SINDROMUL BRONSITIC ACUT Flashcards

1
Q

definitie

A

inflamatia acuta peretelui bronsic, interesand mucoasa si corionul submucos, cu tublburari de secretie, de permeabilitate si de reactivitate

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2
Q

Cauze

A

infectioase - virale sau bacteriene - izolata sau context mai larg de infectie de tract respirator superior
boli infectioase generale - rujeola, varicela, tuse convulsiva
toxice - profesionale, iritatie bronsica prin inhalare de vapori toxici ( amoniac, acizi, sulfati, nitrati)

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3
Q

APP

A

boli pulmonare sau cardiace - stenoza mitrala, insuficienta ventriculara stanga cronica
boli generale - diabet zaharat si SIDA
( scad reactivitatea generala sau determina staza)

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4
Q

CVM

A

expunere la noxe, intemperii, locuinta necorespunzatoare, umeda, aglomerata, cu igrasie

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5
Q

semne generale

A

astenie, mialgii, atralgii, frisoneete sau frisoane, (sub) febrilitati, stare de curbatura

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6
Q

faza de instalare

A
  • BRONSITA USCATA
  • 2-3 zile - tuse uscata, iritativa
  • duere retrosternala moderata; cu caracter de opresiune toracica
  • dispnee
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7
Q

faza de stare

A

BRONSITA UMEDA
- 5-6 zile, tuse productiva
expectoratie in cantitate moderata, mucoasa, mucoida sau mucopurulenta

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8
Q

EXAMEN OBIECTIV

A

inspectie : ronchus traheobronsic
PALPARE : freamat bronsic sau ronchal
AUSCULTATIE : raluri bronsice uscate - RONFLANTE SI SIBILANTE
raluri umede - in functie de dimensiunea bronsilor, de gradul de edem inflamator, tipul de exudat ( vascos / fluid) n, raluri mici - subcrepitante (BRONSIOLITA), mijlocii sau mari

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9
Q

Paraclinic in bronsita acuta

A

Examenul citologic si bacteriologic al sputei : PMN, examen bacterioplogic - frotiuri colorate pentru germeni comuni
Putem sa facem si rx, teste hematologice si biochimice
EXPLORRARI FUNCTIONALE RESPIRATORII - eventual obstructie minima

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