Pneumo Flashcards

1
Q

DPOC indicações O2

A

PaO2-55 ou sat -88% repouso. PaO2 55-60 + policitemia ou cor pulmonale

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2
Q

Fibrose pulmonar idiopática

A

40-60a; F=M, tabagismo +-, FAN+ 20%

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3
Q

Fibrose pulmonar idiopática TC

A

infiltrado reticulonodular lobos inferiores

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4
Q

Pneumonite hipersensibilidade

A

Tabagismo fator protetor

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5
Q

Granulomatose células Langerhans

A

20-30a, M, FR: tabagismo, pneumotórax recorrente

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6
Q

Granulomatose células Langerhans TC

A

infiltrado reticulonodular 2/3 sup, dx= bx (grânulos Birbeck

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7
Q

Espiro 1° parâmetro a a-se alterar em dç pulm obstrutiva

A

FEF 25-75%

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8
Q

Sarcoidose aguda S Löefgren

A

uveíte + eritema nodoso + adenopatia hilar bilateral paratraqueal + artrite perif aguda ou poliartralgia

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9
Q

Sarcoidose aguda S Heerfordt Waldenström

A

febre + aumento parótida + uveíte abterior + paralisia facial

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10
Q

TEP ECG

A

+ freq: inversão T V1-V4. + sugestiva: S1Q3T3

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11
Q

TEP escore Wells

A

> 4: TVP 3, probabilidade 3, taquic 1,5, imob/cx 1 mês 1,5, hx TVP/TEP 1,5, hemoptise 1; ca 1

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12
Q

TB pleural

A

1ª em adolesc/ adulto jovem,

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13
Q

TB ganglionar periférica

A

+ freq em HIV+ e crianças

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14
Q

TB esquelética

A

Mal de Pott vertebral: dor lombar + dor palpação + sudorese noturna

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15
Q

TB esquema RIP abaixo de

A

10 anos

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16
Q

TB drogas hepatotóxicas

A

P>I>R

17
Q

Isoniazida EA

A

NPP, lúpus símile, def B6

18
Q

Rifampicina EA

A

Hipersensib, púrpura, s gripal, nefrite intersticial aguda

19
Q

Pirazinamida EA

A

Hiperuricemia, gota

20
Q

Etambutol EA

A

Alt cores, escotomas, borramento, perda visão

21
Q

Estreptomicina EA

A

vertigem, ototox, hipoacusia; nefrotox (NTA)

22
Q

Paracoco epidemio

A

rural

23
Q

Paracoco RX

A

infiltrado pulm peri hilas bilateral e simétrico (asa de morcego)

24
Q

Paracoco tto

A

Itraconazol 6-18 meses> bactrim / Anfo B se grave

25
Q

Histoplasmose epidemio

A

aves

26
Q

Histoplasmose clínica

A

Pneumopatia prévia

27
Q

Histoplasmose Rx

A

Adenopatia hilar bilateral com múltiplos micronódulos e infiltrados

28
Q

Histoplasmose tto

A

Itraconazol 1 ano / anfoB

29
Q

Cripto pulmonar

A

AIDS, homem 30-60a, fluco (se dissm / SNC: anfo B)

30
Q

Aspergilose FR

A

imunodeficiências

31
Q

Aspergilose formas clínicas

A

Imunocomp: alérgica, aspergiloma, superficial. Imunodef: invasiva

32
Q

Aspergilose invasiva tto

A

Voriconazol

33
Q

Quilotórax não traumático causa mais comum

A

Linfoma

34
Q

DPOC dx

A

clínica + VEF1/CVF -70% após BD

35
Q

DPOC prognóstico

A

VEF1