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extremitate cefalica Flashcards

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1
Q

semnul lui Jacoud

A

eritemul pometului de partea pneumoniei – procesul pneumonic poate afecta gg stelat de acea parte, cu activarea simpaticului

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2
Q

craniul in turn

A

in anemii congenitale - anemia sferocitara
talasemii
sd rendu osler

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3
Q

semn Hertoghe

A

piereder pilozitate in 1/3 ext a spranceanei in hipotiroidism

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4
Q

faciez mitral

A

in reumatismul art acut
pometi rosii
buze usor cianotice

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5
Q

facies Shattuck

A

tot in RAA dar asociaza si insuficienta tricuspidiana
icter + cianoza ->culoare verziue a fetei

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6
Q

facies pletoric

A

hipertensivi
congestie fata
extazii la niv feteo
seaman cu faciesul alcoolic

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7
Q

facies elfin

A

cardiopatii congenitale - mai ales stenoza aortica
urechi ascultite
nas alungit
ochi mai aporpiati

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8
Q

sclerodermie facies

A

facie de icoana bizantina
fara expresie, imobila
buza subtiri
piele groasa, mana fara incretiruti, HD fibrozat
esofagul de sticla!! fara relief

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9
Q

LEritematos

A

eritem localizat
in fluture

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10
Q

facies vultuos

A

congestiaa fetei in boli febrile

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11
Q

Facies hipocratic

A

in bolile digestive – apare tardiv, la bolnavii cu ocluzie intestinala sau peritonita, prin deshidratare foarte mare
ochii sunt dusi in fundul capului
nasul e ascutit

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12
Q

exoftalmie bilaterala

A

hipertiroidie - edem al grasimii retrobulbare

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13
Q

exoftalmie unilaterala

A

leucemie
tumori retrobulbare

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14
Q

enoftalmie bilaterala

A

in deshidratari mari

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15
Q

enoftalmia unilaterala

A

sd Claude-Bernard-Horner

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16
Q

ptoza palpebrala bilaterala

A

miastenia gravis

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17
Q

ptoza palpebrala unilaterala

A

afectare nIII
sd claude- Bernard

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18
Q

ectropion

A

la batrani
t conj se atrofiaza - pleopa inf proemina in afara - lacrimile curg pe fata - epifora

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19
Q

entropion

A

din cauza cicatricilor pleopa inf intra in ochi, genele lezeaza corneea, se poate ajunge la orbire

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20
Q

edem palpebral

A

sd nefrotic, edem mixedematos
local - edem alergic/ inflamator
herniere grasime

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21
Q

xantelasma

A

depundere grasime in unghiul intern al pleopei/lor
placa bn circumscrisa, neregulata

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22
Q

xantelasma la tineri

A

marker hipercolesterolemie

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23
Q

hordeolum - ulcior

A

infectie folicul pilos

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24
Q

inflamatie gl Meibomius de pe margine palpebrala

A

chalazion

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25
dacriocistita
inflamare sac lacrimal in unghiul intern
26
examen gat
gg limf trahee tiroida vase mari cervicale
27
palpare artera carotida
anterior de SCM, in dreptul cartilajului tiroid
28
artere vertebrale ausucultatie
in fosele supraclaviculare
29
vene jugulare superficiale inspectie
traverseaza SCM
30
hidrocefalie
cutia cr mare fontanelele anormal de pari si persistente cand ar trb sa fie inchise
31
hidrocefalia interna
LCR in sistem ventricular acumulat dupa inchiderea fontenelelor craniul are dim normale se comprima parenchimul cerebral - suferinta neurologica seciundara sauu la batrani dim cauza atrofiei cerebrale
32
craniul rahitic - def diferite
cr olimpian - proem oase frontale oxicefalia - proem suturile mediane ale boltii
33
sd Claude Bernard -Homer
cauza - cancer de vf pulmonar care afecteaza gg stelat simpatoc ce inerveaza ochiul - enoftalmie - ptoza palpebrala - mioza
34
leucom
opacifiere albicioasa a corneei
35
gerontoxonul
opacitate albicioasa liniara in marginea corneei din cazua depunerilor de lipide la tineri - semnif dislipidemie
36
pterigionul
ingrosare vascularizata fara triunghiului cu baza spre unghiul nazal
37
iridociclita acuta
inflamatie a irisului si corp ciliar in boli oculare si sistemice eritem perilimbic prin VD - ca la lezare cornee + PUPILA MIOTICA, uneori neregulata in contur si durere profunda!!!
38
glaucom acut
coloratie eritematoasa perilimbica prin VD midriaza durere intensa scadere a vederii
39
mioza bilaterala
prea mici pupilele, imobile
40
mioza bilat cauze
accidente vasc pontine morfina si alte derivate trat glaucom cu pilocarpina - mioza persistenta
41
midriaza bilat cauze
PD, fixe intox cu atropina, glutetimid intox cu ciuperci acc crebrale grave dc apare in timpul resuscitarii - semn moarte cerebrala
42
anizocoria
ineg pupilara leg gg stelat - sd CBH afectare n III comun lez asimetrica TC
43
sd Argyii-Roberston
pupila miotica contur nereg areactive la lumina DAR reactuve la distanta in sifilis cerebral - tabes
44
amauroza unilat periferica - orbire perif
af retina, nerv, tract pupila areactiva -> nu e nicio reactie nici la celalat ochi
45
amauroza centrala
ai reflexele pastrate dc e pierduta complet vederea apare un tip de strabism neparalitic - ochi deviat in sus si afara
46
coloboma
absenta o parte din iris nereg pupila congenitala sau dupa op de cataracta
47
strabism cinvergent
esotropie
48
strabism divergent
exotropie
49
strabism neparalitic
in copilarie ineg de tonus sau lungime m extrinseci
50
strabism paralitic
lezare nIII da diplopie la poz strabica a ochilor
51
nasul in piciorus de ceaun
piramida absente si vf ridicat proeminent in sifilisul congenital
52
pct dureroase sinuzita nu treb confundate cu
pct de emergenta a rr suborbitala si fruntala a lui V care dor in nevralgia trigeminala
53
cheiloza angulara
avitaminoza B2 fisuri dureroase in coltul gurii
54
mucocelul buzei
f bn del, rotunda, nedureroasa un chist cu mucus diferit de un angiom de obicei albastru
55
pete pigmentare pe buze si muc bucala in
sd Peutz-Jeghers - + polipi int
56
angioedemul buzei
edem quincke r alergica cu apariti brutala poate aparea la fel la lartinge cu implicatii severe - obstructie prin edem
57
angina virala
date de virusuri - eritem muc val palatin. pilierii si lueta - vezicule si ulceratii policiclice - unerori acoperite cu dep albicioase - dureroase
58
angina virala 2
- foliculi limf proeminenti pe peretele post al F - amigdale eritem, hipertrofie si poate depozite albicioase
59
angine virale exemple
herpanginele date de Coxsackie mononucleoza infectioasa are in plus lez hemoragice pe papaltul moale si adenopatiile laterocerv si suboccipitale
60
anginele bacteriene
- eritem palat. pilieri, faringe - ulceratii acoperite de dep purulente Exsudat faringiana pt dif bactrie/virus
61
stomatita micotica
- eritem discret al muc acoperita de dep albicioase
62
Petele Fordyce
mici puncte galbui pe muc jugala alte loc gen buze retentie a gl sebacee fara semnif
63
leucoplakia
mucoasa alba, cu aspect uscat, bn del leziune precanceroasa
64
cancer de amigdala
hipertrofie unilaterala, ulcerata nedureroasa
65
limba saburala
depozitul alb e mai gros = dep de descuamare - stari grave - boli febrile
66
limba geografica
unele zone sunt depapilate e ok
67
limba fisurata/scrotala
are santuri e ok
68
limba depapilata
neteda, rosu aprins deficit de B12 - anemie pericinoasa = Glosita Hunter anemie feripriva deficit de alte vit B
69
glosita Hunter
anemie pericinoasa - def B12
70
limba zmeurie
rosie, cu suprafata granulara hipertrofie papile filiforme -scarlatina
71
limba neagra, paroasa
posterior, in zona mediana se innegreste papilele sunt alungite e ok
72
leucoplakia
pe margini sau fata inferioara mai frecvent lez precanceroasa
73
leucoplakia paroasa
placa alba, uscata, viloasa pe margini in SIDA
74
cancer lingual
la baza sau pe laturile limbii nedureroasa
75
deviere vf limbala proturzie
paralizie hipoglos deviere de partea cu paralizia
76
gingivita
inflamatie si tumefiere care evolueaza spre parodontita
77
gingivita necrozanta
acuta, dureroasa in boli grave, cu scadere mare a apararii antiinfectioasa - leucemii acute
78
stomatita Vincent - gingivita necrozanta
gingii tumefiata si ulcerate false mb cenusii pe zonele lezate
79
hipertrofia gingivala
in sarcina in leucemie uneori
80
lizereu gingival
coloratie albastra-negricioasa dipsusa pe marginea gg in intox cronice cu metale grele - pb, bismut
81
pigmentare melanica a gingiilor
discromie difuza boala Addison
82
dintii Hutchinson
dinti deformati troconici, mici in SIFILISUL congenital
83
marire in vol unilaterala a gl
tumora b sau m
84
marire in vol unilaterala a gl accentuata postprandial + durere
litiaza canalului salivar cu colica severa si obstructie canaliculara
85
parotidita acuta supurata
marire in vol unilatr dureroasa scurgere puroi canal Stenon in boli grave ca infectie sec
86
paritidita endemica - oreion
marire vol bilaterala aparitie acuta
87
ciroza etilica si obezitate ce fac pe gl salivare
marire i vol bilat asimtomatica cronica
88
tiroida marita in vol, difuza
gusa endemica tiroidita Hashimoto boala B-G
89
gusa nodulara
mare dar se si palpeaza noduli multipli de obicei bengni
90
nodulii tir
apar si pe gl marite si normale - chist/adenom - neoplasm

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