N <15 cm)
Distanta occiput-perete (N = 0)

62
Q

BOALA PAGET A OSULUI

A

Afectarea craniului, oaselor lungi (tibie, femur), pelvis
Osteoliza urmata de osteoscleroza
Durere osoasa
Deformari osoase (tibie in iatagan), cresterea calotei craniene
Complicatii -insuficienta cardiaca; transformare sarcomatoasa

63
Q

RAA

A

COREEA SYDENHAM
ERITEM MARGINAT (nepruriginos)
NODULI SUBCUTANATI

Semio (16 decks)

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