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Class A > Vasculites > Flashcards

Vasculites Flashcards

1
Q

Quais sao as vasculites de grandes vasos?

A

Arterite de Takayasu e Arterite temporal

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2
Q

Clinica das vasculites de grandes vasos

A

claudicação, redução de pulso, sopro

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3
Q

Vasculites de medios vasos

A
  • Poliarterite nodosa (PAN)

- Doença de Kawasaki

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4
Q

Clinica das vasculites de medios vasos

A
  • Livedo reticular
  • Mononeurite multipla
  • Microaneurisma
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5
Q

Vasculites de pequenos vasos

A
  • Poliangeite microscopica
  • Churg-Strauss
  • Wegner
  • Crioglobulinemia
  • Purpura de Henoch Schonline
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6
Q

Clinica das vasculites de pequenos vasos

A
  • Purpura palpavel
  • Hemorragia alveolar
  • Glomerulonefrite
  • Uveite
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7
Q

Vasculites de vasos variaveis

A

Behçet e Buerger

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8
Q

Quais vasculites fazem Sd Pulmão-Rim?

A

PAN e Wegner

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9
Q

Vaculites C-ANCA+

A

Wegner (WC)

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10
Q

Vasculites P-ANCA+

A

Poliangeite microscopica e Chung-Strauss

Associada a lesão glomerular

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11
Q

Confirmação diagnostica de vasculites?

A

Biopsia ou angiografia

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12
Q

Clinica arterite de Takayasu

A
  • Claudicacao m. superior
  • Arteria subclavia, carotida e renal
  • Coarctaçao reversa
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13
Q

Lesao grave da arterite de Takayasu

A

HAS renovascular

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14
Q

Clinica Arterite Temporal

A
  • Claudicacao de mandibula
  • Cefaleia
  • Aumento VHS
  • Febre indeterminada
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15
Q

Lesao grave da arterite temporal

A

Cegueira (a. oftalmica)

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16
Q

Virus associado a PAN

A

Hepatite B

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17
Q

Clinica da PAN

A
  • Poupa pulmão e poupa glomerulo
  • Mononeurite multipla
  • IR e HAS renovascular
  • Sintomas GI
  • Dor testicular
  • Lesao cutanea
18
Q

Virus associado a crioglobulinemia

A

Hepatite C

19
Q

Clinica da crioglobulinemia

A
  • Consome complemento

- Purpura palpável, Raynaud, artralgia

20
Q

Criterios da doença de Kawasaki

A

5 de 6:

  • febre ≥ 5 dias (obrigatório)
  • congestão ocular
  • alteração oral
  • linfadenopatia cervival
  • exantema polimorfo
  • alteraçao de extremidades (descamação e edema)
21
Q

Complicação de Kawasaki

A

Aneurisma de coronaria

22
Q

O que fazer ao diagnosticar Kawasaki

A

Ecocardio ao diagnostico e após 1-2 semanas e 4-6 semanas do tratamento

23
Q

Tratamento agudo de Kawasaki

A
  • Imunoglobulina IV dose unica (ideal ate 10o dia)

- AAS dose antiinflamatoria ate 48h sem febre

24
Q

Tratamento convalescente de Kawasaki

A

AAS 3-5mg/kg/dia por 4-6 semanas

25
Tratamento cronico de Kawasaki
Fazer se aneurisma AAS 3-5mg/kg/dia
26
Doenças que fazem Sd Pulmão Rim
- Wegner - Poliangeite microscopica - Sd Goodpasture - Leptospirose - LES
27
O que é Sd Pulmão Rim
Hemoptise + glomerulonefrite
28
Clinica de granulomatose de Wegner
- VAS (sinusite, rinite) - Pulmão (hemoptise) - RIm (glomerulonefrite - pode GNRP)
29
Sorologia Granulomatose de Wegner
C-ANCA
30
Clinica de poliangeite microscopica
= PAN + sd pulmao rim
31
Sorologia poliangeite microscopica
P-ANCA
32
Clinica da Sd de Goodpasture
Sd pulmão rim + padrão linear a IF (Ac antimembrana basal glomerular)
33
Clinica de Churg Strauss
- Asma tardia - Eosinofilia - Vasculite: pele, nervo, pulmao
34
Sorologia Churg Strauss
P-ANCA
35
FP da PHS
IVAS --> Aumento de IgA
36
Clinica de PHS
- Purpura palpável: MMI e nadegas - Hematuria: lembra Berger - Dor abdominal - Artralgia
37
Como diferenciar PHS de PTI?
Na PTI ha plaquetopenia
38
Clinica de Buerger
Homem de 35 anos tabagista com isquemia de extremidades com vasos próximas poupados
39
Clinica de Behçet
- Mucosas: ulceras orais e genitais dolorosas - Pele: acne, patergia - Olhos: uveíte, hipópio - Eventuais: artrite, trombose, aneurisma pulmonar
40
Sorologia Behçet
ASCA

Class A (2 decks)

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