Osteoartrita Bacilara Flashcards

1
Q

Tablou biologic

A

Vsh>50mm/h
Leucocitoza cu limfocitoza
Anemie de tip inflamator
Punctia abcesului=> bacil koch

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2
Q

Semne radio in perioada de stare

A
Distructii osoase: acetabul
Luxatii/subluxatii
Amputare cap femural
Pierdere contur osos
Geode epifizare
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3
Q

Semne radio in rezolutie

A

Reaparitia conturului
Osteorezolutie cu osteocondensare in jurul geodelor= chenar de doliu
Luxatie intracondiliana
Anchiloza osoasa si fibroasa

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4
Q

Tratament medicamentos

A

Tuberculostatice:chimio anti tbc
Etambutol streptomicina izoniazida rifampicina 3-9 luni zilnic apoi intermitent 2/7 luni pana la elim focar

Imobilizare gipsata suplinita de repaos strict la pat 3-6 luni

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5
Q

Tratament chir

A

Debut: biopsie sinoviala+sinovectomie
Stare: excizia abceselor reci
Rezolutie(sechele): artrodeze, osteotomii, artroplastie protetica

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6
Q

Trat igieno dietetic

A

Hiperproteic, hipercaloric, bogat in vitamine, cura de statiuni montane

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