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01 - general - curs 5 - dermatologie

01 - general - curs 5 - dermatologie

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Published by lorelley30

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Published by: lorelley30 on Aug 09, 2007
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05/18/2013

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Universitatea de MedicinUniversitatea de Medicină şi Farmacieă şi FarmacieGr. T. PopaGr. T. PopaIaşiIaşiFacultatea de MedicinăFacultatea de Medicină
Semiologie MedicalaSemiologie Medicala
CursCurs
Prof. Univ. Dr. George Ioan PandeleProf. Univ. Dr. George Ioan Pandele
 
 
SEMIOLOGIA TEGUMENTELOR, MUCOASELOR SI FANERELOR SEMIOLOGIA TEGUMENTELOR, MUCOASELOR SI FANERELOR 
Simptomul cutanat principal – Pruritul
- traduce iritatia subliminara a terminatiilor nervoase (fibrele amielinice C) de catrestimuli variati- poate fi
 generalizat 
si
localizat 
Pruritul generalizat
 – cauze:modificari de
temperatura
si de
mediu ambiant, agenti fizici si chimici 
afectiuni interne
– sindroame colestatice, DZ, limfoame maligne, mielom multiplu,leucoza limfatica cronica, IRC, carcinomul gastric si pulmonar afectiuni
endocrine
– 
hipo- si hipertiroidia, hiperfoliculinismulafectiuni
dermatologice
– 
 prurigo, urticaria, eczeme, lichen plan
alergii 
 
medicamentoase si de contact (detergenti)
Pruritul localizat
:
genital 
 
 – diabet, carente vitaminice, sideropenie, neoplasm uterin, factori neurogeni
nazal 
 
 – astm, parazitoze, uremie, hiperfoliculinism, morfinomanie
auricular 
 
 – diabet, micoze
scalp
 
 – alcoolism, menstruatie
trunchi si extremitati 
 
 – hepatita, ciroza, insuficienta renala, sarcina, pediculoza, poliglobulie
 
 
Examenul obiectiv al tegumentelor, mucoaselor si fanerelor
- netezime - grosime- consistenta - elasticitate- temperatura - culoare

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