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Semiologie 1 > sindroamele de condensare pulmonara > Flashcards

sindroamele de condensare pulmonara Flashcards

1
Q

def condensare

A

tot mafic clinice si paraclinice care consta in dezlocuirea aerului din alveole si cresterea densitatii parenchimului pulmonar

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2
Q

tipuri de condesare pulmonara

A

prin infiltratie
prin atelectazie

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3
Q

tipuri de atelectazie

A

de resorbtie
-adenopatii
-tumori endo
de evacuare
-pleurezie
-pneumotorace

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4
Q

def pfl

A

-pneumopatie produsa de inf parenchim pulmonar cu streptococcus pneumonie, frecv la niv lobului inf

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5
Q

-stadii pfl

A

-congestoe
-hepatizatie rosie
-hepatizatie cenusie
-rezorbtie

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6
Q

simtome debut pfl

A

-debut brusc
-febra 39-40 continua in platoi
-frison unic, solemn 30 min
-sunghi toratic submamelonar
-stare generala alterata-astenie, somnolenta, confuzie, cefalee

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7
Q

simtome stare pfl

A

-dispnee
-junghi toracic
-tuse seaca care ev spre productiva
-expectoratie ruginie
-agitatie, delir la alcoolici si varstnici

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8
Q

simt p de vindecare pfl

A

-febra remite brusc dupa ab
-transpiratii masive
-poliurie

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9
Q

semne pfl

A

-somnolenta, astenie, confuzie
-facies vulturos cu smn jaccound
-febra ti[ica
-herpes labial
-tahicardie sinusala

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10
Q

semne locala pfl debut

A

i- 0
pa-creste usor fp
pe-sm
asc-mv inaspit(rs) cu rc fine la sfarsit inspir pe o zina limitata=raluri de inductie

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11
Q

semne locale pfl stare

A

i-asincronim
pa-pf acc
pe-m
asc-st patologic cu o coroana de raluri crepitante

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12
Q

semne locale pnemonia masiva grancher

A

-fp abolit
-matitate mare
silentiu resp

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13
Q

semne locale pneumonie centrala

A

-lipsa modif obiective tipice
-prices de condensare profund

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14
Q

paraclinic pfl

A

rx
-focarul de congestie
-opacitate slaba lobar/semn
-opatitate puternica omogena supra sau subcostal de forma triungiulara cu baza de pleura si vf pe hil
-lab-sindr infl acut
-sputa-ag etiologic

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15
Q

def bp

A

pneumopatie acuta grava care afecteaza alveolele si bronsiile cu afect dispneeinizant puternic si ev spre insuf resp severa, ce afecteaza varstele extr si debilitate

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16
Q

etiologie bp

A

primara
-bact, nonpneumo
sec
-gripa, rujeola, febra tifoida

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17
Q

simtome bp debut

A

-stare generala alterata
-febra mare
-frisoane

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18
Q

simtome bp stare

A

-tuse seaca ce ev spre productiva cu expectoratie putina mucopurulenta uneori cu hemoptizie
-dispnee severa
-durere toracica
-cianoza tip cental

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19
Q

semne bp

A

-la fel ca pfl dar mai acc
-pot lipsi la pacc cu vaste extr

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20
Q

semne locale bp

A

-in disc cu bogatia semnelor si simpt
i-dim misc resp, resp super, bataie arip nazale, tiraj intercostal
pa-fp mare dis
pe-m,sm dis
asc-st patologic cu raluri c si sc cu sa fara rs

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21
Q

paraclinic bp

A

lab-sindr infl
sputa-ag etiologic
rx-opacitati diseminate care pot conflua=op pseudolobara, zone de atelectazie intre focare

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22
Q

def pi

A

proces infl dif al peretilor alveolelor si bronsiolelor cauzata de microorganisme nespeficice

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23
Q

af etiologic pi

A

mycoplasma, clamydia, virusuri

24
Q

simptome pi

A

-debut insidios cu asp de gripa usoara sau de rinofaringita
-stare alt generala; cefalee, mialgie, artralgie, febra, frisoane
-tuse uscata uneori cu exp mucoasa
-dispnee usoara

25
Q

semne locale

A

i-0
pa-0
pe-sm
asc-mv diminuat cu rc izolate, rare

26
Q

paraclinic pi

A

rx-desen interstitial accentuat

27
Q

def ip

A

consecinta obliterarii unei ramuri din artera pulmonara cu ischemie secundara si nevroza teritoriului tributar

28
Q

etiologie ip

A

embolie la distanta
-tvp
-troboza micul bazin
-tromboza in vd dilatat
-gazoasa,grasoasa, lichid amniotic
tromboza in situ
-hipercuaulabilitate

29
Q

simptome ip

A

-debut brusc
-junghi toracic
-dispnee cu polipnee
-tuse seaca cu hemoptizie
-anxietate si palpitatii
-subfebrilitati

30
Q

semne generale ip

A

-stare generala alterata inexplicabil
-subfebrilitati sau febra, tahicardie

31
Q

semne locale ip

A

i-asincronism, asimetri
pa-fp mare
pe-matotate
asc-st patologic cu rc in jur si fp

32
Q

ex paraclinice ip

A

rx-opacitate intensa triunghiulara
ekg-ax deviata spre dreapta, tulb de ritm, aspect s1q3
ecocard-incarcare inima dreapta
scintigrafie cu izotopi-zona neperf
angioct

33
Q

def abces pulmonar

A

-colectie localizata dat proc infl supurativ

34
Q

etiologie abces

A

-bactere aerobe-staph, strepto, hemoph, pseudomonas, entero
-bact anaerobe-clostr,actinomyces, bacteroides
-fungi
-protozoare

35
Q

etape abbces

A
  1. constituire
    2.deschidere
    3.supuratie deschisa
36
Q

simtome abces

A

constituire
-ca o pneumonie ac
-junghi rezistent
-alt stare gen
deschidere(8-10)
-ep abundenta cu vomica purulenta
supuratie deschisa
-febra neregulata
-anorexie si scadere in greutate
-tuse cu exp abundenta 200-300 fetida si stratificata

37
Q

semne generale abces

A

-paloare teroasa sau cianoza centrala
-febra neregulata
-ex obiectiv resp probabil normal
-poate prez sindr de cond si cavitar

38
Q

exp paraclini abces

A

-lab-sindr infl
sputa-ag etiologie
-rx,ct-loc abces

39
Q

clasificare tumori pulmonare

A

benigne
-adenoame
-fibroame
-condroame
maligne
-primare
-secundare=metastazele

40
Q

simtome cc bp

A

-debut insidios, tipic la barbati, peste 55-65 ani, mediu urban
-sindr de impregnare maligna cu inapetenta, astenie, subfebrilitati, scadere ponderala, fumatorii nu mai fumeaza
-junghi toracic tardiv
-tuse seaca, progresiva si rezistenta la tratament
-dispnee progresiva

41
Q

semne extrapul in ccbp

A

-sindr de impregnare maligna
-neo apical
-sindr paraneoplazic(degete hipocratice, boala PIERRE-MARRIE-BAMBERGER, polinevrite,miozite, dermatomiozite, tromboflebite etc

42
Q

semne pulmonare cc bp

A

CCAMP

43
Q

paraclinic cc bp

A

-rx-opacitate neregulata cu prelungire
-ct-formatiune si adenopatii
-punctie transtoracica pt periferice
-bronhoscopie-endo

44
Q

fibroza pulmonara def

A

sclerozarea ireversibila a parenchimlui pulmonar prin producerea de t conj in surplus

45
Q

etiologie fibroze

A

-idiopatic-SINDR HAMANN RICH
-cunoscut-inf virale, gaze, vapori, med, radio

46
Q

semne si simtome fibroze

A

-debut tardiv
-inapetenta cu scadere ponderala
-subfebrilitate, mialgie, artralgie
-dispnee progesive spre severa
-tuse uscata slab productiva
-dureri toracice difuze
-cianoza tip central in stradiile terminale
hipocratism digital

47
Q

semne pulmonare in fibroza

A

-necaracterostoce
pe:sm, scade map
as-mv diminuat cu rc fine bazal

48
Q

ex paraclinice fp

A

rx-asp granular sau reticulonodular
ct-asp sticla mata, plaman in fagure de miere
-probe resp func-sindr restrictiv
astrup-hipoxie si hipercapnie

49
Q

def atelectazie

A

def de ventilatie cu pastrarea perfuziei

50
Q

tipuri de atelectazie

A

de evacuare
-pleurezie
-pneumotorace
-pericardita exudativa
de rezorbtie
-adenopatii
-tumori
-cs
-decubit dorsal prelungit
-boala memb hialine

51
Q

simptome atelctazie

A

-simtomele bolii de baza
-dispnee intensa instalata brusc

52
Q

semne generale atelectazie

A

-hipocratism
-cianoza

53
Q

semne locale atelectazie

A

i-asimetrie si asincronism, retractie hemitorace afectat
pa-fp diminuat
pe-sm,m cu sk si hp
asc-silentiu resp

54
Q

paraclinic in atelectazie

A

-rx-opacitate zonala cu deplasarea traheei si mediastin spre partea afectata
-ct
-bronsoscopie

55
Q
A

Semiologie 1 (10 decks)

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