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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Virusuri responsabile de infectii hepatice |
• Virusuri hepatice • EBV • HSV • VZV |
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Elemente sugestive pentru evolutie fulminanta VHE |
• fatigabilitate pronuntata • sangerari (gingivoragii, menstre abundente) • scadere rapida a dim ficatului |
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Serologie VHB in infectia acuta |
• Ag HBs + • Ac HBs - • Ac HBc IgM + |
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3 enzine virale care intervin in replicarea HIV |
• revers transcriptaza • integraza • proteaza |
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Patologii definitorii SIDA |
• sarcom Kaposi • encefalopatie HIV • tuberculoza • toxoplasmoza cerebrala |
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Clasificarea CDC a HIV - A (istoric de patologii asociate) |
• asimptomatic • infectie retrovirala acuta • limfadenopatie generalizata |
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In absenta complicatiilor, evaluarea periodica HIV presupune |
• determinarea incarcaturii virale - PCR • numarul de celule CD4 |
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Infectii oportuniste HIV |
• pneumocistoza pulmonara • toxoplasmoza cerebrala • meningita criptococica • retinita CMV • micobacterioze atipice diseminate |
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Definitie sepsis |
Infectie + SIRS + afectare de organ |
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Definitie SIRS |
Minim 2: • leucocitoza / leucopenie • febra / hipotermie • tahicardie >90 • polipnee >20 |
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Definitie soc septic |
Sepsis (1+2+3) + hTA refractara la fluide i.v. |
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Scorul Carmeli |
Evaluarea potentialului de infectie cu tulpina MDR |
Sepsis |
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Indicarii de initiere a terapiei antifungice |
• etiologie fungica suspectata • pac cu neutropenie >5 zile • pac cu cateter venos central • pac mult timp in ATI • pac fara rasp la Ab spectru larg/MDR G+/G- |
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Prevenirea transmiterii verticale a VHB |
Viremia > 2000 in trimesteul III • lamivudina / trat antiviral • cezariana, FARA alaptare la san • Ig anti VHB - in primele h de la nastere • vaccin VHB - in primele h de la nastere ! Risc de flare a mamei - trim III / primele 6 L postpartum ! |
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CIRCI |
Insuficienta corticosteroidiana asociata patologiilor cu status critic (complicatii sepsis) |
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