Pneumonie Interstitiala Flashcards

1
Q

Pneumonie ATIPICA

A

Absenta exudatului alveolar

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2
Q

Definiție

A

Inflamatie subacuta( acută/ cronica )

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3
Q

Localizare

A
Interstitiul pulmonar( septuri alveolare ) 
Fără sau cu afectarea usoara a alveolelor
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4
Q

Etiologie

A

Predominant virală
Mycoplasma
Chlamydia

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5
Q

Macroscopic

A
  1. PLĂMÂN

2. PLEURĂ

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6
Q

Plămân(1)

A

Lez interstitiale uni/bilaterale predominant in lobii inf și reg posterioare

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7
Q

Plămân(2)

A

Pe secțiune:

  • z afectate- roșii violacee congestionate
  • consistenta crescută( INDURATE )
  • cu crepitatii prezente/ parțial diminuate

Leziunile sunt izolate/ confluente fără zone de HEPATIZATIE

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8
Q

Proba DOCIMAZEI

A

Pozitivă

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9
Q

Virusul gripal

A

SINGURUL care det necroze vasculare cu inflamatie hemoragica

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10
Q

PLEURĂ

A

Neteda

Pleurita + efuziuni pleurale rare

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11
Q

Microscopic

A
  1. Septuri alveolare

2. Alveolele

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12
Q

Septuri alveolare

A

Îngroșate, edematoase:
-infiltratului inflamator limfocitar
-macrofage spumoase
-uneori plasmocite
- PMN - cazuri acute
Capilare dilatate, hiperemiate
Infiltrat limfo-monocitar, specific inf virale+ hiperemia—> caract. Subacut al leziunii

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13
Q

Alveolele

A

Sunt libere

- in cazuri severe: prezent exuda eozinofil, proteic

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