Documente Academic
Documente Profesional
Documente Cultură
insuficincia
artica e
mixedema
Bruna Maia
Klber Lins
Gabriel Braga
Hemily Neves
ESTENOSE
ARTICA
Estenose
Artica
Sncope
Dispnia
aos
esforos
Angina
Pectoris
Insuficin
cia
Cardaca
Estenose
artica valvar
Abertura total da valva: 2,5 - 3,5 cm
Quando a passagem reduzida:
Aorta
ascendente
Gradiente
de presso
sistlica
Ventrculo
esquerdo
Fisiopatologia Adaptao
6
Bomba
auxiliar
4
3
Presso
distolic
a final
5
Enchimento
ventricular
Exame Fsico
1. Pulso Arterial - pulso parvus tardus - Baixa amplitude e Aumenta
lentamente
2. Presso Arterial - convergente
3. Ausculta Cardaca
3.1 Sopros - mesossistlico de ejeo
3.2 Bulhas B2 - Hipofontica
B4 presente - Baixa complacncia ventricular e grande esforo atrial
esquerdo
3.3 Clique de ejeo - Audvel nas fases iniciais
Principais
sintomas
INSUFICIN
CIA
ARTICA
Insuficinci
a
Artica
Dispnia
a incapacidade de fechamento da
vlvula artica, tornando possvel o
refluxo de certa quantidade de sangue
para o ventrculo esquerdo durante a
distole ventricular.
Em resposta ao refluxo sanguneo, ocorre
uma sobrecarga de volume, levando a
uma hipertrofia do ventrculo esquerdo e
Palpita
o
Taquicar
dia
Fraqueza
muscular
Exame Fsico
Sinais
perifricos
Sinais no
nvel do
corao
Exame Fsico
Ictus
cordis
Sinais
do
nvel
do
cora
o
B
1
Normofont
ico
B
2
Hipofonti
co
Ausent
e
Sopro diastlico
aspirativo,
decrescente, audvel
no foco artico ou
artico
acessrio
com irradiao para
a ponta do corao
Exame Fsico
Sinais
perifric
os
6..Sinal de
Minervini
(Pulsao na
base da lngua)
3. Dana das
artrias
(Pulsaes
8. Sinal de
carotdeas)
Rosenbach pulsao do
4. fgado.
Pulso capilar
amplo (Sinal de
Quinke)
1. Sinal de
Musset balano da
cabea
7. Sinal de
Gerhard pulsao do bao
2. Pulso Clere
ou em martelo
dgua
5. Sinal de
Duroziez - (duplo
sopro da artria
femoral)
Manifestaes Clnicas
Palpita
o
Taquicar
dia
Diminuio da
Frao de Ejeo
Dispnia
Ortopni
a
Edema
de
Congesto Pulmonar
Manifestaes Clnicas
Lipotmi
a
Fraqueza
Angina
Noturna
Disfuno do VE
Diminuio da Presso
Diastlica
+
MIXEDEMA
16
Fisiopatologia do
edema
Aumento
da
presso
hidrostti
ca
intracapil
ar
ICC, renal
Presso
onctica
intravascu
lar
reduzida
Aumento
da
presso
onctica
interstici
al
Aumento
da
permeabil
idade
capilar
Drenage
m
linftica
prejudica
da
Hipoalbumine
mia
Mixedema
Alergias,
queimaduras
Filariose
No
muito
intenso
17
Mixedema
Pouco
depressv
el
Alterae
s
cutneas
Inelstic
o
18
Endocrinopatias
Hipotireodismo
franco
Fceis
mixedematosa
um importante
sinal clnico que
aponta para
hipotireoidismo
Hipertireoidismo
Mixedema pr-tibial
Sinal clnico
caracterstico de
hipertireoidismo
autoimune (Doena
de Graves)
19
HIPOTIREOIDISMO
FRANCO (MIXEDEMA) FCEIS
MIXEDEMATOSA
ROSTO
ARREDONDADO
CABELO SECO E
SEM BRILHO
PLPEBRAS
INFILTRADAS E
ENRUGADAS
CLIO ESCASSOS
NARIZ E LBIOS
GROSSOS
SULCOS
ACENTUADOS
PELE SECA E
ESPESSADA
FISIONOMIA
APTICA
Figura: fceis mixedematosa
20
HIPOTIREOIDISMO
FRANCO (MIXEDEMA)
21
HIPOTIREOIDISMO
FRANCO (MIXEDEMA)
2. PA discretamente
elevada
5. Derrame pericrdico
7. Hepatomegalia
6. Ascite
8. Dilatao do clon,
fecaloma, leo
paraltico
9. Pseudo-hipertrofia
FCEIS
MIXEDEMATOSA
1. Alteraes na glndula
tireide (bcio)
3. Bulhas hipofonticas e
bradicardia
4. Pulso lento e de pequena
amplitude
10. Pseudomiotonia
22
HIPOTIREOIDISMO
FRANCO (MIXEDEMA)
23
24
IN TWO OR THREE
COLUMNS
Yellow
Is the color of
gold, butter
and ripe
lemons. In the
spectrum of
visible light,
yellow is found
between green
and orange.
Blue
Is the colour of
the clear sky
and the deep
sea. It is
located
between violet
and green on
the optical
spectrum.
Red
Is the color of
blood, and
because of
this it has
historically
been
associated
with sacrifice,
danger and
courage.
25
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and
many more...
27
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INSUFICIE
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