sindroamele de condensare pulmonara

Question 1

def condensare

Answer 1

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

Question 2

tipuri de condesare pulmonara

Answer 2

prin infiltratie
prin atelectazie

Question 3

tipuri de atelectazie

Answer 3

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

Question 4

def pfl

Answer 4

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

Question 5

-stadii pfl

Answer 5

-congestoe
-hepatizatie rosie
-hepatizatie cenusie
-rezorbtie

Question 6

simtome debut pfl

Answer 6

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

Question 7

simtome stare pfl

Answer 7

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

Question 8

simt p de vindecare pfl

Answer 8

-febra remite brusc dupa ab
-transpiratii masive
-poliurie

Question 9

semne pfl

Answer 9

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

Question 10

semne locala pfl debut

Answer 10

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

Question 11

semne locale pfl stare

Answer 11

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

Question 12

semne locale pnemonia masiva grancher

Answer 12

-fp abolit
-matitate mare
silentiu resp

Question 13

semne locale pneumonie centrala

Answer 13

-lipsa modif obiective tipice
-prices de condensare profund

Question 14

paraclinic pfl

Answer 14

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

Question 15

def bp

Answer 15

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

Question 16

etiologie bp

Answer 16

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

Question 17

simtome bp debut

Answer 17

-stare generala alterata
-febra mare
-frisoane

Question 18

simtome bp stare

Answer 18

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

Question 19

semne bp

Answer 19

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

Question 20

semne locale bp

Answer 20

-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

Question 21

paraclinic bp

Answer 21

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

Question 22

def pi

Answer 22

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

Question 23

af etiologic pi

Answer 23

mycoplasma, clamydia, virusuri

Question 24

simptome pi

Answer 24

-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

Question 25

semne locale

Answer 25

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

Question 26

paraclinic pi

Answer 26

rx-desen interstitial accentuat

Question 27

def ip

Answer 27

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

Question 28

etiologie ip

Answer 28

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

Question 29

simptome ip

Answer 29

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

Question 30

semne generale ip

Answer 30

-stare generala alterata inexplicabil -subfebrilitati sau febra, tahicardie

Question 31

semne locale ip

Answer 31

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

Question 32

ex paraclinice ip

Answer 32

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

Question 33

def abces pulmonar

Answer 33

-colectie localizata dat proc infl supurativ

Question 34

etiologie abces

Answer 34

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

Question 35

etape abbces

Answer 35

1. constituire 2.deschidere 3.supuratie deschisa

Question 36

simtome abces

Answer 36

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

Question 37

semne generale abces

Answer 37

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

Question 38

exp paraclini abces

Answer 38

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

Question 39

clasificare tumori pulmonare

Answer 39

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

Question 40

simtome cc bp

Answer 40

-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

Question 41

semne extrapul in ccbp

Answer 41

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

Question 42

semne pulmonare cc bp

Answer 42

CCAMP

Question 43

paraclinic cc bp

Answer 43

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

Question 44

fibroza pulmonara def

Answer 44

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

Question 45

etiologie fibroze

Answer 45

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

Question 46

semne si simtome fibroze

Answer 46

-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

Question 47

semne pulmonare in fibroza

Answer 47

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

Question 48

ex paraclinice fp

Answer 48

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

Question 49

def atelectazie

Answer 49

def de ventilatie cu pastrarea perfuziei

Question 50

tipuri de atelectazie

Answer 50

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

Question 51

simptome atelctazie

Answer 51

-simtomele bolii de baza -dispnee intensa instalata brusc

Question 52

semne generale atelectazie

Answer 52

-hipocratism -cianoza

Question 53

semne locale atelectazie

Answer 53

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

Question 54

paraclinic in atelectazie

Answer 54

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