Reumato - Doenças Microcristalinas Flashcards

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1
Q

Principais associações

A

Sindrome metabólica
Etilismo
Tiazidico
Carne vermelha

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2
Q

Mecanismo mais comum hiperuricemia

A

Hipoexcretor

Uricosuria <800mg 24h

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3
Q

Ac urico durante a crise

A

Pode estar normal

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4
Q

Sinal no raio x

A

Erosao em saca bocada

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5
Q

Podagra

A

Monoartrite 1 interfalangiana do pé

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6
Q

Diagnóstico

A

Cristais birrefringencia negatica

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7
Q

Tratamento na crise

A

Colchicina

AINEs

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8
Q

Alopurinol na crise

A

Se tiver nao mexe

Se nao tiver nao introduz

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9
Q

Indicações de hipouricemiantes

A
2 crises ou mais por ano
DRC
Tofos
Erosões 
Nefrolitiase
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10
Q

Tratamentk hipoexcretor

A

Benzobromarona (uricosurico)

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11
Q

Alvo acido urico

A

5 tofaceo

6 nao tofaceo

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12
Q

Pseudogota

A

Pirofosfato de calcio

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13
Q

Sitio mais comum pseudogota

A

Joelho

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14
Q

5H’s pseudogota

A
Hemocromatose
Hiperparatireoidismo
Hipomagnesemia
Hipofosfatasia
Idade >60 anos
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15
Q

Cristais pseudogota

A

Birrefringencia fracamente positiva

Cristais romboides

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