EXAMENUL CLINIC GENERAL

EXAMEN OBIECTIV

ANEMIE

CARENTIALA

FERIPRIVA

Starea general
:
influentata
Talie ....................................... Greutate ...............................
Starea de nutriie :
apetit scazut sau capricios Starea de contien :
pastrata
Facies :
palid
Tegumente :
palide , uscate
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Mucoase : stomatita angulara , buzele crapate , limba depapilata (neteda) si dureroasa

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Fanere : unghiile de la maini si picioare foarte fragile ,par friabil

esut conjunctiv-adipos :
usor diminuat
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Sistem ganglionar : periferic nepalpabil
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Sistem muscular : normoton ,normokinetic sau prezinta pseudomiopatie

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Sistem osteo-articular : integru .Articulatii libere cu miscari active si pasive de amplitudine normala.
APARAT RESPIRATOR : cai aeriene superioare permeabile.Nimic patologic la auscultatia pulmonara .
APARAT CARDIOVASCULAR : Aria matitatii cardiace in limite normale.Socul apexian situat in spatiul IV i.c.
stg. pe linia medioclaviculara.Dispnee la efort ,tahicardie.
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APARAT DIGESTIV:Abdomen suplu,elastic urmeaza ritmic miscarile respiratorii .

Apetit scazut , diaree recurenta .

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FICAT, CI BILIARE, SPLINA: splenomegalie usoara ,ficat si cai biliare in limite normale
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APARAT URO-GENITAL:Loje renale libere ,nedureroase.Mictiuni fiziologice .Organe genitale externe normal

conformate.
SISTEM NERVOS, ENDOCRIN, ORGANE DE SIM: ROT prezente , fara SIM

Irascibilitate / Astenie / Smnolenta / Tulb. de atentie / Cefalee / Stari de ameteala

*****NECESARUL DE FIER :
prematur: 2 mg/kg/zi, din luna a 2 a
sugar la termen: 1 mg/kg, din luna a 4 a
1 3 ani: 15 mg/zi
4 10 ani: 10 mg/zi
peste 10 ani: 15 mg/zi
*****In functie de valorile Hb, exista urmatoarele forme de severitate:
usoare: Hb: 9 10%
medie: 7 9%
severa: sub 7%