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Gota Flashcards

(9 cards)

1
Q

Causas de hiperuricemia?

A

Superprodução x Diminuição da excreção (álcool, obesidade, tiazidicos)

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2
Q

Fases da gota

A

1) Hiperuricemia assintomática
2) Artrite gotosa aguda
3) Gota intercrítica
4) Gota tofosa crônica

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3
Q

O que pode precipitar uma crise e a hiperuricemia deixar de ser assintomática e passar a ser uma artrite gotosa aguda?

A

Trauma, alopurinol, episódio de excesso de carne ou álcool

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4
Q

Caracterize a monoartrite

A

Início súbito
MMII, principalmente podagra
Dura de 3 a 10 dias, independente de tratamento

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5
Q

Diagnóstico?

A

Monoartrite = análise de líquido sinovial

Microscópio com luz polarizada: forte birrefringencia negativa dentro de leucócitos

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6
Q

Tratamento na artrite gotosa?

A

AINES (+ colchicina)

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7
Q

Profilaxia das crises?

A

Colchicina

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8
Q

Tratamento para diminuir ácido úrico: qual, mecanismo, quando e por que nesse momento?

A

Alopurinol, ele reduz a síntese de ácido úrico ao inibir a xantina oxidase. Quando o paciente já estiver tomando a profilaxia para crise, porque esse medicamento pode precipitar uma crise ou piorá-la

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9
Q

Quando trata hiperuricemia assintomática?

A

Paciente com uricemia maior que 9mg/dL, câncer, excreção de ácido úrico maior que 1100 mg/24h

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