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Semiologie 1 > sindromul bronsitic > Flashcards

sindromul bronsitic Flashcards

1
Q

care sunt bolile din sindr bronsitic

A

bronsita ac si cr
bpoc
emfizemul
astmul bronsic

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2
Q

b ac etiologe

A

infectios loc sau gen
toxic

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3
Q

simtome br ac

A

decut cu icrs: rinoree, stranut, conjuctivita
stare generala modif: astenie, cefalee, mialgii, artralgii, frisoane, febra
faza de debut: durere retro cu tuse seaca 2-3zile
faza de stare: tuse productiva cu exp muc 5-6 zile

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4
Q

ex obictiv br ac

A

herpes labial
i: ronchus traheobronsic
pa: fp diminuat
pe:0
asc: raluri bronsice uscate si umede

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5
Q

paraclinic br ac

A

rx-normal
ex sputa si ab

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6
Q

etiologie br cr

A

bronsite acute repetate
agresiune directa cronica

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7
Q

simtome br cr

A

numai in acutizari, la fel ca in br ac
cel putin 2luni/2 ani
expectoratie abundenta dimineata
uneori hemoptizie
dispnee tardiv

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8
Q

factori favorizanti br cr

A

debut insidios in sez rece, la persoane adulte si cu af ereditare:
-fibroza chistica
-def de iga, hipergammaglobulinemie
-sindr kartagener
-fumat, noxe

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9
Q

semne br cronica

A

somnolenta diurna
sincopa tusigena
facies blue bloater
cianoza centrala si poliglobulie sec
hipocratism digital
atitudine antitusigena
i:torace normal sau paralitic, ronchus
pa: scade fp, creste f ronchal
pe: 0
asc: raluri uscate si umede mici, medii,mari

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10
Q

paraclinic br cronica

A

ex sputa- sindr inflamator
astrup- hipoxie si hipercapnie
probe ventilatorii-disf de tip obstructiv(vems mic)
rx- accentuare desen bronhovascular

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11
Q

def bpoc

A

asociere intre br cr si emfizem, irevesibil si progresiv spre insf respiratorie

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12
Q

simp bpoc

A

tuse abundenta dimineata mucopurulenta
dispnee expiratorie

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13
Q

semne bpoc

A

somnolenta, confuzie, tremuraturi
facies blue bloatter sau pink puffer]
degete hipocratice
cianoza de tip central
ortopnee

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14
Q

paraclinic bpoc

A

ex sputei-sindr inflamator
probe vent- disf resp de tip obstructiv sau mixt
rx-hipertransp
ekg-p pulmonar si HVD
eco-card- HVD, HTP

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15
Q

def bronsiectazie

A

dilatare segmentara a bronsiilor care vor deveni cilindirice, saciforme, acinoase, permitand stagnarea sevretilor la nivelul lor

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16
Q

etiologie bronsiectazie

A

congenital-rar
dobandit-inf cronice trenante, retractii pulmonare si pleurale(postpneumonie, posttbc, atelectazie), neoplazic, corpi straini

17
Q

simptome bronsiectazie

A

-stare gen alterata
-scadere in greutate
-tuse matinala abundenta dep de pozitie
-expectoratie mucopurulenta 300-500ml/24h care se dispune in 4 straturi cu miros fetid
-hemoptizie

18
Q

semne bronsiectazie

A

-febra, transpiratii
-at antitusigena
-degete hipocratice
-4 aspecte clinice: sdr condensare, sdr bronsitic, sdr pleural, sdr cavitar(BCCP)
as: V dim cu raluri umede

19
Q

paraclinic bronsiectazie

A

-sange- sindr inflamator
-sputa-sindr inflamator
-rx- cuib de albine, chirochine, rozeta
-bronhografie cu lipiodol
-bronhoscopie
probe func-disf resp de tip mixt

20
Q

def astm bronsic

A

hiperreactivitate bronsica cu infl si obstructie in care se produce constrictie, edem, hipersecretie, reversibila

21
Q

etiologie astm

A

-factori predispozanti-hiperreactiv bronsica
-factori declansatori

22
Q

tipuri de astm

A

in functie de factorii declansatori
-extrinsec-alergic
-intrisec-infectios
-mixt
in functie de severitate
-intermitent
-pers usor
-pers meoderat vems=60-80
-pers sever vems=60

23
Q

astmul bronsic extrinsec

A

-la tineri
-femei
-hiperreact bronsica HLAB35 precoce si HLA A3 tardiv
-asociere cu alte af alergice, polipi nazali, triada widal

24
Q

simtome astm extrinsec

A

-simp apar dupa exp la un factor
-sind prodromale:stranut,tuse seaca, rinoree, lacrimare, cefalee,
-simpt apar noaptea; dispnee, tuse seaca, cefalee, lacrimare
-dispnee de tip expirator, aroxistica cu wheezing
-tusea seaca care ev spre tuse prod cu aspect perlat

25
Q

semne astm extrinsec

A

-ortopnee
-cianoza tip central
i: torace emfizematos, bradipnee, wheezing
pa: scade fp
pe:hs
asc:mv diminuat cu expir prelungit
-raluri bronsice umede mic si uscate
=zgomot de porumbar

26
Q

starea de rau astmatic

A

disp extrema, tuse extenuanta, tahipnee
tahicardie si hta
somnolenta, confuzie, coma
tranp, anxietate

27
Q

paraclinic astm

A

sputa
-eo
-crist chrlot leiden(lizofosfolipaza din eo)
-corpi creola(cel ep)
-spiralemucoide curschmann(mulaje bronsice)
rx-hipertransp
-teste func- scade vems si it
-teste alergologice

28
Q

astm intrisec

A

-persoane adulte
-infectii

29
Q

simptome astm bronsic intrisec

A

-debut mai putin brutal
-dupa inf resp
-dispnee moderata de tip exp
-exp mai abundenta de tip muco-purulent

30
Q

semne astm bronsic intrisec

A

la cel si cel instrisec

31
Q

paraclinic astm bronsic intrisec

A

-rx-hipertransparenta
-ex sputei-pmn si ab
-ex sange-sindr infl
-probe vent-vems si it mici
-

32
Q

indicele tiffneau

A

=indice de permeabilitate bronsica
=(vems/cv)x100

33
Q
A

Semiologie 1 (10 decks)

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