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Semio > semio grupate > Flashcards

semio grupate Flashcards

1
Q

astm bronsic

A
  • sputa alba perlata la sf crizei de astm bronsic
  • tuse seaca, putin productiva l ainceputul crizei
  • sputa are leucocoite, eozinofile, cristale Charcot
  • hipoventilatie
  • multe raluri sibilante de dim diferite, pe intreaga suprafata a toracelui
  • raluri bronsice
  • daca se aud raluri sibilante fine => afectare difuza br f mici
  • +++diminuare murmur vezicular -> grav pt ca asociaza hipoventilatie alv
  • subcreptante - secretii in br de calibru mic
  • expri prelungit
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2
Q

bronsita cronica

A

sputa numulara
tuse productiva min 3 luni 2 ani consecutiv
tuse matinala + sputa mucoasa (acalmie) sau purulenta (suprainfectie)
- dg hipocratic
- multe raluri sibilante de dim diferite, pe intreaga suprafata a toracelui
hipoventilatie
raluri bronsice

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3
Q

bronsiectazii

A

sputa numulara si psudovomica
tuse permanenta acc matinal sau pozitional
!!! sputa f abdundenta, MUCOPURULENTA, stratificata - mucos- grunjos-spumos -
- hemoptizie - lezare vas si ruptura lui in urma sputei
- dg hipocratic
- raluri bronsice
subcrepitante

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4
Q

tbc

A

sputa numulara
tuse vesperala. de seara si tuse emetizata
retractie fibroasa a vf pulmonar
lipsa de expasiune a unui vf pulmonar
inegalitate la percutia vf pulmonare
suflul cavitar mecanism
sufluri pseudoamorfice/ pseudocaviatre - fibroza tbc
cracmente interscapulovertebral
raluri bronsice
subcrepitante

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5
Q

abces pulmonar

A

sputa vomica
abundenta , MUCOPURULENTA , stratificata!! - fb elastice din necroza parenchim+flora microbiana monomorfa
- stratii de sg cand se deschide initial abcesul in bronhie
- tuse pozitionala cand secretia idn cav aj in bronhie
- hipersonoritatea la percutie

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6
Q

bronisita bronhoreica

A

sputa pseudovomica

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7
Q

EPA

A

tuse productiva
sputa spumoasa, alba rozata, aspect de albus de ou bautut
- uneori are striuri de sg
- IC stanga sau globala raluri

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8
Q

cancer bronho-pulmonar

A

tuse iritativa/productiva
sputa hemoptoica, cu cel neoplazice
!!! metastazele pulmonare dau f rar tuse
- dg hipocratic - dispare la extripare tumora , fen paraneoplazic
- retractie vf pulmonar
intereseaza bronhia lobara sup
atelectazia lobului adica resorbtia aerului
cauza atelectazie
raluri bronsice

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9
Q

IC stg

A

tue seaca, iritativa prin iritatie rec bronhipulmonari prin STAZA
tuse de efort, nocturna
submatitate bazal bilateral / doar la baza dreapta
subcreptatii bazale drepte sau bilaterale
exista transudat prin staza in bronhiole
transsudat in alveole face sa apara si raluri creptante
!!! daca ralurile ascensioneaza peste 1/3 bazala a hemitoracelor in interval scurt de timp => IC secer cu EPA

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10
Q

stenoza mitrala

A

tuse particulara data de HTP - da ectazii venulare br de derivatie intre circ mica si mare -> dc se rup dilatatiile da hemoptizie

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11
Q

anevrism aortic

A

tuse iritativa prin compresie pe trahee sai br mari
det hemoptizie masiva fatala daca se deschide in bronhie

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12
Q

embolie pulmonara

A

tuse cu sputa hemoptoica

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13
Q

Granulomatoza Wegener

A

af ac anti-mb R si plaman
tuse cu sputa hemotpica

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14
Q

traheobronsita acuta

A

initial tuse seaca, apoi productiva cu sputa redusa cantitativ, purulenta

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15
Q

pneumonia pneumococica

A

sputa vascoasa
aderenta
omogen colorata RUGINIU

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16
Q

pneumonia staf sau streptocicca

A

sputa purulenta
galbena la staf
galben-verzuie la altele
negriciasa cu stratii sangvine, abundenta la Klebsilla

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17
Q

pneumonia tuberculoasa

A

sputa purulenta
densa
alb- galbuie
cazeum ca branza

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18
Q

pneumonie virala

A

tuse iritativa
neproductiva

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19
Q

pneumonie micotixa

A

sputa purulenta
necricioasa in actinomicoza

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20
Q

pneumonie general

A

sputa hemoptoica
accentuare localizata a vb
o zona matitate
murmur de intensitate crescuta - debut
murmur de int scazuta localizata - alv. cu exudat
suflul tubar boli
raluri crepitante
raluri in coroana in jurul suflului tubar
raluri crepitante de intoarcere - faza de vindecare cand se elimin exsudatul
bronhifonia

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21
Q

sindromul Goodpasture

A

hemoptizie

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22
Q

sindrm Churg-Strauss

A
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23
Q

IRA

A
  • incipienta - greata matinala
  • greata k=la cei cu gastrita uricemica - e si la IRC
  • galben-pamantii -> depunere uroctomi
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24
Q

ulcer duodenal cu spasm piloric

A

varsatura cu sug gastric, nopatea sau dimineata pe nemancate

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25
Q

inflmatii acute varsatura

A

nu le amelioreaza ci agraveaza durerea

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26
Q

greata chinuitoare in

A
  • icter obstructiv
  • hepatopatii acute sau cr
  • hepatita acuta
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27
Q

boala Crohn

A

bolala inflamatorie a colonului
rectoragie - sg si mucus

28
Q

sindrom Mallory Weiss

A
  • hematemeza apoi varsatura pt ca se lezeaza muc esofagiana
29
Q

ciroza hepatica

A
  • hematemeza/melena fara varsatura, dar cu icter si hepatomegalie
  • varice esofagiene + Ht portala
  • eritem palmar
    steluta vasculare - 1/2 sup
    rar unghie hipocratica
    hipotricozaaxilara - semnul lui CHVOSTEK
30
Q

Boala Rendu Osler

A

hematemze/melena
angiectazii pe teg si mucoase

31
Q

Purpura Henoch-Sconiein

A

durere abd + lez caracteristice cutanate

32
Q

Sd Zolinger-Ellison

A

tumora pancreatica secretanta de gastrina
- multe ulcere si diaree

33
Q

Boala Whipple

A

boala difuza intestinala
diaree prin malabsorbtie

34
Q

inschemie mezenterica

A

-diaree apoasa, uneori cu enteroragie cand e sever

35
Q

Boala Hirshprung

A

absenta plexuri mienterice - constipatie cronica

36
Q

sd subocluziv Koning

A

constipatie acuta

37
Q

gg VIrchow Troisier

A

gg intre capetele de insertia sternașa si claviculara a SCM stang
neoplasma subdiafragmatic

38
Q

Boala Hodkin

A

limfogranulomatoza maligna
durere spontana la ingesta de alcool

39
Q

mononucleoza infectioasa

A

adenopatie generalizata
gg cervicali si suboccipitali afectati mai rau - durerosi, mobili, elastici
b febrila cu angina si splenomegalie

40
Q

boala lui Dercum

A

lipomatoza dureroasa - 1./2 sup a corpilui , dureroase spontan si la palpare

41
Q

lipodistrofia

A

asociate cu DZ, rezistenta la insulina. hipertrigliceridemie

42
Q

sd Barraquer Simons

A

lipodistrofie la femei, in 1/2 sup a corpului,

43
Q

boala WEBER CHRISTIAN

A

paniculita acuta
febra

sindrom hemoragipar

reacrie hematologica leucemoida

disfunctie hepatica si pancreatica

44
Q

streptococica/ fasciita necrozanta

A

durere locala intensa

initial
modif teg modeste
eritem discret

apoi
eritem marmotat
edem
cianoza

evolueaza catre
anestezie prin necrozarea nervilor

fatala daca nu e tratata rapid prin drenaj larg

45
Q

fasciita data de clostridii

A

ev grava, rapida

stare toxica generala severa

durere moderata

emfizem subcutanat
crepitatii la palpare
se formeaza gazul de catre germeni

46
Q

neurofibromatoza Recklinghausen

A
  • pete pigmentare
    culoare ca cafea cu lapte
  • fibroame cutanate si perineurale
  • daca exista tumorete in cav osoase sau conducre -> fen neurologice compresive
  • apar ca tumorete dermohipodermice moi
47
Q

Sindromul Albright

A
  • chisturi osoase cu pete pigmentare langa
  • uneori pubertate precoce
48
Q

Sindromul Peutz-Jeghers

A
  • pete pigmentare pe buze si muc bucala
  • polipoza intestinala
49
Q

anemie hemolitica

A

paloare + icter
galben ca lamaia

50
Q

anemie pericinoasa

A

discret galbui
limba depapilata

51
Q

pelagra

A

eritem maini si zone expuse la soare

51
Q

pelagra

A

eritem maini si zone expuse la soare

52
Q

endocardita bacteriana

A

dg hipocratic
nodul Osler
noduli Janeway
hemoragie in aschie subunghiala
febra ondulanta

53
Q

anemie feripriva

A

platonichia

54
Q

diabet

A

onicoschizis

55
Q

emfizem

A

telangiectazii pe torace

55
Q

emfizem

A

telangiectazii pe torace
hipersonoritatea la percutie
pe toata suprafata pulm, cu coborarea limitelor ant si post + micsorare matitate cardiaca - initial doar in zone bazale apoi se extrinde
expir prelungit

56
Q

pahipleurite

A

telangiectazii torace
retractie baza torace
expansiune diferita a unui plaman fata de altul
diminuare sau abolire LOCALIZATE vb
matitate fix acolo
murmur de int scazuta localizata

57
Q

adenopatii mediastinale tbc

A

semnul lui turban
telangiectazii interscapulovertebrale
la copii

58
Q

psoriazis

A

pahionichia
plai eritematoscuamoase
pe supraf de extensie
scuame mari produse prin grataj
daca se insistana - sangerari punctiforme

59
Q

pneumotorax

A

complicatii fracturi costale
bombare segment din cutie tor
timpanism
murmur de int scazuta localizata
intreg hemitorace
suflul amorfic boala
zg de mica intesitate , rezonant, muzical , metalic
perla care cade pe o tipsie de arama
de fapt e ral subcreptant care rezoneaza in cavitatea pleurala cu aer
tuse amorfica
voce amorfica

60
Q

pleurezie

A

pleurezie purulenta - EMPIEM (edem posibil dureros al peretelui toracic UNILATERAL)
retractie baza torace - sechela
bombare segment din cutie tor
matitate abs delimitata superior de o linei parabolica asecendenta
1. de la linia mediana, spinoasa
2. la linia axilara posterioara
3. coboara spre linia medioclaviculara - pl. medie
triunghiul lui Grocco-Flauchfuss
subamatitate cu vf superior

= deplasare mediastin prin revarsatul lichidian
murmur de int scazuta localizata
frecatura pleurala boli
egofonia
semnul lui Bacelli - pleurzeii medii,la limita superioara

61
Q

pleurodinie

A
62
Q

pahipleurita

A
62
Q

atelectazie

A

suflul pleuretic
expansiune diferita a unui plaman fata de altul
cancer bronsic
matitate sau submatitate

63
Q

osteopatia pneumica Pierre Marie Bamberger

A

proliferare osoasa si tegumentara la nivelul extremitatilor + hipocratism - manifestare paraneoplazica (tumori pulmonare), infectii pulmonare, fibroza chistica

64
Q

semn Hoover

A

Semio (16 decks)

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