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Clínica Médica > Pneumo - sarcoidose > Flashcards

Pneumo - sarcoidose Flashcards

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1
Q

Epidemiologia Sarcoidose

A

homem 25-40 anos

negro

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2
Q

tabagismo na sarcoidose

A

fator protetor

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3
Q

biopsia sarcoidose

A

granuloma nao caseoso

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4
Q

orgao mais acometido sarcoidose

A

pulmao

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5
Q

sind loefgren

A 
sarcoidose aguda.
artralgia
eritema nodoso
febre
adenopatia hilar
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6
Q

sínd heerfordt

A

sarcoidose aguda.
uveíte anterior
paralisia facial
parotidite

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7
Q

acometimento SN sarcoidose

A

base do crânio

nervo facial

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8
Q

diagnóstico sarcoidose

A

clinica
biopsia (granuloma nao caseoso)
excluisão de outras causas de granuloma (tb)

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9
Q

excessão ao dx com biópsia sarcoidose

A

CD4/CD8 > 3,5

cintolo com gálio (sinal do panda, sinal do lambda)

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10
Q

distúrbio do calcio mais comum sarcoidose

A

hipercalciuria

mas pode ter hipercalcemia também, numa frequencia menor

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11
Q

tratamento hipercalcemia

A

corticoide

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12
Q

Scadding I

A

adenopatia hilar bilateral em batata
remissão 60-80%
bom prognóstico

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13
Q

scadding II

A

adenopatia hilar
micronódulos perilinfáticos
remissão 40-70%

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14
Q

scadding III

A

nodulos parenquimatosos
remissão 10-20%
mau prognóstico

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15
Q

scadding IV

A

fibrose pulmonar em ápices
remissão 5-10%
hipertensão pulmonar

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16
Q

fibrose pulmonar na sarcoidose

A

scadding IV

apices pulmonares

17
Q

marcadores de atividade sarcoidose

A

ECA
CD4/CD8 >3,5 LBA
Chitotriosidade

18
Q

diagnostico diferencial sarcoidose

A

TB
berioliose
fibrose pulmonar idiopatica

19
Q

tratamento sarcoidose

A 
corticoide
metotrexato (poupador de corticoide)
20
Q

indicações de tratamento sarcoidose

A

acometimento de orgãos nobres
hipercalcemia
sintomático
formas graves

21
Q

pior prognóstico sarcoidose

A 
lupus pernio
SNC
IC
fibrose pulmonar
cisto ósseo

Clínica Médica (34 decks)

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