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Neurologia - IPSEMG 2021 > Miopatias - SF > Flashcards

Miopatias - SF Flashcards

1
Q

Quais dois grandes grupos das miopatias

A

Sintomas fixos - fraqueza muscular proximal (dificuldade andar, levantar, extender braços, fraquezas em cinturas) + atrofia muscular // Sintomas dinamicos - mialgia, intolerancia a exercicio, caimbras/contraturas, mioglobinuria

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2
Q

Sintomas dinamicos estao presentes em quais miopatias

A

Geralmente miopatias metabolicas

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3
Q

Relacao de conanguinidade

A

Sempre deve perguntar historia familia e consanguinidade por forte relacao

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4
Q

Miopatia por medicacoes

A

Geralmente uso de estatinas

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5
Q

Marcha anserina

A

Hiperlordose, classico de miopatias

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6
Q

Principal achado para desconfiar de miopatia

A

Fraqueza proximal

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7
Q

Pseudohipertrofia de panturrilhas

A

Duchene ou Becker

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8
Q

Atrofia importante de um braço + escapula alada

A

Pensar em distrofia facioescapuloumeral

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9
Q

Lesao de pele com fraqueza proximal

A

Dermatomiosite

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10
Q

Fatores que sugerem miopatia congentias

A

<1 ano, estaveis e com dismorfismos

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11
Q

Fatores que sugerem distrofias

A

Familiar, cronicas e progressivas

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12
Q

Fatores que sugerem miopatias adquidas inflamatorias

A

Subagudas, pele e autoimune

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13
Q

Fatores que sugerem miopatias adquidas metabolicas

A

Sintomas dinamicos

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14
Q

Fatores que sugerem miopatias adquidas sistemicas

A

Tireoide, adrenal, criticos

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15
Q

Fatores que sugerem miopatias adquidas toxicas

A

Sinvastatina, corticoide

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16
Q

Fatores que sugerem miopatias adquidas infecciosas

A

Viral e bacteriana

17
Q

E a CPK?

A

Pode estar normal em algumas miopatias

18
Q

Como é o aumento da cpk?

A

5-10x

19
Q

Diag definitivo

A

Confirma miopatia / define inflamatoria e algumas geneticas

20
Q

Quais os exames geneticos para miopatias

A

Exona, paineis e sequenciamento

21
Q

Cuidado com paciente com miopatia congenita

A

Risco de hipertemia maligna se exposto a alguns anestesicos

22
Q

Tratamento de miopatias inflamatorias

A

Imunossupressao

Neurologia - IPSEMG 2021 (35 decks)

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