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Osteomielite Flashcards

(8 cards)

1
Q

Cite a classificação da ostemielite

A

Hematogênica aguda: focos distantes
Crônica: tem sequestro ósseo
Abcesso ósseo: abcesso de brodie, resquício sequelar
Pós-traumática e pós-operatória

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2
Q

Explique a fisiopatologia da osteomielite hematogênica aguda

A

Foco infeccioso causa aumento da pressão intraóssea. Com isso ocorre isquemia/necrose óssea, se necrose ocorre sequestro ósseo (indica processo crônico)

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3
Q

Cite a conduta a ser realizada para osteomielite

A

1- História clínica
2- Hemograma (VHS, PCR)
3- Rx simples (se normal faz RM)
4- Drenagem cirúrgica
5- ATB (pedir cultura)

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4
Q

Cite os achados no EF de uma osteomielite

A

Dor
Impotência funcional
Edema
Hiperemia
Hipertermia

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5
Q

Cite como é feito o diagnóstico da pioartrite séptica

A

Dor de início leve para intensa
Aumento de volume
Calor no local
Hiperemia

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6
Q

Cite os exames complementares a serem solicitados na pioartrite séptica

A

Hemograma
VHS
Rx após 48h
US
Cultura e antibiograma

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7
Q

Cite o exame padrão ouro para diagnóstico de pioartrite séptica

A

Punção articular

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8
Q

Cite o tratamento da pioartrite séptica

A

Drenagem
Irrigação contínua
Imobilização
ATB

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