kef 29 loimwkseis kns Flashcards Preview

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Flashcards in kef 29 loimwkseis kns Deck (46):
1

melitaios piretos

apo brucella melitenesis( apo mi pasteriomeno gala i tiri i nosounta zoa)...sto eny exoume avksisi kitarwn kailefkwmatos fisiologiki glikozi

2

antidrasi Wright

orologikes eksetaseis pou anagnwrizoun tin brucella sto eny kai sto aima

3

therapeia brucellosis

rifampikini me trimethoprimi .soulfamethoksazoli i tritis genias kefalosporini

4

vaktiridio sifilis

wxra spiroxiati (treponima palladiium)

5

ti katastrefei i tritogonos simfili

nevriko kardiagkeiako alla kai kathe organo

6

okseia sifilidiki minigkitida diagnwsi

sto eni avksisi avksisi lemfokitarwn , leykomatos thetiki stin oroantidrasi VDRL(thetikes oroantidraseis)

7

Nwtiaia fthisis

15-20 xronia meta tin prwtomilinsi apo treponima palladum, mielorizonevropatheia,flegmoni stis opisthies rizes,ta nwtiaia gagglia kai opisthies desmes

8

argyl robertson (misi stin prosarmogi kai oxi sto fws)

stin nevrosifili kai stin diavitiki nevropatheia

9

farmako eklogis sifilis

penikilini(kristaliki penikilini G) se alergeia erithromikini kai tetrakiklini

10

nosos Lyme pou ofeilete

stin speiroxaiti Borrelia burgdoferi apo krotones (tsimpouria)

11

eny stin noso lyme

avksimena lemfokittara(3000) , avksisi lemfwmatos kai fisiologiki glikozi(opws vroukelwsi kai kapws stin sifili) ....diagnwsi me elisa

12

nosos pou prokaleite apo molismeni epafi me oura troktikwn

leptospeirwsi (leptospira interrogans)

13

therapeia fimatiwdous minigkitidas

isoniazidi , aithamvoutoli ,streptomikini , piridoksini (vB6)

14

simantikotero antimikitiasiko farmako

amfoterikini B(nefrotoksikotita ,anaimia)

15

toxoplasma gondi endokitario parasito varia vlavi pou mporei na kanei

diaxiti nekrwtiki egkefalitida

16

kata tin emvriiki loimwksi to toxoplasma kanei-

idrokefalia,mikroegkefalia ,epilipsia ,noitiki kathisterisi tiflwsi ,an ginei stin arxi to emvrio apovallete

17

therapeia toksoplasmatos

soulfadiazini kai pirimethaminis

18

oi iogeneis loimwkseis kanoun _ ston egkefalo enw oi bakritiakes kanoun _

diaxati prosvoli(ektos hsv1 topika) ------------topiki logo nekrwsi kai mporei apostima

19

poia einai ta pathogona mikrovia okseias piwdous minigkitidas(flwgmoni ston iparaxnoeidi)

pnevmoniokokkos (>20) , miniggitidokokkos(paidia kai neous enilikes) , listeria se ilikiomenous kai anosok , aimofilos 10%

20

pathofisiologia minigkikis loimwksis

1.apo mikrovia fisiologikou apoikismou tou rinofarigga pou pernoun ton aeff 2. epektasi paraminiggikis loimwksis 3.miniggiko rigma 4.xeirourgiki epemvasi 5.riksi egk apostimatos

21

kliniki eikona okseias piwdis miniggitidas

piretos ,isxii kefalalgia ,diskampsia evxena epiliptikes kriseis ,kerning brudzisky

22

exoume mesi otitida kai minigkitida,apo poio organismo

pnevmoniokokkos

23

se kak ti pathogono gia minigkitida

stafilokokkos

24

ti kanoume se piwdi minigkitida

kaliergeia aimatos kai empeiriki antiviwtiki agwgi,onp(prwta ct se ipopsia xorokataktitikis eksergasias) afta paraklinika

25

poia einai i empeiriki antimikroviaki therapeia se okseia piwdi miniggitida

kefalosporini tritis genias (kefotaksimi kai keftriaksoni) kai vankomikini gia pnevmoniokokko ,streptokokko b kai aimofilo ....listeria -ampikillini ......stafilokokkos i psevdomonada vankomikini+ kseftazidimi

26

gia aftous pou prepei na kanoun ximeioprofilaksi apo piodi miniggitida(miniggitidokokiki)

rifampikini minokiklini soulfadiazini

27

kliniki eikona apostimatos

simeia xorokataktitikis eksergasias,endokrania ipertasi ,estiakes epiliptikes kriseis,apiretos (xamilos), sos onp oxi!! ,defterogenis epilipsia simantikoteri epiploki

28

pou vriksete to empiima kai ti kanei

iposkliridio xoro,thromvoflevitidws kolpwn

29

episkliridio apostima

apo osteomielitida kraniou ,vgenei pio apo afti ,provlima sto tridimo kai apagwgw sixnotero pathogono xrisizon stafilokokos

30

nevrosifili meta apo 15-20 xronia kanei nwtiaia fthisi poia einai ta simptwmata(mielorizonevropwtheia)

aftomata keravnovola algi kiriws katw akrwn, aisthitiki ataksia,diataraxes ourisis,simeia: argyl robertson ,apousia antanaklastikwn katw akrwn ,thetiko romberg

31

diagnwsi toksoplasmatos

ct :pollaples asvestopoiimenes esties ,elisa( kai lyme)

32

iogeneis loimwkseis n.s

pathogenesi eitai kanoun miniggitida,eitai prosvoli faias ousias polioegkefalitida, mono se prosvoli nevrwnwn prosthiwn keratwn n m poliomielitida kai lefkoegkefalopatheies(otan pan oi ioi sta gloiaka kitara kai kanoun apomielinwsi)

33

okseia iogenis miniggitida

piretos ,kakouxia ,kinagxi ,kefalalgia ,fotofovia,ipnilia ,ipia i katholou miniggika simeia

34

eni stin okseia iogenis miniggitida

afksisi lemfokittarwn mikri avksisi lefkwmatwn ,kai glikozi fisiologiki

35

se poies loimwkseis exoume fisiologiki glikozi sto eny

brukelwsi lyme kai okseia iogenis

36

pio varia apo oles tis iogeneis egkefalitidees einai i loimwksi apo

io tou aplou erpita tipou 1(sto ieg kanei oksiaixma kimata megalou ipsous ana 2-3 sec) therapeia akikloviri

37

o vzv erpitoios(akiklobiri),otan epanenergopoiithei analoga me to simeio pou kanei vlaves

gasereio gagglio(v1) ston ofthalmo ,eripis gonatwdous swmatos (vii) rumsay hunt-paralisi prosopou kai fisalidwdes eksanthima limwksi nwtiaiwn gaggliwn(aisthitikwn) sinithws th3-th12 fisalides ,algi rizitikis katanomis

38

proodevtiki poliestiaki lefkoefkefalopateia

apo io papova JC ,nevrotropos gia oligodendrokittara ,aftos kanei apomielinwtikes esties se imisfairia stelexos paregkefalida agwgi me: CIDOFUVIR

39

ti simvainei se ena pou exei ipokseia sklirintiki panegkefalitida

aftos epathe lipwksi apo ilara se ilikia mikroteri 2 etwn,lanthanon xronos 5-6 xronia ,ekptwsi iq ,ataksia miokloniki kwma ,sto eny exoume g sfairines kai antiswmata kata tis ilaras

40

poios ios kanei tropiki spastiki tetraparesi

HTLV-1

41

TI klinika sindroma apo n.s tha kanei o hiv

asipti miniggitida,hiv egkefalopatheia(prosvoli lefkis ousias) ,mielopatheia(spastikotaksiki sindromi) ,prosvoli periferikou n s (gb i cidp)

42

poio einai to sixnotero loimogono aitio miniggitidas apo aids

kriptokokos

43

ti kanei tis spoggwdeis egkefalopatheies

ta prions (nosos creutzfeldt -jakob)

44

oi nosoi prion( einai eitai sporadikoi eite klironomikes einai apotokes molinsis)

exoume diataraxi metavolismou prion prwteinis,fisiologiki PrPc nosogonos PrPSc(PRNP gonidio) .i nosogonos morfi den diaspate apo enzima kai kanei inidia SAFs enonontai kai kanoun amiloeides --> plakes --> egkefaliki vlavi

45

pathan prions nosou

spoggomorfi ekfilisi,astrogloiwsi ,apousia flegmonis

46

kliniki eikona kai parakliniki eksetasi spogodoys egkefalopatheias

ekptwsi noitikwn leitourgeiwn ,thanatos entos 6-12 minwn,xaraltiristika: mioklonies prwimi anoia ekfortiseis ieg,sto eni exoume prwteini 14-3-3