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  • Medicină Internă, Borundel, IV

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    Ingrid Ileana Bauer
    371 vizualizări18 pagini
    Medicină internă, Corneliu Borundel, partea a 4a, pp. 268-300

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    Medicină internă, Corneliu Borundel, partea a 4a, pp. 268-300

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PDF sau citiți online pe Scribd
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    371 vizualizări18 pagini

    Medicină Internă, Borundel, IV

    Încărcat de

    Ingrid Ileana Bauer
    Medicină internă, Corneliu Borundel, partea a 4a, pp. 268-300

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca PDF sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 18
    __Holieuparataot respirator 269 Be obit cerca debi vensor main pe min, sede pDupho perioadi mai mult seu mai putin hing apr etnfizemul pulmonat lato atcrpmcn ccd amon ee vane eevenjiach bla ic de tenho pumps rome st eathd proce sei ext ya ole dale apes Savor dite vein src) Ponce ee ae ama epi ores peau gi epi {Sern ces A Peep ssn in ips de maa, pum romp decompcste ati= fp Decompersnle pt pies ycnumare sory O oper exe his) thc tonpa coi prens nga conic enon bone Eset roshior ma, creche emt in (en oe experi cpr abun ll sherpa pene, Peoeies cu tears trent st dona de pce expo fr eo ee at ph gra oper on Btmatfrm ae a sinptom domiane Ginpers pax (it Bes) Tica coset tnagin sai cae mal ome fagia conch, cre spre cao complain fel de fxs formal dcscre ti Sous faructy.inaesenml ner sera de exper Pt isofil e eesteres se, 3 fun pean $i minim 2a spec, ry este cupind fn tl) i(BPOC, sau boas pi levoife comin, femfizemul palmar As. iuavl $i feeven. Apr, Bron mic, wus lips expators disiny le: factor iri tare evolu: sre sunt ese is de ae). ne peace iy un oe prin oni le ese incre ermal carat ee sere capaci pulmonar ‘are prin bol cbstrtive (hina, hiperepnie),dezvlit a Brongia cite obealplmenarobstctv este eons in rei azine Funder pas unt expo real resis el ee rz Hind eae. roger boitined comps pecare proven. ‘in stadiul de bronhopneu- tec canoes flr enone (wet Cs, qyyevlsana maser Prater res, ur pedoninh dyes Sec unipoce, expe piel renee we, ran Sun qu eers TF wa die maine SS mn are goes. Corl panos reine pect Greta ur incina ta Sr Ta jepente meres oi ober ‘Alupent drops ive anh finery, re enindvicis ey POC arate sane gre ue for deve al ia ie de dis m snsi ciate glomeri de ecomanda di, variate ee Fore ili reidielr brome serones ein dea, inflesjears recent cua eidivelet ‘S-aumancrcat Peni Vn neil elt inperanth. Chine linea de ie erent teptoeoe, ) ceca ce pane flsina set personal ‘Serle. Sinem e& prepsrtele felon sub ise adminisreacs reve pale oral Date substan ele nice, paimonae (oie rice POC, a5 spistore et) wun Beta? adenergiele, cele sit deriva si aerating Att adrenalin et feina st prac netiiabl. Dies erajiaa doo fos as rece: Ioprenalin (Alin, fina (Alpen, top) ad au epevent progres in praca cli, west ileu cu preparae din genera forays rovccate(nspclubicarle) Dae prepartle Iycn enuncrin: Terbtalnel (Bcicany), Fenoterlal (Beats), lin Salam!) ClenbterohSpropent). Uliaicu precios Pavel defecate cardo-ensclar. Sa nett de Opals (20mg, de Salbuaol (4 mg, Terbtlin Apa ne creda spontan sa ea redoceea doze vant broncos eae a cap de serie Atopinn. In Atrovent Brome de parent), care ms presnts cemebret witb ener eelyrmmiea brome es 0 mia fon le ami. dn ti despite lapreveri tsar: HEapeialtabolnvi gs, cise fobstrua cv dope de conor ed ek oe en nl ecnemicous de eau dang: liebuiessexceut exit gare constcat scons mao Ia inspira a Si oat ols erie ¥ prin de fete erste." i fntionle » fei caro Bf toate bolle i ronsic) Bolte aparateal respira _ 273 a ou ee occas emt oa rosie es ire src pn ole op ae e ns ene Beer coche mo eommee ae ee eee es neon ee eee eee oe ae rs ras a ae eee eee pee eee ees oo ee See ee aes iene cre piper Bote a stu respirator 275 esos nict, sirml connitetapnmoptih Beil” concer. indict nana ai fever dnt 50 dean, de ob aa, up fein Bons cae aie chase inci ce ame ce, ei besos vice, prcstocenlneFact coal ales congenial ly civ dan plone Facer Scifi cin undp cat pl, incl puro aol lis sn xin ave mie, c pei ii a Ess finda Adom uo npe cn Cn EmmpBlin, este procen:y) decloretiiene esi sis, xe cr spi cn expect digs eens os seaman sae ae tesa ec oar cnt na mane cn Bsclimyl, dpc de pin rnp de sae HI BPOC-ulus daior jeste diminuats, In siadile severe, bolnavii nu reugesc $8 stings un Bix Spe demic In carecare distant (5 em). Apc tla ee adc tbe mioln ans Pi ccinor! sandr pont gl sco, jp inating is naa uc cervical lice, La pc o eal ek Bi los, ot eb (ssi Game mare cole lesa ml peegth. pinta exp lng, finger norte sola el, ore Ui Stee rp ceive VE eit Inscoir (nce venre banc) ei den len ress pnd nonce compa brome Sit opine ep reo ren enn non euch en pro reaped ee renee aes bree pe unl nic apc: ponder oraceai finan pot ispeatre pe exarenal radiologic mite vaurcs cont nyc onc, 8 sul, & ime npn toc = ont ni tte) Tnx ea rin partic wochosinaare (o pv ncaa nite de im fn vest en conooterape.Oxigen se rcomandcu grids mai als cd “C0 seni) In nl can remand efbearh seise mie cuppa ees pind cen bs Opie eal er car faeries eenfiabrengieh Sr al apc Trane ese nar eu se ironies FEUGURIE Sur de ajine Bele aparatua respirator _277 Bae (0ciate cy ., mont grave, compa ase Forel ct Payee eal (bontopncumorie, bce sa a a oo Be ons wc oe dete ep tse Sees rome Heoaidexs bc ge-kctaneovpecl erent). trogen cnge ue al nyt ne ep ota levee wondrous Hemioptiziiyirsluribronsice in lobii 2 ~ bronsiectazs saccitorme; Gaccccusstacl 3-bergeealrattame eres os hg ives oma Be pean tose ce arn cual een ce pea srl pon Labcma Eth bopecanic mcs, waumatl eael bron caaceia prin redaceeagncaens, vari reverb, aieri carci ilo, eu crzparoxsice de dispes exter ral slant fexpectratie P ee 7 ori, Uw Je, hpesereta spas Prinele dus componente sua as, nek eae pat, expects Pent afirmaendiagoostcoli de asim rosie sunt necesate cel baa pec, ie pase een ans are potas den ae ro cede perth veo plngae edeia kde VES) Aste ona cone Spe complica ie tive ali prin bgt ator. ASM ea es recent modi csiensone. Asma se pose nee, te os | de brongiti astmaticd. Aceasia din urmi este precedat,intot- " a ie gi sible ¥astmatice, in timp ce in brongita astmatiformi, dispnees paroxistich “a gat peroad de evolu a une bron. alt vbr terminale obra de mots, eu esale Indispensa ogc elev bron emi 278 _Medicind Interad pentru cadre mel rong met eal. snore, staining stmfictor general (i... ° DBs ese respirator 279 viopatogene: asl ‘oat via (bolavalse Beira ac ac ee Bee ati ncn anche rah Be oe ees rome ae eh ine cara de asin boi) asta brome pare dp 0 cps seoncerondoe a scsi tuscscxpecraie mcr pute ft econ Beenie). In foc de everisea nan sai. sedascerc aoa Bide tenia est, ata cv dpe prc, ma ot stare deri arma, Sare de rasta earctra aa co. pared asain chc oe putes Bedatve,opsce,briaice, sup browse pit eazy aspect ci. Tee inseam de ales, sl cuts de prvocare ae el eiferenil bie abt vere atl caine (ipnce pops anannes scone cade de infin candach pee fringing (is, cms). bosia sar cine rm ysis ps ovo li fal de ih est bu, dar co evince rene tml resi spunea o a age rpaate proser fos expla rong conic, Sines ane mise are importants Pina ajane ier combetrn frat 9 iabgich Ale sur cares ao polee, hsv expunres Sensis particular olor in pune, de iroalr spat npn nl aglomerailr nna oproflareridivelr boris, in annul bon nia se eraciln gi mira Peiiog V Sauna ertoicinn, Blnepolal. Cu acest dn ura aot ezalateDoeffunilede mental cy serx (Ialter) es ndspewsbl inant ome. 24 inhi pe ged, nora at tb aura, Mead riser, spl alread fei gemen cma ce pane ipsa instar de seta prt Pana ite sun inc bt-sdrenergicle,amicolnericle i deriva xsdreneriele art dro aden cae din caza fete ied) mu ra et ila Dn geerjia a dou se mtn nr) Orpen ape. soap). Spe Foal: Trt (Brey, Fenoteoal Earconacev alec, ifeactiaaleics antigen nics Keen Hisar in nde ipa eet bred cotcoterape, ek ineaabiisé spans dusdetediaoriichinic ME sit ras, ev ens sempele bros crvie rent. rica apareina dos Bolan mee Abii stn poze gein. et eozinofie eens ou sub isons orga psn Quinke apricioass. Fo! ori, acceso 280 _Medicind interna pentru eadre med ‘Berotec), Salbutamotul (Ventolin i Sultanol) $i Clenbuterolul (Spiroy,,, ‘lose reid mars dca. Dozjletet (42 inal) ares ES ot se py dors = intrebuinfare curentd. eee Salbutamol i Terbuang x dct ttl pe zine 10-60 mg Preps (Saba) ue em Co ep educerea dove! 0)" Pilati betindrenegiclor Aso an final Seadminsres) aural (ple fu de cereale, pes ESuperpredol | sehen tc ul cortcote scons FRc expecto mace Psevi(roconal Neves cages cee aaa Peelscice vor pcs nicnsns reset finitante bronsice -tutua, alcool etc. nee or ome parca ide nese red: Wn iv, 1-2 Sle, Und wee tice (Alupent, Berotec, Bronk ce dat) a pura let elpnceparoxisict: sixpaicomineteele cic eit, percohl Brea me; Mofo ix. ous combate disper, dary prvine Blrespcl clan comic em le Bsnore ptf wile; coricotera tebe reins ca tment de at xt nocesar ind celle dog vay dod nance (a 30 mg: de intent Sm) Bf spe continu: torhoatsrle sunt inal, ar Moi bilizarea spect ez indice; conicterapia rhe loci, putin sista riz 25 ce oe. Se lose meted Jozlor 865m real se mening se ince suprimarea drop ach se ftiepe cdr pcs. ACTH ne maa sins eno vain, eave ermogctlde od ibaa pt corn a fit asia: Nevins fe rcrizon i oe nia de 25 de peri ca200-40 m4 dre, nse de geod 3% 2 rtamental pret tebe fe ct al seu, unde ju in ried. ACTH (25 1002 de ete superior fale Caden deine 5- 10mg Prenson eu etme cali, nic, Modo rpm dso). Se adninitear dla ce (tu Peni), ian rete (Eke) nen ncaa inl ress absme, resins a tat rong ansvle ms scams dein care donee peel recall cotta (Ge snl doa 9 de medicament serge lec c) Ver mdf prs apa din tes ge 0 eave sand lr see i ocae searing etal. Obstrucja care persist ctevs zle sau shptimini este denumitd Specie date pen ede es ccf we conte, Unb pes Betcon tices nit ti Sie or hes pou cca age ta ont ohacr sae in pope Malin capo) sea et lem Ma tcl peepee eg 282 _Medicindinterad pentru cadre med (uicritoare) expeatoriepesum gi tahipnes,tabicai, canon ary, Pulp hpaibpan Rt ce are waco °° ete a Sr nn wnt cet ncaa | Bessa cs eae a cae cet een rope 3) Glucocorticoizi: Prednison 40-60 mg, zilnic, eu reducerea doze! de stare se int 4 simptomele functionale de debe idan eho atoms Se conan a fe a apeteni, fbr), Mula vere stares gencla se enfin bon, Hea re nib ee 49 Cromogticaal de sala, cu isan, ia ttament ernie 58) Anticolinergice saw patopium. In general prim train ‘euadeneri, potenat apt de amin Intatament conic to: bet. sieluocoricoia Fadiologiceconsas de oie in: opacit ilr,inagine de tle: . 55 zonal pact rotunda in pln parnchim ig 36,7, 8,9), Pneumonia prin hipersensibiizare Este inflamatie medic mano, Sot ineiminatenurproas ‘nels. Inform acu tase, fbr, sane, ismes fn formelesubocs ‘onic dispecscuprogrei insiioasl Uneod ged precza ness. tigen Evolneaa eversibi Tratament Prdion cu reducers pores 2.11, Cancer broshopslncnar Este otumoare malign, cx pans de plrare bogie, Const usin ‘al coven loci, nd dept ca Reeven doar de cancer gos 9.7 -Imagin radiotoiceevocin un cancer pulmonar din ttaliatca tumor maligne). Agate predominant is bbe 8 ate le’; -ateecare C= mapre'ctnds nlm parenchin es dest ame n special dp dani Elogiam ene cunoseus 0° uoares a nive ilupimonar ae Mpotdomin lou li= fie pulonars persis ict - peste 40<* ise precoce, cons SE grocer neon cu sis Ta Loalanipannarte te 284 _Medicind intern pentru cadre medi Bronhoscopla ese xan, fundamental care evidenjars mou, smacone!bronsice i leziunes cn (Gmoaren sah sen023) si care p. spires nor fagiente tumoral secre Brovsie, In Vederea exis ‘Semele de laborator: and ‘msi importante examene est c. ule ooplazice In pus, pin ute 3 le consecutiv (vent! > esteamen permite dagnostical in rece ca1-Saninsine cn devin evidentibil ex ajtorl elasie; de aemenea exes i. ‘sere bronice poate pune in ws ig. 10- Neoplasm pulmonar dept (adiograte pulmonar faa tomogate) ‘ite noni VSH. ete pape aden cet nit de bit tri, etna trams! ncaa es cea deacon 3, Cal dagen ah ee ‘i bol combo ‘ani de Ia precizares aces" ion eae ns Soe bole au hemor) °° ile ganglionor i" Drpatice x) Moe 2s paraatel resplestor ences xno wr imprint fapleald (snd! Pancoas Bs bombren fs spraciven bare insuporabite i scm ar ona, pre espera st, pc pe or ois ch, somae Spee ets can! eimai lg so Bit eat, ons mse Bl plnnrre mat Bente fn cas os inn sani rv os in ter) ia vie mo rts pr banana dob dup 40 alesis foto or snp cio emai po lie expecori day, eid psn ree wes Bel tennifsi reborn or recon ype cee au recldiant.Diasxial cpecons pr amen tale ops peranend ricerca pac sid made de epiarn peorliis (use ape peepeitnacely hi ic cxpne VS cram, fndoopict ciodaenonish vite ia ee Be prepnesinyie ema po snoop Hrd rnc sneer cha ccs rig nash tome no peste aor Fig. 11 -Neopiasm pulmonar secundar x motstaze iterate I ngs pci er Seppe peers Benet hope daca oar vein Bie te sar oman commen Snack fe core hmaey ss es pence fees sponsor clout tt non, [Alem Ane levator men's cn de anes co hte iy haere Tosatti cnn OVO de pera. ciel. Boal este stn sui. forizante sc, bol ronice xin obi interiors piri alveolar urmat de ai. Feat, rar Dacs bola aptea rans: pl debut, fas ev bolaavs cu buze patel panini lini ncn 009" Bl pulmonar: compa can fete npc bana vinans oor 20 te pte ete ay diverse (0s, mening per da goer ete bu, dar ide vielen germensis, ic, dup debut baal cu ftom, ondesae yi magise radologied el erie, wear, cisgnosics! de aberclort pulmonar sae de Poeumonil care reed, ma sic in aclay segment pullman, few cops broayc uo sparai pumonae cron, BB Prcunona cop se cracterinal seseon pei unght sulin org sbominals.Prowmonia banal este sun srt, br reds donno imap, Preumonla I, dbiliade boi preesseas, exe de aemenea grav. Ast, ried dsm wemens, dabei con cb eet gay, Huemid. Preunona mis, ee 0 pumonie il sugeineea le pulmonare st sndcoare clnice aemiitonre poeumonich sh teprecns fore clisice, incre proces ilar ete red fa de congestc alveolar). De aca, se mai ames “prenmon tile pulnonare repens ast, cind foevenja pena ia mult, elma nite pcuron acute bacterin, Se cue pulmonar props, crete de fp “preumone short, Preumocos, cu debut ai pun brutal dest al paeunoie, ea fil, simpromatolgie gars sindrom be condense uno rete ean oc pe a etal mene dnoce poss pa cients cops open : fects penai athe ain Bens seca, tonne nnn tis ed a a) sn pron arora mca 3) 29 a UE py, ssi Bow inl vot sade ct sop i se fr sprofit nec este SPO I alien, e-frmae traci, bl eon oo ae pina seca a a fecal ei ean cescnopc Sec eres a bet iii, ind : rept (ese pps ict i dos, steno ge me wel sg ale Feb Bier uci Ie asinic Tues ince Se concen me ; stat desing. Aare cances re a cxtoma arpa ae Bea a earn pe: ‘ a bronhopacamanie let do Binpiomelr pce cae sesh de ino:ilnsasaprtcn H1600000 5000000. as dora cite star general gtd HRe4 72, seas dcr emt Fe onind de obeltrartoage Bericic, basse oemintenanbi pnd Examen sul ql singel ana inde ny! eee dnesman, Exaed alo nic umbe ile actives po de dimensineuse,ixe dou hpur pulmonar, fe Nusc admins Gt varibl, dara inca grr er a cnn eaten lle punt, bn tamer, ha seas pre les sn nanerse,citnd ee ampere 622d ipernis are rel fate ser dope caine tan latter cc Mae even fenmene de eal: Evan dave deseo a di is )sBromoval ina ona bitrnlr, cu aspestsubsct, crete moderai « je mee puuensauhemoyod Bosa comin ie anlepisr ia feevene cae de dees pence vi este suger de deb alpine fete over. st face eu. te sings) ee emit ch din puma vitro oie, each dps get og. ie : oe K-hemolse = Pencliza O, Ampisin, Amoxtnk, de gr Enron, Sep, Celt. In eile cu Se seeps: [stbicle ramen, sem Serpe el aconi Inne ce ato, ansboyana obliga eves et abr preinbilcu hse empene Ser amen Peni fir 72 der) da os ib cu anbidcle isto secs Pein Amp re. Ox ipso ie 1030 de ie) Meso (6-12 im 10-30 de ae), ie tubercle fascieres Oxi (692) 1 Cho 100u A) nips aceon Aerie: Oxcins er) i @) Bronhopne Aiaenzh cu a0 ile sau Cosi ick ws Spe cpu tee ver Po ope ea Imetasiatice, abcese sau pleurezi purulente. "a ex in pola sacs dep eink jantibioticelor ts orn a le “tron ex bc Predondar ne aa ema a ln, emt fe fee enhopncmon Apres iy eo oer ter ycimon nig, ec eas ae ope, canna des ns ecpeii Te oii, pee copie npn en, pen) coer en popnonerecnek i xt preset rohcpsune al ape sa vio nt net puiooae inflata, ise Cimcon ve st vf ipl gocmnpas lorstozi compa nr ctu dine oe ide dierte pus ora), pn rapa), adenine eserves cd pcunonip eed pa ae Exon" gmp din en" pave burnetii), = palo a oil sli dain pei en atloge bu ese excepions bl, de obs! nsdn cu tse soi mai rss de expectoraic masoas, uae states (38-39%, ccf ecven ji sei In pvanda de stare apr tse, $i terace, nsf de expecoric mucrans yr uneode vag dur PE nreplati cu fsoaney tansy atenie cefaleepromune, Semnee fc sunt absea sau fare discrete Sennee railogice Ini contrast cu blu ln ret Ceamas craters imagine care send cau evant cu gin fiz, peomogene, re Semele blogs cons inleoopenie,ncoicu mononcioed ele preva valori normal su cir wor crest, viteza de ori reset, react spice viazlr (grip, feb" ee) ete Benign, dar convalesena ent: eperatra cobose Is normal Temnceradiologieprsitnd teva spt, ar astnin un tiny files atoreazi vrs (ening esate, nei hemolitce) baceine realidad preamone mith ul bzsi pe debt isos, ee se tat persistent, imagine iilogic parla iieno-diettic si simplomatic ete similar celui din ella se ecomand nope actin (Teac ial epundelnrxamenl chin Acidacetiacc Polina (Ommdin) exe consovesil In poeumenie dia 292_Msicin nea por etre met _ tot (gravitate varia, ute ani moral) unt fete ec, Choos, mopime get nln ca leo Se ids omc Terns Tes Spina ns Naar eee eaial(ioplnns kets. Sines, aro pocmaiseommbremanebi pampeciiicpln nglce cao comets VED aie ‘Sot fara nea enn pags poze, Pi) ‘einceprin pire Agepimicobien (ine amp sc, ‘rt ebgn. ingots pepe investi adore, esr eos echoes enol opie. 2.15 Abel planer ! Etec pei de obs ich oat apache: arsenal pa clerspotr am xc ren ns ‘TSpceapemeorpinioe pimapeemosogethweeres Ace Ss psomctoca epoca sas prumobcl Fen Parad npc pon ee oi habeus ls Fecal se age Gs lnc ‘Spur pi conto een atop vesese. C31. {eevee set sera op (ie ace pment i. rll sei safc ier ae psi (Chit ‘Sim sean) denen ssl di in ‘amalfee aumate to pe mod er | sept helo ian msde Fulmonare (cumonie: bosopaeunonie), tet supurt tr = ‘bangs enball sept pun Fa voi ‘bese soln diabetes Bicone at exc > “nonplanar s oc5> < ava ae aie us nell par ‘werricsomenbn xargs) ozen deren) ‘Deb esededeinia arity ase eps) ‘une main UmetpeaatgeS Olea ap subroeyocsmonis nce xt be Q9- 4) caer “cock pores : ; (i: hemopietd pe hey i yoni sis perl cacleeat apt venik e= oll tea te feet a de denare bongo ‘Comi sdepatnee oma cepa, abn See et et ce SP) rac Fig 12-Abces pulmonar sting (Rasogatepuimeraa tata spot stenga) petra onileas in jr 3° unor sar hemoptz. Examen fie Pili sermncte sindromsii caviar bags ovale exagerte, matte, sua BD aborts indi cclerars vite de edinetre, nero Mise: foe clastice in pu. Examen! roi evidenjias Be o ia Fecterisicd rovers, fe cave a ih 13- Abcos pulmonar lterior drt ogra pumonar fat tocar) pulmonar raat corte vindect de cbice ir sechele Uncri, se fepontan in 4-8 sik. Exit cru reastente la wlan (cancer Senoce bronic), Deck in §- 12 spin vindecarea mu $a prods, in infin de eons ae pot fi pleural (posumotorax ponan,peucze),croiczae cu supra (piocerra),enfize, cord pulmonar roi, breagiectan complica a disana (spurns) fi unc su fctiona, iar exec ene fei putrid Stren i se mendeszi dupt devhigeres eliminate supuraiel epomenele generale se agravesr; apr ante, dso, napetens, Petoad desputes. spa et sbundets, aril amestecat fi fesut pulmonar necrozat fists find done de iatenal.Dacd mu asi pure de obice cp 10-20 de lea enomene once gener, fear hemos flgertoar. Da. ramen et prvoce inten, gent gangrencipulmonare este asemtnitr ev acsa di abcestl at antibiotic, careconstic ara ttactu, ebuie aminisate timp inden petal (Ons i ingure sau asociere Pen J. Chisel hidotic pulmonar Pniling G(16milioane =, 5 Boal provocas de loeaizaren devas in plimén alae de Semapoate soci Csin. inocoeeus. pia) Septrin (3p) ble praitl cnt in teil inept festbinetv dacs, ful care ese gaz intermedia, exceptional pe calerespiratore, fu perfil de ACT bina peal ges. Contaisare se cee Set prin contact expeciorni prsoice 5 felince, prin mi marae ie indirect. prin ap sau aliment ifs saat fc seit dara merbrant sd prolier tu geminativ cared ayer ——— ice, dint oni ererent dun ich ar Chistalepot 8 iabundeni. De msi uc up sd col mai ecvet finda bazalamdul dept seat bolnaval inne * fn rel ere: prim on. de chstinchin se arcterzear pin sere i, cutruchil ol fbici negnve. Unon pt aire rica, punt, ts atv, usa, ig 14) Poses emoptin. Examenal radiologic, las, ete caraceisi,relevlnd @ fare favorizesrs otund ca contr ost él Ls when diagnosicull conribie sangund care depisente pois Cason ga reacil de fare 2 dous fod, de void hia, se Pin desires nt. one, ein care an ici clr, cu gust strat, venta omen pote funct sx scons Se S ie un ces de tse, de dspee gi dren gare sever tr pene nso sidehemapti:Peken apar fiverse va oafilactce; faa de chs injec, de fusospiri A= ized simplomatologin nel supuatit Hn general 1 €<85° fle Debus © te lent, indelungatt cu feomene de sete) dar {Gianors, dispne, tse) ce aparcind fa lle care ume

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