380 _ Meaicing Inter pentru cadre med a In perioada «. infarctului miocardic sunt numerouse gi grave: q an rire tae conte pasate a eee, eee eet Ses 24 afin eas Detwanit |2-209etpinin | sevrammegientmmcledelmoce pins loiter) Duce? bal nti, PC. ar Depaniak __Bole parti earsionsetar_383 oe ia care lipsese semncte necrozei miccardice, da Peseincatc Sonic iva mas i saa adel veh angio icaedcic ann na tans eee attired corr dnccince mms snschin wpa doe earn mot apr sr mat nse Ge aps 0 Niogicrns two. e ba Sopc saps Soe de te driest mare, art seme ECC 4 ge Ta afer sel irri ei anima tar dura de Diep Ni yews ares sun normcascenoe neh aise Hei rr ru Sr rr tn Sted ninceatoas sone cor det rae dr proee Datel de critin se pone pa FCO. Nutt mle elon spe Ie saa rina xe acer coomneca Patent nares pees clr nr. tober pu Ele ile math de reps ilatv 2-3 sapien, trtrentlancoagut, Suess renin, omni, Popa rg oe itn efigrararepui rcodalecu Kee, nevi opine), oxi ateroscleroes epuzead ase rapa | 1S. stint cris suf cardiac ex un sino lini cae rel din impos expla ineapa cantiatede ing primi ide amet atfel un Jbit {eorespunzstcnevilor organism, in cme une umplei venoase re, Aceasldeiie imple mecaismele anterograde coe Asif, sciderca debit care consocuty sei foe de contractic ul, dace la psa oigeouli i sur organ, special vel landelor suprareale si hporc posterior, determin scSdre Bloncrulre, cesta reaicr i tubule hiperereide allotron [fenomons care expla rca de apa sare aarti edemelor Aceta mul anerograd Intervie meranletogrd, prin sede feel ican nis indiana de aexpulainengn cane Primi, Reru cunularea singe in pte venti eu saa 9h ulmonai, In cra nsfeefe ventclulu tig, cu sta, Neaoash i inflare sfsuturlor cu pa si ste, in insicena et upd laclzare se deonbeseo suing card sting, 9 ‘andi dreapt go inoflend cardiac plobal: dpa debut se © inufcen cardiac aed (sng sau deapd), Se Wa ernie drag pe fl uel isin cardice ernie, pot pre in de efor, nec riz de hpertensune manifest de pact; dup tle- Taser carat se clases n pau stdin pra tga hil un sen dense care, a stad ate simptorele Ye insulin cadach pari eps, iar tad 9 repre cares poate transformaee tae oe ‘6 Medici intern petra cadre med po cree 50 di ont ct Mr ict eon ce a eared couse where parxitice Pcl "Nefiind afecat miocardl,iasuficienfahipodibstolicl a Stout ewan meg nn a etcetera ee eas sirens <. er ee tear lamers rss SLAY tars dia cmenenn ore ee egies Scere art =e ge ae eerie doer tow ee eee esc Seeacimetmmpenresiacmetta ts.) fori ook andineg esr Oopaareaa feet sisececaa iets a ee os a Geet eRe oc: ee See Soccer Scone ence eee Ses appdata eee secret neces tes eri soi (efor, enoi ete). Acne prope se namie roe lar 385 iipeensune vonoes in cilia pula, ln fil, sesupraincart Beside, cee ce duc a insur Iain cardiac dep ete Bamcterzath prin cresterea frecvenji cardiac, vasoconsreic afeiall 8 Pedisuie a singel, saz hipecesine vena cere volun singel (pelt, sldeeavitezeide culate nial, anon sur’, Consexina te Tbipenensiunl veooase 5a sider fuxuli cal o constitu retin de 2p $1 fags cv apaiiaedemelo. Cit tmp acioncaza mecanismele de compensate (Bipot, dina, thicade) nina ee capbiltsdfck fat sobihior tule, carditis ee compensa Cid simpromel 9 semele nmin {aelace aprla solic bina ichiarinroaus,cardhpsti est decompentat 13. lstnte crc sings Sedstingcauebemodiaice-hipeesune anise stenoza ai nsufccaa bala irl ycauze metabolic inlamaton-cariopta Fach, carl nfetioase eum, ed iter perida ee Faron span sunt cman ier IDL in dg Se manifest pia accese de dspace eu crac prosaic «astm cardi Glen pulmonar aut ive dora creyeri rapide intense a resin in opi Taelepuonare, dria reducer base a singel evacut de ima sting (ven Axel ua), income wm de normal a ventral drepe. Acura ‘mass de ingen aplrele pumonare crete mult resto a ceplze cu anh Sadar plasmin aloo Crzle de dispae puousic pain catiopati bipet= Tessie, cariopati valvular (tenor i isuiciena mitral, steno insuicinya Soret, cardopatiishemice (afr! miocrdic, in special) i sunt pepe de Amica rim rp, suring efor emi patric. Asma cardie pare de ‘bie asp, ln citeve oe dup cular (unex ua, dupa emo sau efor Ina) are debut bral, cu dope poli, respi supericialg2gomotoas, Safocare, tse eit, Bolavl ste Inspimiart,pld acoperitcu sudo 18 Sipe marznen pt sa a eens nla nit, ree n inc icf, Doi cteva minute aren se wert cuctea eva de tise, Juneor de expecosie spurned sera i oza In fomele sever, ea Crolunz cir edema puimonor acu. Blnavl ese anos, pli au respira este event pier, cu tin) trerupt de expecorjie "Spumoas,sbunent. Uneortsensc, clini in alr spt, pe ur (rir posi cedaspotan su sfiry pin sie # mont. Cini, bonaval i prints de alo, jogulare urgescent la nivel plimdior ante a bazecuexindere spre visfr. Dosebires dnt ast ede |e ntenitate dur, meen palo Tindacely Edema pulmo apdres ila bolov oosardactecidene vselae cerebral infec nti cu gaze eft sun oxid de crbon, uremic te96 Medicine entra end met 4 [Edemul pulmonar aut, Aparija acta edemusi pulmonar alveotr psc fale dato cel al aden crepes ides fn capi Piha (inuien crc sting, tena mill) seu creei pees, ‘Remirae! alvesio-apiae pane. Lapin cv ICC anterior compe; Caan id anecdote earice, factor recipi specific conduc Isc ramen ie. Pocinl ae arpctal de ol gn feat iid i yer ‘abipeic, dace, cu ansprfe marcas pate fh prezent cianozs. Rl pulmonaire poste fprezet al een omotcaria. Sptaese spurs; * Date de Inborator. In stadile proce, gee sanguine areal in ics seen nal ray, Ininsuiiena respite al vans pare hiperespia ‘cdemia popresv. Pe radigrafi toacich Se vederestriburea vases: ‘Pulmonad velar dite cimpurior pulmonar cuaspet de Autre per r “Tratamentl edemulal pulmonar cardlogen, Terpin edit, ure ‘tcl petaspraviir, Unitas mis teu insti arco 1 Se ja paca netstat, pone redueea ntact vonsise 2 Se mites O, 100% prin mask Faciri precipita aledemula pulmonar seat sunt: tabi-sau bac cu nfs er, IMA hperensiune sever, reguriafe mals sau ac: ‘set cree volumals cela (age de Na, tafe de singe, a ‘ccs metabolic reset (efor fk, pedis), emboli pula: ‘taiment al ICC craic incores adminis iteropere bse), 1212 hai na ng se fom cea mai ois maids innit n practise datoreste Schr debit mi sng cua ihiperenizne nica Uni aio tng so insuicen a auil sting, ch simpome as ae par stig, imptome asec, car os opiacee sau sete prin aieranje de apne Bolle nparatatatcardiovaseu M0020 sean) spp. Dns devin moet parece peony vrs pt fa cn scosa ve copes Ne emis apt sacs mcr pte free de eure Misa oe alse feve de sce cardct sage Sedna Belpre, opts fons capes ese coerce oa eet ete i ep emacs sp hep cles era enc paca Geen fe clonal = ois cet. Seance cao conta Bes ini ing egal sean sas opel gs fie bar Une sn exon pmo acetate Bla anes htora. Examen! nop 260 caplrne feonale ict dooms 23132 nice cdc dots Ei I pc amin, emt nc rove eae Hotter sn se, ah obra bce alone Items ier sc etal vec nd uno avd ea ue de pew Psbofcelenenrclr pcan ooh ips ncnga tombstones rss aps opeishomle pine a Feb pen Ginn rp ces tals reson) Belles plc one en plore, ove Beebe open area pumonna pou pi vascnecie BG pata gen, ncn de igtecrert et el Ita ee acl ving ts hiptensne pln - es uterine Bere: cot pian ou wu et i, ve ae mane I Feet poral encom cance coi igs eh, pba mies peril her cert norte wen, Beet cana hops pt Doxa nade oe Sted tytn felon panos prince age eptonepitin dp sxnanl cae cavesoptcs Seomle punter om clr ld op on aah al ceparbanpuic pe ei net de el gear pur dp 12-24 de costa te nego, eet drm dete puna eo ied ia pulmonar a eae oop mofienave tn exis cir iat 0 ot, Uno ble ft echelon ini! pune:368_Medicind Intern penta cadre ewe ‘Prost! dink de masvses embod mivinen ae abste eng cate. 2122 i dn sont ‘eeu ida cn prove deinen enc dep cia ‘at pins venus ener Catz ea i event 0 consi Sie earl sng car i hpi pulmonar provera = ‘monet pt alchemy cet devin ii os eet ete reprezens de ipertensineapuonad rods J bl pulmenare crn frm mm cod pulmonar croc essa seat ‘nem rae on nl capa cnginlecrdoptt obser ire cardapat info once saree. Inca nfs an. top exis ingen gem ant god eons stg pan reac sinptoneesenslsceeadinu Pcllesnpoe anc Sint hp, ini ase ir a Nocona ep a a pes ‘alse cai men aa ef iene edt pce ‘ron: dipee verb ciate. Cele ma import sere fc ‘ett cnt, laa infil exten generat ei har ‘cei rete neu nS pap ls neon nxn ‘iio, Senna desc eon at eateries tps ajupsl ‘ers resin venous, amare y ites pare een cle a ‘Sct suhidirs Des parses alr organ enone de ‘(peu vt, see eae (lg tr) somos cra ste ‘esommiee),Gombone emboli __ Botte aparaala cardiovascular ————__—_ ect ric mga a i le ovine mai dope xn nerd nel mal Ptr Corsa chi stnps in barcinona Righosapte devin. Apr sone Seite de aes ope WSadil ree se caroerscch pn para snacorSeuen et HB ec consid co pinonar cone scconpona eves ma Fhe inara ce res, cu tun puminie de ous ¥donminen de Babee ngr as eer bl Duper ene are ronal pole Bia cogent igor. Une sar cen engi ola cae fede merge po a comt Senne nice euace see dev ete pga trpecen clone puoi acre, epcreplc uci Pred en peel py nies opi Son, et ile vail cts agrvare pani iste care atest ome Infect scue tenho puimense psp scics ctl Be eealinecstsmnetliceaie 0s ania pens rosea Hl wer aicceguane A133, tnt rds ols Bite cre fens inima snd cx dap, Smptomce Peete nati sng! ope, Sond wel su hele dp cam ng su cel et xen Cindi sped weet I epceasade boi a ncaine; cho or sngh eel fale cnopoce ss inca Iogear aceat ml canned deoriiestpunenir, aril rewopubidgeave cnt a peor vent ppc yer omega esl bron de str, oboe psec, ifeticroniceale gam lem cron, alias funiloe hep, rulburin de im, rebar ioe ef, Pe fondl ne! insuiciene esti apar une decompensh agarentneustiias, unr csbicbliate, pte hemopoicesausubicte sent episteacl seme de tomb a member pelvine dre Ia abel paneer sa a dorsolexia icon. \prognstcu!depind de natura boli cauzale (nai bune in mioeard- fal ave a bli valvular coda pulmonar cron te), 86 pita de corevitulne @respecarea lament. Ca timpul se Unsficient cardia ireductibl, n eave otce tatament rime cons in prevenires si combuerc fictror determinism pre- 4 rmtexte edocerea nc rin pas, contol rete prin rena april de sae, adnsrarca de duce crejeea cu prepara digitale.290 _Modilo intra pntra cadre ped eprezint§ baa watamentlu, cu condiia de af individuaizs, a ‘Spcogt pte osinaet sei denen A ERE cael {roe cn ene Gf mer ar matic te), ‘eboemotat complet Posi cea mal exomandabil es area ern 1s geo repual a ut art un pin ai pti ps cy sobre prope ables Ipods de compensate bia ‘rps lore tncusal ni 20rd mine, Repu euler SSS peers a eee ace ee Sa Segoe eterna nee henna eetgupeeae ra ee mene ee tate spe Baila is. Dreticte mera No, aga, Mein sewiminiseact im. suisse near plone Bagster mr Sun caine sein een ea Gace vote 0 dri stuns Fcc nhac sant pre oe Hetonpmisms oes, cryin neasncomsbontien toes Geller Dircle nce Nc Us Fuomcaas ak cove Bist ore ce suc aac wend ite wane set Geter npc arene donee tet gn bea leoliee Peto tinpcaseiseprevnxiinsaencoe cr dep Se sini pe ae ols 2 tahoe de Nea (0 10) gh BGs Je2-3 ore spinnd Ini (1 es 20m oad Sept 40 saa 2, Furcal un cet tp ropa Abelian nhs aco pneonh ed Ea it raid: nporan ec. Dees dale pera fe Fiala aoa erp lie cedar vom pee pe cut fanaa pines dreice Delsey pci ch wt duties ca Beloit ain votre ppc gas tmnt Sisiatbop nr Acoses seme src om ne pent cinarn de sare as emt clee To era pie dete se Pare uae ine: Feecil Acinic idl (La Far) prove clini un volum ard i rsh aK 3 CLs tli cy sco eateo Sap Ame pst dc pieces ep ap Prono exe cece ren areca Fae arn de0 mg pla Bet cacy sey cnvih nsdn dresncpe 0b mins pte sgn Gor Inca amex ca BIS miu semen pare Po reece Be tposmemis pps al spelen elspa Npoglcenhiprcone espe bre genie dae (tern) derbi chic de Forse a dei etme acs, Acura ete incor Se scr ua Se ain sicde O50 1 dah le de O35 1 =a acy ea ites cle mel:ecuofn (Novr) Sana press, asda nantes a soul -3.es ates Dele -2ovhpniel Pend name rattene: Shine cele nyc Nenatenie popousenic pelea diese, al cave secs zi putin utlizate. Ms rue. Tariele mot delice de neste Tr er en caepesoiaNs C4 K ae) ot oe cncrhpeyomene recom wipes se292 Medici interad pentra cadre med teen... sion a he a ae ed a, Seton nes eee cer Se ee eae ene (i eases cee ewe “fanagoit aldsteromu(Sponoacon, Tamers Amir ‘Spionlactons (Alston) acionenzc antagonist competi laos. ul Aces drt exe mode elimina sre, darcy posi Ese {ste dependent de concen aldonteooua ia singe Diurea ceste cn ‘social cust utc c Tail Fuosemidl au AP ei, comperssns Perec de Kprodus de acest Alcina prez compimate de (02°; (i) ple spare dup 24-48 de or, cu dara lung. Prepare sls “su nde sont Canes Canrenoat depots (Sldatone) recom ‘rpc; Tianteenl (Dye Tran) ou acne esemladtoare spirnolicion: comer ifri(,100-0200 2}; Amilo Modu), tot anions ‘ios Dire pure pour deladinier a st 5: Direeleminoe sunt duretcele annie: Aminofiin (Misi) i> amp e100 Hoke de 240g, 10 ml len. Este un dct 1 ‘eit npc cure Semaiulizsnt ner Dra Conde uno Scan de 400g 8-20, 3 ile conseet;Ishibitonanidazs carbonic ‘Accunlania (Diamox, Ere) o sulla ou fet dete slab, Usa compres de 250g a prac a ema lori ramen inte care cause a per Es zt Intact ‘med pepsi elena recat soni Media toleardck repezind medicaid baz insufcene cadia:s or de ito insuiena carne compensea prin 5 fightin find metabolism! 1. cardia’ 9 cos to acu eres cnn cen arte ae ea crc cen er hr ae Bos pec oan nea See ea eg cetceasese Sancens ocak ae cs oa ee asec ance ean nig BE eter eae a nen ea I eee ccsie a Coco yomaee cae pte eel peercas eetet cas a peer eeeclae ae ee Tee etal oe eee eee oo ee Saree Te ee ee eee goina (rezistenja vascularl perifericd crescuta care se opune ejectiei ventri~ See ee ea ee ee yee Cr oe es : ee eal mee, Se yn dha ia a ee ec) wre ee ae ne ey eh en el era eres ch een Lc exo mamerowe repre digo (va pa, Fa Don Dol ca34 _Medicin itera pent cadre medi 4 min srex nse perl mee parenteral (0). Medial praca, pen amc corel cada webs canoe Bie un onic, ‘uacfune rp ul eu acne nil Dial cu aioe apa indica ‘insti vento sgh en pomonr a) ima ales inclbursic rm al prose pape, ra tolerate, Dine prepaate se floss ‘Sestscop: tft LanaandolC Digan. in digas cronies. ‘Satter cv acne et, petengi sat inter. (Digan ‘igo, Laci Cx Actlgtxigpecle oral Nevo rescue dei, ‘arin pcrriism labs iin ars de inteane cu Fenobai ‘Rsnpcha Coles Nevo prinbiotiid, nsec ‘len ni daira de opin (Vago). Trebe rjc {ramen coi cu digi dirtier event ipoptaseie cu tlt itn eta bola diitiza csi se onan ministre Je sks, (sede den) ascii digi een pret ra ‘Ale medicament cre rec fora de contac micendl sunt tne dine cre uve mace sun tain gf dervatl sin sminflina. Eich silat espa cope imait dar ee Se seu is (20-30 mimo, Nu sunt ose dettea mei auant, ~ Ghcagond secret deel sifa in eee Langhans, mise, de semencs, commas mica ae afime favo i blcal AV. Nic ‘hon npaca clinic ~ Anne sinpatomimetie, su Catecoamiee, cts Bsr criss cil cari, ria mea for e eoatacie#mecardl, Seu Norepingina(Noradenlina,Epingina (Adrenalin), Dopamina(Urp {earaminoll (Aramina) i Isoproterenol (sypre). Sunt administrate in ca de occu ene gee icen cade Bolle nparatual cardiovascular 395 Die ratomene: oxigen ex nance ete (ede puloo- Bee pceartogen, cord pulmonar scr isatcin cardod cone ce ifies pocunopsi, esa de singe (300 300 i) se practi in def cartacl act a Sma crocs yc edema mar colle ne acd ep ent norion een ll fulnnn oa ycordl uncer ac rane forme usc Fonbocnttce Toten edema! pulmonar acu (EP. se sli de urges i Ibex soccese: prix ov mnt rn poe eel prs [pinta la Sra) acle sexe exigen pn sonds ala Mori Foea siege (300-00 lin smite) Sue Fucne ole, 040mg Gautsdcrn 50 man per) toncuce (Laos. nf Digna Stoning), Mion Duet TA exe slat annie ancora, Tenptenl (npr) 2-8olede0.2 mg in0 ler cor xin Moin Hemiseia de rccorzn, Merril sm Eich Devan a EPA. oo Inigebfecioasse essere sc adriana de ioc, bteilce wi oxigen Ein rare hipreaie! ne combate ene Hepes cu Rane fli ny Caspr Regi. Uratamental lett candace congested state mph reps oso) oxigen, etch mre ds, Fureni,Acd ein sab anstoi-C 3-4 ole) Bratt cord alnoor os: oxige pe cle aa, salgsice (Al Mian ss Moro), Atop incr draicaie iptesine, Ps i notre npr, Mea! sau Narain ne ice intl (aston), soit ca Farcsomi ate isu tonbolic saben ice mana en cond pulmonar cri 0 adress, n prim id, boi aural Se mises sats Teac sa Apitiod rendiaature(Milin 1-2 fe ot Brobaatn sa Alpe, ru Heri J hiooru: wd etnares pen ciinre sxc bon, pin hima eoret Tei, su coplinongn intern. aie cu pre sada de arc: ingre,dueice, andee (Net 9 onediee: Pees eaitraument blr caovscala da ndacere ie See eee once cto air Wi Hipertensiunea arteriald secundard sou simptomatieg, in care este13% Medica intern petra ene medi E “dovbieaura. Se doses hpertensin secandare renal, endocrine, reopen. Ce aegis OS, SE a sree eesti ree nr rere eS cites eal ee ee sense perience sil, reall). nil proses sc See aa SS To ieee ‘separa i hpeeacivisi vascular In evolu hipeensuni arterial, 3) Sadist cob Serhan geet ae {SS —— Ieee ele dab ponte) fa piihiperesin seal nee eee eet eee es Goer 2a =e eee ie aparstuai cardiovascular 397 De caucd coriovasulari. Bolle insite de hpetensigne atrial sunt [pean sori, blocl comple, isufea anes meroceroza SO iperensunen arterial ese: pin ares nclege ene sindrom cic Teresi in cre valor peso arterial sat cress, in absena ne cauze ice Ente cea ma fever, reprezeting 0-90 dint hiperensiunioe, 1 obie dop 30 dean, cv un maximum de reven ne 40950 dea Tpetenaestemsi arse, dar fomeie mai grave apa aba, Menon Giebessea sunt Tact Cavorzan, la fel via nord, sean ereditaten, jue unsol foarte impr afejuncs innings nproporie de 20 aM (Cup ciferie stati) in anzcedentele famille al bolavilor. Cees ce 36 Geta arconsta into lbune a metaboiascatecolaminelor (adrenalin 3 ordeal) care ar sala ara vsoconstiet arate Se sree ialimentao Hoga in sare a jaca un ro. CBdopatogeicajorsts asoior sep asta concep nevis ov Mei predispria cca ested natrkneuroges, legate o anit si Geeks personals de 0 anumith modaliate de spans la situa de ses Gere, foc, uptrare, Bolsa canal nervoas,produst de otulburare fn Sevinien centro neros superior, Die exctan di fra psib-emoponls Apecazas gr nesiguan) sfonde fondu wri preisporiicredtare duc Pari orfcae de cate permanent lvl core cerebral, dering feendaro vesoconstice acral fo alpxogenialhiptensun mi tervin S otprin interes cone sister endorin cnc Modi andaevil locale ar aa bazahipetnsun sunt vasocon- final i retre cou erect aril n ap sare Maitraa forgeice 9 alroslerors cre pret evalua nee prognostical ‘lasic ve devscbes esta prhiperienty pone fafa pe baa ascendente reditare Nper= spajel aoe pseu eine wedoare a oot tte cae stables oma spe ati, compari ck normals Cel mai conoscut povor bec, eae et postive, ieducind mina Tn ap la 4, STA eres cu pst 40m He, a i de Npertensiuneintrmitetd,caractrzat pri peoade de hipen- benign, cae evolu progres 9x6 cretrzez pen: we apart examen reel, rere sinuous rig, pus bine208 Modcnk interns entra care eit k trevor de vee Cima suo’ er Ina) ete, ‘ascended brine teow decor ‘Tacit rind Event bu neil DE os etipenene, . “mice aie exami amend eet mon “ramen eed bit aa der poco it ion. seme de iit sini sting perso diate), rail, ccvoariogaa, find oe probeleTancionale rs specs gradalde evolu el ipereasio area, nul sada frei beigae-carse ister apt malian de ‘ln dr plc cpu in exes pena asigurre liberi ilo acres ‘cepts apc2 lovin x pula egies precordial; dct se spss cope msl nimi api wansveri od ple nei in east nce cacy ve sarap pe prima p+ ane est depreciate oc prc ca reba ese dou inex ofecvens de 70-imin; ns fice rp mucn reine Beste (perol de facta), Concoitet. Fin oes mca ate at Catena “pms sua Mecha ele eee ee Ia 5 compresivni r= Se ere a mesic vel aati Procanai, Im tahicars nacre! el 7 ull cardiovascular 411 Mina Atom (cata totam Fig. 18-Etaplerearimir crsopulmonare ‘A. lguraea ct tena arch repro, 1. Soinoope mesa ranearea espa. (. Seca piel carota nga ust es ung “rvs ada eaucariatodan ef ns ext pul se incepe Tas crac. Se oxo 60 compres, ‘Uoineuttiopuonar upset gp de Sconpresicw oan. 19. Aterosderore boa genera meboic conic, genet de un complex defor Drincipala find flbaraca metabolismulu ipa, lat consesinga ogi ingots prelate cusieozaea menu tbr le: Boal ene fou teevents slots i special bai, Femelle a ho relat ian Manifenaie clinie spa p30 40 ai, uni nvegisrindse le 45 ~ 55 dest, dato vole na selon (15-20 dea), Exist redacted geet, boisinaniece dete fail aesclotcr, ndin-seecvent Ua ol pera ei fcr de hs facto cate = en orl en grup de pola proves pain ecvena ol acest ci a popular. Cet mal import for de rise sua: hier Fipereniues ils iran abt bar ober, itor inna esas lime opine nip Ingle$12_Mednh intra petr ere wet _____ a a. See esos een Seperated sarin ond en sie esr eect Catone ae hee eemeerrern eee eee a” yoy ee eee ete eee See eee eee ieee eee Sa Se Go SS ee theaetrelyia RipmeTeetacie Sac cap See ae pp eee Zee ae See peer eee" aroma cae const innit nie c ip cols, su rc sau st de cuore aes. Cs tnpal, peel se ingrsgh pin fi apne de — fle eau dn ee eneoformai, Complicate rer ulpncne == mse ee Peart ates pens ng en Bbc aris conver eo a Bath compte. ya von een Peers timestep eae Petite complai st nen oe ae reba a Petes citlae colt connare eetre Bement i ones frre, pega eerie ae Bets wrt ee mui et sie un Bose civ pc at Bt nek ge a a ee Birt Spon an merce cosas ns a tel element peers pers sooreabdovins, isa pacer ecvene sma son Siegel Lenten re oem yc el cs ea ch es cored ators el ok oar sa en ec ome At al eee Bec rcc commcetacentenamaatie et cron peti crea acerca ects encanta cee st step te) Fons ees aces apne ae fe det ns vase eet ee ae, ey codes coche ences ee ae cota cereal Be nee pe mene ee See ae eee eee eee ee see eee ee fe a ae co<14_Medicin intern petra nde meg ax Seva alien aciei pspoinsa (0 nt be fen Senn ea Sour erode. Alco afna ittuml unto consi earner inchen meld fnonblt te der estan an, ‘oles, pope Cudnrs feed medicals mas, gmasict respraore sau circulate eisai “Feenstra andl nora! cx denon ta ees mache ‘cj mire ‘cent medcomens pe Aas pen ort ines coal pls Ropes seve ipl pen gihepral lel Aru) pec cal Sermo) “br cu nisin centla: fbnal(Aroi) 6- ear ‘su ip 45 del, Ai ets posto). ~ Ned ce mba ips ae pa: bt pcp (init Cai he. Vinnie fet etn (FB 8) “toon ea nts rai ce) ‘parable rt. San ie nl elt xh soni me apn “vcr on seg id 0 bea pu (ee de micous Sut ite (Cai, Metenn ) semen dei. Hormonit estrogen wa rezultate discutabile - esi ncocn 3-6 nc ea ol weal clea 9 Stas ii resi intestinal a it hi restates oles Seana 6 ‘nines see ‘Questa ft tind Tres deste tide ia ee eisince cardiovascular 415 320, Anevsmal eter Fsieodilatae paral peste aneval Biopatogenie:strosclerors exe cauza cen msi feevents a snevesmelor Bete sislemembraupelva,vaumasml exe ata cea al feevent la nivel Heel traci isis care sence din cence aa) are afta, pele sri torcid. Ca localize, ara este sedi eat mui feevet Daiteanewrismel arerlor perfec cele ni deste untacleaaleeterelor lice Feist 9 anevrisme arterosenoase, cu prezeja une fstle cate permite Petes sng din arr In ves, sanerame asec cae par de obice a Hel ace prin roperea usc iter, ey clvrea preorders prude Iie grosimes pert src. Ancrsmel sun wesea simptomatice, Cid Geng un nev sau o ves, po provoca dure sau o insu venoms La fxameul clini, anevesmul se perintseno rsre ples, Inve crea Se Ide adesea un sf ssi Imaginea adiogrates (ig 42, 4) arth caleiirea Tselorvsul stat Simpromsolopa spine de loclicre, mimes evolu {Gnd nevismul este supericil, pez caotamoareca pulsar expansive, at (Gest profind, provost de cbse enomene de ompresiune 419- Anovrism a sortel- Porunesascendents| ig.20-Anevrlam dtu de aor fmeleclinie: Anewismlaortsiforaclce se Insjete de eroiuni ale F $i bombeazh descr! Ia exterior sub forma unel tumor pulsatile, slunea orgenclor vecine ralizetz8 sindromul de compresiune learnt prin ior, circus venoas colateral, ede, dure bur repitor, disp, Demoptze, tse useatl ee. Examenul pune nevden anes sb forma wel umbrerotud, pula, ere16 _Modins weak poner meh hone en pene wenn de Me et ete cbmsle plate 8 Or, ak Se pi arian een enbormbol ny, ‘den ore cs ii 2 87, eo eae pnp ae Ca TORUS ree ime rents ctr ‘Seorymreccindor nn ceva tase spe, Sera etewearaastmemdeserl pce palustris Ropar) ch perp ehedesoahuintes pci cs pee) Camere pied 20-0 pea ps Pry [Sent logpinutiStgh lvoe S00 ‘mma ep Tea et ‘abasic Sure te pares sno, cp eeepc ngtelinienarereeel eee ee ae ote nes ‘efor coi ciae ie psansinguint Calas Ssnpeteer ont eel beep 121 cei aroaepn tater one -sei ngsinis is : iain one on Fe Seren eect ny feedeme pesiferse singh. Invest nee soil ee ee aes ‘3.22, Bolle cere piece file arerlr price po de one funcional san eran Bolle est burt aici aati cle ifn id bea i serolaorscriromcaga Bo areal orgies dntrez4unot asia ee torte cir eco bolle tortose anc pier ancl do ctlop conc dees i anesncle aerate a 221. Bl fone lpr R11 Ata DY Det ture ois ila pierce, loth, bre mentrelor cee cancer yon sana erent 3 sera siete nivel area, prin a gs mc Be arma nse acces. Esc oases nee de oe! fiers (ab 0a), cok fini ccnrco Spas prin La Aegean ple pre, rth spasm al, spo devi rec cds anes entra de ati) al ol ata asda riven anrolor a vnr ar hpem®). I bla ln dint eco mnie copa rca Se ne ola at Ge dar Sucsne clr smc bao lest since atl. Boal us feted moda le jen reales lend nclamei Cra ee pvoca e Is ig inein apd cant cmon semua bute Dunc ee vara ce be Jel cvs mate oe Rater nop noc uae Bese idle ot abu woe, ndench micneon spi viral dpe O Pl specn vinoma Rayna xe wen tle ol stile ie (lerocevora, wombungeit, dup tanmatsne profesional le er rit dare rar tape een bol nee ellos) snd compress sors yin la iti ouch rng Bulle cae a carbone pot Tone seers econ inate cervcoorcic a ocr, Tart srr Raynes eal eer ofond asic, somo, caractrzat pin ions permanent, simi, mnie, neor'agumbelo Boas apa nose ff<8 Medco aterm petra care mi a cnet cain nega inn RBIS, sienna es ts ame en sie coeanae Te ert ‘Epona ene igasisedatve Medeamenile vasodieatoare pot ds, ec on rs 2 mp Teco buns eacriza prin aoneparoxisice,ducrosse, devas. sue cereale Apr in aces elated edu sau de efor i vir ‘Sus Simone pcp sea: roe extremities si. ‘pererms (ld) Traut const in evitea cA, analgctice ‘tate alvin) incre, gi taament tli, In fore x ein noe cae eee a eet men eee ‘cece arabes ices Scsieilatsemepetames es eee epee place i aiehnnnota SS ames ere yp aang cage ommeaeee et commerce sonore eats ete preceas d= Daetciaora persist pres ldeazs antec lemboigene. Isr emligene(Sbist= uteri co Ae uprandvest©° ren exer infect pin Botte a9 Ip protesoare 5 prin evitaren oricior rau clr, resin prin te sau ior), pasares extrem alee sub ve nimi Prin toda ep bine rezalat neo pects. Dac ish in fac (eelolt 6-8 re) iachemia ase ret, se efesueash ombo-eboletomia D Gapinele 6 12) tent sinromulidelacemie perfec act urine rel meio care Gecomplteri:hepacinsieaps, onlin nerve shel i Hepasioterpia, se admiisteszs 10-15 nile, bligatra In prime ile, Upeibeparnat de ali iradernie. Se cee cu 50mg heparin i, uma do clare, sole poonat 5%, cu 100 mghepsrnk. In comioare la Gore Feodiinsreas 0m, bparin Ascceeacunovesind 1% cu ci meine sau fesikolink exe culavs. Renate tne par dopa perui de Den cu meet fniek (RBomacrodes) Coriesterapin nu jostiatsperanfle, Adminsarea Partial de heparin SO mg cu novcsind papaverine wl, dar ma poate Threpet deosree produce henasue, Nase va omit oigenoteraia, porta A@izmiliamembrtr sche ymennere ers ate a valor spropite Meserma Dip cazse vor assis onisaiae, vor conbatehiperpoasenia acioca Mromboliza ct dou mets const in peri. de septokina a tects. nerve operator x tia med majors indent obligato re- Die leash emboecionia, rombestora sau ampuci, dp xz Cella pro- Kees chirurgicale x: rombendarertectmia pon cu poteze sau gefe nose, sunt rezcvte curator act care vlucazh pen een de atic = 22 Sabu an te ots Dac n tcrsclerora blithe peviene, in rombangeita ble Fmt nar nucle aie inf epics ie idee ce oat 9 pogres, cice In urmiowe rin: (hosel a mers, cic pacseziin gb suger je ineritentcanph uous cu edu, de obicel, In gambly fl de men, do areata ote sci se ale pin repaus. Se rove dehiul scil pence complet arte, Debit Jentpentnsgarres ute esti n epus dar insficlent pers scolar nxigen conser ces in impl fl men chemin se scentuca considera a fo, gona de epas ee pare mara, preceding de bie inst wren Apart cing cblierare ener es aprogpe tall icing cnt- wBaze cag vie a yesutr eat de ie, tet nu ptf satisficute de ouge npn, Dscen eve itd, occu ace oe iecuaen etn cir sede wneor nos deliv