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Geriatria > Sd Parkinsoniana > Flashcards

Sd Parkinsoniana Flashcards

1
Q

Sistema Extrapiramidal Componentes?

A 
Córtex pré motor
Corpo estriado( ACho ) 
Substância negra (dopamina)
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2
Q

Síndrome parkinsoniana - conceito?

A

Redução da dopamina na via nigroestriatal

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3
Q

Causa mais comum de Sd parkinsoniana?

A

Doença de Parkinson

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4
Q

QC doença de Parkinson?

A 
Tétrade:
Tremor de repouso
Rigidez plástica (roda denteada)
Bradicinesia (pequenos passos)
Instabilidade postural
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5
Q

QC - sintomas não motores?

A 
Hiposmia 
SAHOS
Demência/ depresão
Disautonomia
Seborreia
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6
Q

Dx doença de Parkinson?

A

Clínico

Dx de exclusão! (Excluir causas 2árias)

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7
Q

Parkinsonismo 2ário - causas?

A

Drogas (atg dopamina) metoclopramida, flumarizida, haloperidol.
Dano - trauma, vascular (AVE mesencéfalo)
Demências - Lewy, Hidrocefalia, Paralisia IV NC

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8
Q

TTO doença de Parkinson?

A

Levodopa + Carbidopa

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9
Q

Opções terapêuticas doença Parkinson - fase inicial?

A

Pramipexol (Ag dopaminérgico)
Selegilina (iMAO)
Amantadina

  • estimulação cerebral profunda *
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Geriatria (2 decks)

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