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INFECTOLOGIA > paracoccidioidomicose > Flashcards

paracoccidioidomicose Flashcards

1
Q

ETIOLOGIA

A

P. BRASILIENSIS
P.LUTZII

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2
Q

TIPO DE FUNGO

A

SOLO:FILAMENTOSO
HOMEM:LEVEDURA

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3
Q

MECANISMO DE AQUISIÇAO

A

VIA INALATORIA NOS ALVEOLOS RESPOSTA TH1 COM FORMAÇAO DE GRANULOMA

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4
Q

FATOR PROTETOR

A

ESTROGENO INIBE O CRESCIMENTO FUNGICO

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5
Q

FORMA AGUDA OU SUBAGUDA QUEM ELA ACOMETE

A

CRIANÇA E ADOLESCENTES

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6
Q

FORMA CRONICA QUEM ELA ACOMETE(MAIORIA DOS CASOS)

A

CONCENTRA-SE ENTRE 30-60 ANOS

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7
Q

CLINICA DA FORMA AGUDA/SUBAGUDA

A

ACOMETIMENTO GANGLIONAR-SINTOMAS MAIS COMUM(PODE TER MASSA ABDOMINAL)MANIFESTAÇOES DIGESTIVAS HEPATOESPLENOMEGALIA ENVOLVIMENTO OSTEOARTICULAR-OESTEOMIELITE É FREQUENTE LESOES CUTANEAS(CROSTOSAS POR TODO O CORPO)

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8
Q

CLINICA DA FORMA CRONICA

A

PULMAO MUCOSAS DO TRATO GASTROINTESTINAL((ASPECTO DE AMORA) GANGLIOS COM TENDENCIA A SUPURAÇAO ADRENAL SISTEMA NERVOSO CENTRAL

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9
Q

TBX PARACOCCIOIDOMICOSE

A

TB-ZONAS SUPERIORES(MAIS AERADAS),CAVITAÇAO +++,PLEEURA PARACOCCIOIDOMICOSE-TERÇO MEDIO,BILATERAL E DIFUSO,CAVITAÇAO +,PLEURA -

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10
Q

HIV E PARACOCCIOIDOMICOSE

A

DISSEMINAÇAO HEMATOGENICA COM FORMAÇAO DE ABSCESSOS(DIFICIL ERRADICAÇAO DO FUNGO)

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11
Q

DX

A

IMUNODIFUSAO:MAIS USADO CONTRAIMUNOELETROFORESE IMUNOBLOT PCR

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12
Q

NO DIAGNOSTICOS TEM 3 CASOS

A

CASO CONFIRMADO CASOS PROVAVEL CASO SUSPEITO

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13
Q

CASO CONFIRMADO

A

IDENTIFICAÇAO DO FUNGO CLINICA TIPICA

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14
Q

CASO PROVAVEL

A

SOROLOGIA CLINICA SUSPEITA

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15
Q

CASO SUSPEITO

A

EXCLUINDO TB TEM SE TOSSE ROUQUIDAO LESAO DA MUCOSA ORAL/NASAL LESOES CUTANES GANGLIOS GENRALIZADOS HEPATOESPLENOMEGALIA

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16
Q

TTT

A

FORMAS LEVES E MODERADAS-ITRACONAZOL(6 A 9 MESES) FORMAS LEVES(EM CRIANÇAS)-BACTRIM ABSCESSOS E DISSEMINAÇAO:ANFOTERICINA B

17
Q

RAIO X

A

OPACIDADE RETICULO-ALVEOALARES SIMETRICAS BILATERAIS COM DISTRIBUIÇAO MAIOR DO CENTRO PARA PERIFERIA

INFECTOLOGIA (6 decks)

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