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Clínica Médica > Pneumo - TEP > Flashcards

Pneumo - TEP Flashcards

1
Q

Tríade de virchow

A

Estase
Lesao endotelial
Hipercoagulabilidade

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2
Q

Sitio venoso mais envolvido no TEP

A

Regiao iliofemoral

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3
Q

Gasometria na TEP

A

Alcalose respiratória
Hipocapnia
Hipoxia

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4
Q

Fatores de risco geneticos TEP

A

Deficiencia ptn c e s
Mutação do fator V de leiden
Deficiência antitrombina
Hiperhomocisteinemia

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5
Q

Fatores de risco ambientais TEP

A 
Imobilização 
Neoplasia
Saaf
Trauma
ACO
Gestação
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6
Q

Principal sintoma TEP

A

Dispneia

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7
Q

Principal sinal TEP

A

Taquipneia

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8
Q

Hipotensao no TEP

A

Falência de VD

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9
Q

Criterios de Wells

A

Probabilidade pré teste
<6 risco baixo
>6 risco alto

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10
Q

Raio x no Tep

A

Westermark - oligoemia focal
Palla - aumento calibre arteria pulmonar
Hampton - corcoca, infarto pulmonar

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11
Q

Ecg no TEP

A

Taquicardia sinusal

S1q3t3

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12
Q

Padrao ouro no tep

A

Angio tc

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13
Q

Cintilografia V/Q inconclusiva

A

Eco TE

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14
Q

Estratificação

A

Risco alto - hipotensão (uti)
Risco intermediário - se insuficiencia de VD ou troponina elevada ou BNP elevado (uti)
Risco baixo - ambulatorial

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15
Q

Tratamento TEP alto risco (maciço)

A

Fibrinolitico (ate 14d)

Trombectomia

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16
Q

Filtro da veia cava

A

TEPs de repetição
Contra indicação a anticoagulaçao
Interromper AC para cirurgia

17
Q

Tratamento risco baixo/intermediário

A

Fase inicial - heparina, foundaparinux, apixabana, rivaroxabana
Manutenção- varfarina (2-3), inibidor Xa, inibidor IIa

18
Q

Trombocitopenia induzida pela heparina

A

Trocar heparina por outro anticoagulante

19
Q

Heparina e DRC

A

Nao usar HBPM (enoxaparina)

20
Q

Cancer e TEP

A

Enoxaparina

Clínica Médica (34 decks)

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