lAClLSuL

laclesul: denl(le
= ospectol qeoetol ol fe(el, copobll s soqeteze o
ooomlt bool.

= fa(a - segmenL anaLomlc,
= zlonomla - ansamblul LrsLurllor fe(el unul
sublecL care deLermln expresla sa parucular.
laclesul esLe deLermlnaL de:
o. moJlfctl sttoctotole/oootomlce sau
moJlfctl Je coloote la nlvelul sLrucLurllor
faclale,
b. moJlfctl fooc(looole - de tooos voscolot sl
moscolot - care Lrdeaz uneorl Lrlrlle
pslhlce ale bolnavulul (durere, Leam,
lndlferen(, surprlndere, speran(, bucurle,
eLc.)
laclesul: claslcare
! in func(le de upurlle de boll in care apar:
a. faclesul dln boll endocrlne,
b. faclesul dln boll cardlo-vasculare,
c. faclesul dln boll lnfec(loase,
d. faclesul dln boll dlgesuve,
e. faclesul dln colagenoze,
f. faclesul dln boll neuro-musculare.
laclesul dln
boll eoJoctloe
!"#$%&'( "#*+,%-"($# (apare in hlpersecre(la
de hormon somaLoLrop/de cresLere la vrsLa adulL)
" proemlnen(a arcadelor orblLare
sl zlgomauce,
" nas proemlnenL sl lrglL la baz,
" ptoqoousm - menLon volumlnos
sl implns inalnLe,
" dln(l lnferlorl rarl sl rsra(l ,in
evanLal",
" pavllloanele urechllor crescuLe
in volum,
" buze ingrosaLe,
" llmb mare,
# cap mare, alunglL, cu LrsLurl
ingrosaLe.
!"#$%&'( "#*+,%-"($#
!"#$%&'( "#*+,%-"($#
!"#$%&'( .$/%*0*+$1$"234"&%1+5$"2
(caracLerlsuc bolll 8asedow-Craves)
" exofolmle - ochl proemlnen(l,
sLrluclLorl,
" reLrac(la pleoapel superloare,
cu fanLe palpebrale lrglLe sl
lrls compleL dezgollL -
paclenLul cllpesLe rar sl are o
prlvlre x,
" LegumenLe ne sl umede,
# aspecL de spalm, ,mlmlc de
Leroare".
!"#$%&'( .$/%*0*+$1$"234"&%1+5$"2
!"#$%&'( .$/+0*+$1$"23,$6%1%,"7+&
" fa( roLund, lnlLraL, LumeaL,
palld - mlmlc redus,
" eJem polpebtol - pleoape LumeaLe,
" nas aplauzaL sl ,borcnaL",
" buze umaLe sl rsfrnLe,
" moctoqlosle - llmb mare, groas, cu
amprenLele dln(llor la nlvelul el,
" dlsparl(la Z exLerne a sprncenelor,
" pr rar, uscaL, aspru, frlabll,

+ bradlpslhle - lenLoare pslhlc
+ voce groas, aspr

# aspecL lnexpreslv, adormlL, aer
lenes, ,de Lrndvle".
!"#$%&'( .$/+0*+$1$"23,$6%1%,"7+&
!"#$%&'( #'&.$2-+$1 (apare in slndromul Cushlng prln
hlpersecre(le de hormonl glucocorucolzl sau corucoLeraple
exceslv)
" fa( roLund, ,in lun plln"
- focles loootls,
" plelea de culoare rosle-
vlolacee - obra[ll rosll,
" fanLa lablal sLrmLaL - gur
mlc (,gur de pesLe"),
" pllozlLaLe accenLuaL - la
femel = bltsousm -
manlfesLaL prln musLea( sl
barb,
" acnee,
" gL gros - ,ceaf de blzon".
!"#$%&'( #'&.$2-+$1
!"#$%&'( #'&.$2-+$1
!"#$%&'( 1$"4%0#
" culoarea roz-roslauc a pome(llor - tobeozo
Jlobeuc.
laclesul dln
boll cotJlo-voscolote
!"#$%&'( ,$7*"( (apare in sLenoza de valv mlLral)
" clanoza pome(llor,
buzelor, nasulul,
vrfulul brblel sl
urechllor, pe fondul
palld al resLulul
LegumenLelor - facles
,fardaL", lo beoot
mlttole
+ aspecL gracll
!"#$%&'( ('$ 8+*9$&"*7 (apare in lnsuclen(a
cardlac congesuv)
" edem + clanoz # aspecL ,buhlL", anxlos.
!"#$%&'( /(%7+*$# (apare in hlperLenslune arLerlal sl
la alcoollcll cronlcl)
" erlLem,
" venecLazll - dllaLa(ll venulare
- la nlvelul pome(llor,
" la olcoollcll ctoolcl - faclesul
pleLorlc poaLe asocla sl
tloofmo (= oos Je coloote
tosle-vlolocee sl soptofo(
oeteqolot ptlo blpetplozlo
qlooJelot sebocee) - ospect
botcoot.
laclesul dln
boll lofec(loose
!"#$%&'( 9'(7'+& (apare daLorlL febrel dln bollle
lnfec(loase acuLe: grlp, pneumonle, eLc.)
" rosu aprlns,
congesuonaL,
" ochl sLrluclLorl,
" LegumenLe umede,
LransplraLe,
" semool IocooJ -
rosea(a unllaLeral a
pomeLulul de parLea
pneumonlel.
!"#$%&'( :$;$#3.%#0# (apare in Luberculoza
pumonar)
" pome(ll de culoare rosle pe un fond de
paloare - fo(o Je ppos.
!"#$%&'( ('%0# (apare in slllsul/luesul cogenlLal)
" frunLe inalL, ,ollmplan",
" oos io so - infundaL la baz,
" anomalll denLare - dln(ll PuLchlnson.
!"#$%&'( ('%0#
!"#$%&'( "1%2+$1$"2 (apare in adenoldlL cronlc/
vegeLa(ll adenolde/,pollpl nazall)
" ingusLarea nasulul,
" proemlnen(a buzel sl
arcadel denLare superloare,
" bolL palaun inalL,
" resplra(le oral,
" voce nazonaL, uplc,
" Lulburrl de auz -
blpoocozle,
# aspecL reLardaL, sLupld.

!!!
!"#$%&'( "1%2+$1$"2
laclesul dln
boll Jlqesuve
!"#$%&'( .$/+#*"0# (apare in boll grave, ce evolueaz
cu deshldraLare sl soc: perlLonlLa acuL, ocluzle, eLc.)
" cenuslu-pmnuu, acoperlL
cu broboane de sudoare,
" obra[ll sup(l,
" fose Lemporale scoblLe,
" ochl infunda(l in orblLe,
cearcne,
" nasul ascu(lL,
" mandlbula czuL, llmba
uscaL.
laclesul dln
coloqeooze
!"#$%&'( &#(%*+1%*,$# (apare in sclerodermla
slsLemlc, care evolueaz cu scleroza rlgldlzanL a dermulul)
" cuLe faclale sl rldurl sLerse -
aspecL neLed, lnexpreslv, ,de
masc" sau Je lcooo
blzoouo,
" buze sub(lrl cu cuLe radlare
perlbucale (,semnul pungll de
LuLun"), gura nu se poaLe
deschlde compleL
(mlctostomle = gur mlc),
" nasul aplauzaL laLeral sl
incovolaL ,in cloc" - aspecL de
poste Je ptoJ.
!"#$%&'( &#(%*+1%*,$#
!"#$%&'( ('/$# (apare in lupusul erlLemaLos slsLemlc)
" erup(le cuLanaL
erlLemaLo-scuamoas,
cu dlspozl(le
caracLerlsuc la nlvelul
fe(el, ce cuprlnde nasul
sl pome(ll obra[llor -
aspecL de fotote co
otlplle iouose.
!"#$%&'( ('/$#
laclesul dln
boll oeoto-moscolote
!"#$%&'( 7%7"2$#
" conLracLur la nlvelul
muschllor mlmlcll -
mosco tetoolc,
" frunLe incre(lL,
" comlsurl bucale Lrase in
sus sl inafar - tlsos
sotJoolcos
!"#$%&'( 7%7"2$#
!"#$%&'( ,$"&7%2$# (apare in mlasLenla gravls)
" pLoz palpebral
bllaLeral,
" ,cderea" muschllor
faclall,
#aspecL ,de om
adormlL"
#la LenLauva de rs -
,grlmasa mlasLenlc"
!"#$%&'( ,$"&7%2$#
!"#$%&'( /"*<$2&+2$"2 (apare in boala
arklnson) - rlgld, fr mlmlc.
!"#$%& "&$,%7*$# (apare in parallzla de nerv faclal)
" parLea fe(el parallzaL - responsabll de aslmeLrla
fe(el.
!"#$%& "&$,%7*$#