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Class A > Vasculites > Flashcards

Vasculites Flashcards

1
Q

Quais sao as vasculites de grandes vasos?

A

Arterite de Takayasu e Arterite temporal

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2
Q

Clinica das vasculites de grandes vasos

A

claudicação, redução de pulso, sopro

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3
Q

Vasculites de medios vasos

A
  • Poliarterite nodosa (PAN)

- Doença de Kawasaki

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4
Q

Clinica das vasculites de medios vasos

A
  • Livedo reticular
  • Mononeurite multipla
  • Microaneurisma
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5
Q

Vasculites de pequenos vasos

A
  • Poliangeite microscopica
  • Churg-Strauss
  • Wegner
  • Crioglobulinemia
  • Purpura de Henoch Schonline
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6
Q

Clinica das vasculites de pequenos vasos

A
  • Purpura palpavel
  • Hemorragia alveolar
  • Glomerulonefrite
  • Uveite
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7
Q

Vasculites de vasos variaveis

A

Behçet e Buerger

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8
Q

Quais vasculites fazem Sd Pulmão-Rim?

A

PAN e Wegner

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9
Q

Vaculites C-ANCA+

A

Wegner (WC)

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10
Q

Vasculites P-ANCA+

A

Poliangeite microscopica e Chung-Strauss

Associada a lesão glomerular

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11
Q

Confirmação diagnostica de vasculites?

A

Biopsia ou angiografia

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12
Q

Clinica arterite de Takayasu

A
  • Claudicacao m. superior
  • Arteria subclavia, carotida e renal
  • Coarctaçao reversa
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13
Q

Lesao grave da arterite de Takayasu

A

HAS renovascular

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14
Q

Clinica Arterite Temporal

A
  • Claudicacao de mandibula
  • Cefaleia
  • Aumento VHS
  • Febre indeterminada
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15
Q

Lesao grave da arterite temporal

A

Cegueira (a. oftalmica)

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16
Q

Virus associado a PAN

A

Hepatite B

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17
Q

Clinica da PAN

A
  • Poupa pulmão e poupa glomerulo
  • Mononeurite multipla
  • IR e HAS renovascular
  • Sintomas GI
  • Dor testicular
  • Lesao cutanea
18
Q

Virus associado a crioglobulinemia

A

Hepatite C

19
Q

Clinica da crioglobulinemia

A
  • Consome complemento

- Purpura palpável, Raynaud, artralgia

20
Q

Criterios da doença de Kawasaki

A

5 de 6:

  • febre ≥ 5 dias (obrigatório)
  • congestão ocular
  • alteração oral
  • linfadenopatia cervival
  • exantema polimorfo
  • alteraçao de extremidades (descamação e edema)
21
Q

Complicação de Kawasaki

A

Aneurisma de coronaria

22
Q

O que fazer ao diagnosticar Kawasaki

A

Ecocardio ao diagnostico e após 1-2 semanas e 4-6 semanas do tratamento

23
Q

Tratamento agudo de Kawasaki

A
  • Imunoglobulina IV dose unica (ideal ate 10o dia)

- AAS dose antiinflamatoria ate 48h sem febre

24
Q

Tratamento convalescente de Kawasaki

A

AAS 3-5mg/kg/dia por 4-6 semanas

25
Q

Tratamento cronico de Kawasaki

A

Fazer se aneurisma AAS 3-5mg/kg/dia

26
Q

Doenças que fazem Sd Pulmão Rim

A
  • Wegner
  • Poliangeite microscopica
  • Sd Goodpasture
  • Leptospirose
  • LES
27
Q

O que é Sd Pulmão Rim

A

Hemoptise + glomerulonefrite

28
Q

Clinica de granulomatose de Wegner

A
  • VAS (sinusite, rinite)
  • Pulmão (hemoptise)
  • RIm (glomerulonefrite - pode GNRP)
29
Q

Sorologia Granulomatose de Wegner

A

C-ANCA

30
Q

Clinica de poliangeite microscopica

A

= PAN + sd pulmao rim

31
Q

Sorologia poliangeite microscopica

A

P-ANCA

32
Q

Clinica da Sd de Goodpasture

A

Sd pulmão rim + padrão linear a IF (Ac antimembrana basal glomerular)

33
Q

Clinica de Churg Strauss

A
  • Asma tardia
  • Eosinofilia
  • Vasculite: pele, nervo, pulmao
34
Q

Sorologia Churg Strauss

A

P-ANCA

35
Q

FP da PHS

A

IVAS –> Aumento de IgA

36
Q

Clinica de PHS

A
  • Purpura palpável: MMI e nadegas
  • Hematuria: lembra Berger
  • Dor abdominal
  • Artralgia
37
Q

Como diferenciar PHS de PTI?

A

Na PTI ha plaquetopenia

38
Q

Clinica de Buerger

A

Homem de 35 anos tabagista com isquemia de extremidades com vasos próximas poupados

39
Q

Clinica de Behçet

A
  • Mucosas: ulceras orais e genitais dolorosas
  • Pele: acne, patergia
  • Olhos: uveíte, hipópio
  • Eventuais: artrite, trombose, aneurisma pulmonar
40
Q

Sorologia Behçet

A

ASCA

Class A (2 decks)

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