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Rezi FC > Pneumo > Flashcards

Pneumo Flashcards

1
Q

Pneumonii

Alti markeri utilizati pe langa CURB-65 in PC severa

A
  • RxT - afectare >1 lob
  • PaO2 < 60 mmHg (8 kPa)
  • HipoAlb = Alb < 3.5 g/dL
  • Leucocite < 4 x 10^3/mcL SAU > 20 x 10^3/mcL (leucopenie/leucocitoza)
  • Hemoculturi +
  • Absenta febrei la varstnici
  • Alte comorbiditati
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1
Q

Pneumonii

Prezentare tipica pneumonie

A

Debut acut cu
* Febra
* Tuse
* Dispnee
* Expectoratie purulenta

Se asociaza semne fizice si radiologice compatibile cu condensarea pulmonara
Simptomatologie mai discreta la varstnici

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2
Q

Pneumonii

AB orale standard pentru PC usoara (Tx la domiciliu)

A

Amoxicilina
Claritromicina

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3
Q

Pneumonii

Complicatiile durerii pleuritice

A

Restrictia respiratiei secundara durerii care determina
* Infectie secundara
* Retentie de sputa
* Atelectazie

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4
Q

Pneumonii

Microorganisme cauzale obisnuite in abcesul pulmonar

A

K. pneumoniae
H. influenzae
S. aureus
BK
Streptococcus milleri
Bacili enterici G- (enterobacterii)
Anaerobi (dupa aspiratie)

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5
Q

Pneumonii

Microorganisme implicate in pneumonia nosocomiala

A

Acinetobacter
S. aureus (inclusiv MRSA)
Anaerobi (Enterobacter)
G-
* Pseudomonas
* Klebsiella
* Escherichia

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6
Q

Analize de sange utile in PC

A

Hemograma
Ionograma
Biochimie
PCR
Cr

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7
Q

Simptome astm bronsic

A

Tuse
Dispnee
Wheezing
Senzatie de constrictie toracica

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8
Q

Cauze extrinseci de astm

A

Sensibilizare la agenti ocupationali - diizocianat de toluen
Intoleranta la AINS (aspirina)
Beta-blocante

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9
Q

Caracteristici boli atopice

A

Agregare familiala
Teste cutanate + la alergeni inhalatori
Ac alergen-specifici in sange

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10
Q

IgE serice crescute se asociaza cu

A

Hiperreactivitate bronsica
Prevalenta astmului

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11
Q

Poluanti atmosferici in functie de anotimp

A

Vara
* Pulberi
* NO2
* O3

Iarna
* Pulberi
* NO2
* SO2

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12
Q

Utilitate RxT in AB

A

Excludere PTX (complicatie a AB)
Detectia infiltratelor pulmonare asociate cu ABPA

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13
Q

Indicatie dozare IgE alergen-specifice

A

Nu sunt disponibile facilitati pentru testele cutanate
Nu sunt disponibile extracte alergenice adecvate
Pacientul ia antihistaminice

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14
Q

Investigatii BPOC

A

Teste functionale
Rx
HRCT
Hb, Ht
Gazometrie
Examen sputa
ECG
Eco-cord
Nivel seric + genotip A1-AT

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15
Q

Investigatii pentru obtinerea rezultatelor histologice + citologice

A

Fibrobronhoscopie
EBUS
Toracoscopie medicala/video-asistata
Toracocenteza ghidata eco
Mediastinoscipie
Punctie-biopsie transtoracica ghidata eco/CT - leziuni pulmonare
Punctie-biopsie transtoracica ghidata eco - ganglioni/metastaze hepatice/leziuni cutanate

16
Q

DDx nodul pulmonar solitar

A

Carcinom bronsic primar
Metastaze pulmonare
Tumori benigne - hamartom
Granulom
Chist hidatic
Noduli reumatoizi
Leziuni inflamatorii - pneumonie, abces

Rezi FC (29 decks)

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