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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanP
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pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
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bestindicatorofprognostsmonoclonal
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neoplasticproliferation(singlecloneofcells)polyclonal
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reactiveproliferationArias-Stellareaction
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pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
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bestindicatorofprognostsmonoclonal
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grade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-https://pt.scribd.com/doc/171362731/Matary-Summary-2012-AllTebFamily-
com+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesg
rade"crump4ledtissuepaper24ona
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tifcreasedvitC(scurvy)Gauchercells
--?cvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+me~hemorrhagiccrustedlesionsskil
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-
+me~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultiforme)incr
easedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedosteroid(mine
arlizationOK)~deente
aubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measlesvirus(pararnyxovirus
)ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tifcreasedvitC(scurvy)Gauchercells
--?
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalg
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgnostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalg
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-
Schonleinpurpura~leukocytoclasticmp4ledtissuepaper2412"rnacrophagesNeimanPickcells-
)lipidladenmacrophagesgrade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)l
ipidladenmacrophagesgrade
-+124
8124)CD8~MHCIlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+124
8124)CD8~MHCIlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtiadenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+124
8124)CD8~MHCIlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrad
e"crump4ledtissuepaperlipidladenmacropha
-
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grade"crump4ledtissuepaperlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+12"crump4ledtissue
-
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e"crump4ledtissuepaperligesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+12"crump4ledtissue
-
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e"crump4ledtissuepaperlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+12"crump4ledtissuepaper24
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8124)CD8~MHCIlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrad
e"crump4ledtissuepaperlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissue12"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade"crump
4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)
-+124
8124)CD8~MHCIlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrad
e"crump4ledtissuepaperlipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissuestarashiorkor~decreasedprotein(calorie1sOK)marasmus-)starvationd
12rugreactionsHenoch-
Schonleinpurpura~leuhr2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+1242412"rnacrophagesNeimanPickcelade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrad
e"crump4ledtissuepaperlipidladenmacrophagesgradevasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tiforme)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedo
steroid(minearlizationOK)~deente
aubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measlesvirus(pararnyxovirus
)ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
-
Rotina de abdome
agudoorme)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decrease
dosteroid(minearlizationOK)~decreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+creasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
-
Rotina de abdome agudo
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-histaminico H1de 2G com menor efeito sedativo.- alergia,
urticria: 60mg/dose x 2- rinite: 60- 120mg/dia de 12/12h- ALTIVA (fexofenadina)
120mg: rinite 01 vez
ubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measlesvirus(pararnyxovirus)
ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tiforme)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedo
steroid(minearlizationOK)~decreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
no desequilbrio da flora bacteriana normal presente na cavidade oral, com riscode
proliferao bacteriana ou fungica.Aao anestsica e antisseptica local
Amigdalite em grvida
- CEFALEXINA 500mg, 01 cp, 8/8h, 07d
Anasarca-
ALDACTONE 25mg VO de 12/12h- FUROSEMIDA 01 amp EV de 12/12 h
Anemia-
COMBIRON, tomar 01 cp, 2 vezes ao dia (almooe jantar)- SULFATO FERROSO 300 mg, 01
cp, antes do almooe jantar - ACIDO FLICO 5mg, 01 vez ao dia pela manha-
Transfusao sanguinea HMT <21 e HGB < 701 bolsa de sangue aumenta em 3,5 a 5 a HGB-
ERITROPOETINA 5000 UI (hemax) SC de 12/12h,OBS: pct com anemia e IRC no adianta
fazer Sulfatoferroso e ac folico
Asma:
NEBULIZAAO, fazer 3x com intervalo de 20- ATROVENT 16 gotas (Brometo de
ipatropio) (ate 30gotas)Anticolinergico por inibio competitiva nos receptores.-
BEROTEC 8 gotas (Fenoterol) (ate 10g) B2 agonistade ao curta til na crise de
broncoespasmo e na profilaxia da crise induzida por exerccioEC: tremores finos so
relativamente freqentes etendem a desaparecer com o uso- AGUA DESTILADA 5 ml
Asma grave:
- CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp(100 e 500mg), diluido em SORO
FISIOLOGICO,IV- AMINOFILINA (Aminofilina), 1 amp (10ml 24mg/ml), EVXantina
similar a teofilina com a vantagem de usovenoso.Doses teraputicas prximas as
doses txicas.CI: gastrite, ulcera e arritmia no controladaOBS: Em pct jovens
pedir um Rx pois pode ter uma pneumonia associada- ADRENALINA 0,3 ml SC (ate 0,7)-
PC: METICORTEN 20mg (Prednisona)01 cp 01 vez ao dia pela manha por 5 dias01/2 cp 01
vez ao dia pela manha por 3dOu01 cp, 03d, 12-12h01/2 cp, 03d, 24-24h01/4 cp, 03d,
24-24h
Asma grvida
- NBZ sem Berotec e Adrenalina- outros igual
Atestado de obito
Pct deu entrada j cadaver, em PCR, feito manobra deRCP sem exito. Pulso periferico
e central ausente. AR eACV inaudiveis. Pupilas midriaticas e nofotorreagentes.
Reflexo crneo palpebral ausente.Ausencia de reflexo crneo palpebral. ECG
semderivaao. Obito as X horas.Quando o pct estiver internado tem que colocar a
causado bito No atestato: autorizo o sepultamento em 24h
Abdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
-
Rotina de abdome agudo
-
+12"crump4ledtissuestarashiorkor~decreasedproteinmp4ledtissuepaper2412"rnacrophages
NeimanPickcells-)lipidladenmacrophagesgrade
-+12"crump4ledtissue12"rnacrophagesNeimanPicls-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+12"crump4ledtissue
-
+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrad
e"crump4ledtissuepaperligesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+12"crump4ledtissue
-
+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrad
e"crump4ledtissuepaperlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-+12"crump4ledtissuepaper24
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8124)CD8~MHCIlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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-
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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-
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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-
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8124)CD8~MHCImacrophagesgrade"crump4ledtissuepaperlipidladenmacrop
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)l
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8124)CD8~MHCIlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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-
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanP
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8124)CD8~MHCIlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanP
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
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8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanP
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-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
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reactiveproliferationArias-Stellareaction
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-)0
neoplasticproliferation(singlecloneofcells)polyclonal
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reactiveproliferationArias-Stellareaction
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aubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measlesvirus(pararnyxovirus
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=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
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--?
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalg
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgnostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
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reactiveproliferationArias-Stellareaction
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hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
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8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
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8124)CD8~MHCIlipidladenmacrophagesgrade
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8124)CD8~MHCIdec"crump4ledtiadenmacrophagesgrade
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8124)CD8~MHCI
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tiforme)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedo
steroid(minearlizationOK)~deente
aubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measlesvirus(pararnyxovirus
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=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
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pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
-
Rotina de abdome
agudoorme)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decrease
dosteroid(minearlizationOK)~decreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+creasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
-
Rotina de abdome agudo
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-histaminico H1de 2G com menor efeito sedativo.- alergia,
urticria: 60mg/dose x 2- rinite: 60- 120mg/dia de 12/12h- ALTIVA (fexofenadina)
120mg: rinite 01 vez
ubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measlesvirus(pararnyxovirus)
ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationdrug
reactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-
Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamul
tiforme)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedo
steroid(minearlizationOK)~decreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
no desequilbrio da flora bacteriana normal presente na cavidade oral, com riscode
proliferao bacteriana ou fungica.Aao anestsica e antisseptica local
Amigdalite em grvida
- CEFALEXINA 500mg, 01 cp, 8/8h, 07d
Anasarca-
ALDACTONE 25mg VO de 12/12h- FUROSEMIDA 01 amp EV de 12/12 h
Anemia-
COMBIRON, tomar 01 cp, 2 vezes ao dia (almooe jantar)- SULFATO FERROSO 300 mg, 01
cp, antes do almooe jantar - ACIDO FLICO 5mg, 01 vez ao dia pela manha-
Transfusao sanguinea HMT <21 e HGB < 701 bolsa de sangue aumenta em 3,5 a 5 a HGB-
ERITROPOETINA 5000 UI (hemax) SC de 12/12h,OBS: pct com anemia e IRC no adianta
fazer Sulfatoferroso e ac folico
Asma:
NEBULIZAAO, fazer 3x com intervalo de 20- ATROVENT 16 gotas (Brometo de
ipatropio) (ate 30gotas)Anticolinergico por inibio competitiva nos receptores.-
BEROTEC 8 gotas (Fenoterol) (ate 10g) B2 agonistade ao curta til na crise de
broncoespasmo e na profilaxia da crise induzida por exerccioEC: tremores finos so
relativamente freqentes etendem a desaparecer com o uso- AGUA DESTILADA 5 ml
Asma grave:
- CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp(100 e 500mg), diluido em SORO
FISIOLOGICO,IV- AMINOFILINA (Aminofilina), 1 amp (10ml 24mg/ml), EVXantina
similar a teofilina com a vantagem de usovenoso.Doses teraputicas prximas as
doses txicas.CI: gastrite, ulcera e arritmia no controladaOBS: Em pct jovens
pedir um Rx pois pode ter uma pneumonia associada- ADRENALINA 0,3 ml SC (ate 0,7)-
PC: METICORTEN 20mg (Prednisona)01 cp 01 vez ao dia pela manha por 5 dias01/2 cp 01
vez ao dia pela manha por 3dOu01 cp, 03d, 12-12h01/2 cp, 03d, 24-24h01/4 cp, 03d,
24-24h
Asma grvida
- NBZ sem Berotec e Adrenalina- outros igual
Atestado de obito
Pct deu entrada j cadaver, em PCR, feito manobra deRCP sem exito. Pulso periferico
e central ausente. AR eACV inaudiveis. Pupilas midriaticas e nofotorreagentes.
Reflexo crneo palpebral ausente.Ausencia de reflexo crneo palpebral. ECG
semderivaao. Obito as X horas.Quando o pct estiver internado tem que colocar a
causado bito No atestato: autorizo o sepultamento em 24h
Abdome agudo-
TRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado EV,
correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
-
Rotina de abdome agudo
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenma
crophagesgrade
-
+12"crump4ledtissue12"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade"crump
4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+124
Acidente automobilstico
- Rx: bacia panormica Lombo sacra AP e perfil
Alergia
-CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp (100 e500mg) diludo em SORO GLICOSADO
100 ou 500 ml(30 gotas/mim).Dose equivalente a predinisona: multiplicar por 4CI:
ifc no controladas, sobretudo herpes, varicela,tuberculose, fungos.- FENERGAN
(Prometazina) 1 amp (2ml 50mg), IM(em caso de prurido)Anti-histaminico H1 com
ao antialrgica,antivertiginosa, antiemetico (apenas p vmitosresistentes de
etiologia desconhecida) e sedativohipnticoUso EV arriscado (hipotenso) prefira
IM e passe paraVO assim que possvel.-DECADRON (dexametasona) 4mg/ml 2,5
ml(equivale a 1 amp) IM dose nica- ADRENALINA 0,3 ml SC ou 0,01 mL/Kg-
HIDROCORTISONA + FENERGAN + DECADRON+ ADRENALINA- PC: POLARAMINE 2 mg
(Dextroclorfeniramina) 01cp, de 8-8 h, 3 ou 7 diasAnti-histaminico de 1 gerao.
Reduzem em 30% asecreo nasal no resfriado comum.Obs: Quando se suspeita que a
alergia por leso deinseto, pedir um hemograma pois iremos ver umaeosinofilia.-
PC: METICORTEN 20mg (Prednisona), 01 cp, 12-12h, 7d aps o almooCorticoide oral
padro por ser eficaz e barato.Deve-se tomar com ou aps as refeies ou com leite
para reduzir irritao gstrica.-PC: HIXIZINE / HIDROXINE / PRURIZIN 25
mg(Hidroxizina), 01 cp, 6-6h, 5d (til em urticriaresistente): anti- histamnico c
ao antialrgica,antiemetica e sedativa ou ansioltica. Util em
urticriaresistente. Primeira escolha nas urticrias colinrgicas ecrnicas.-
alergia/urticria: 25-100mg/dose x 3-4-melhor tomar a noite devido a sonolncia-PC:
EBASTEL (ebastina): anti-histaminico H1 de 2GUtil em alergia, urticria e rinite:
10-20mg/dose x 1-PC: ALLEGRA (fexofenadina): anti-histaminico H1de 2G com menor
efeito sedativo.- alergia, urticria: 60mg/dose x 2- rinite: 60- 120mg/dia de
12/12h- ALTIVA (fexofenadina) 120mg: rinite 01 vez ao dia- ALTIVA 180 mg: urticria
01 vez ao dia
Alergia e infeco secundaria
- NEBACETIN (Neomicina e bacitracina): passar de12/12h ou 24h dependendo da ifc.Use
cremes em leses midas ou que precisam ser hidratadas e pomadas em leses secas.
ATB tpicosdermatolgicos devem ser usados de 2 a 4 vezes ao dia.Considerar o uso
de curativo oclusivo.-KEFLEX 500mg (Cefalexina), 01 cp, de 6-6 h, 07
diasCefalosporina de 1 gerao bem absorvida por VO mascom meia vida curta. Usado
em ifc graves, piodermite esinusite.
Amigdalite:
Sem placa de pus:- NISULID ou SCAFLAM 100mg (Nimesulida)01cp, 12-12h,
07dAntiinflamatrio com efeito analgsico e antitrmico.CI: hemorragia digestiva,
ulcera pptica, disfunorenal ou heptica graveCom placa de pus:-AMOXIL 500 mg
(Amoxicilina), 01 cp, de 8-8 h, 10diasPenicilina semi sinttica. ATB mais usado em
pediatria.Primeira escolha na OMA. til nas faringite, sinusite, pneumonia, ifc
urinaria e na profilaxia da endocardite bacteriana.-BENZENTACIL 1:200.000
(Penicilina benzatina)IM.Penicilina de deposito IM que mantm nvel srico por ate
30d. Usado em faringoamigdalite, profilaxiade d reumtica e sfilis.

-ZITROMAX 500mg (Azitromicina), 01 cp, 01 vezao dia, por 05 dias.OBS: Em caso de


alergia a PenicilinaMacrolideo azalidio (derivado da eritromicina) quetem meia vida
mto longa e conduzido por macrfagosaos tecidos permitindo tto de 3d p estrepto e
estafilo.Mais eficiente que a Eritro e clarito no H influenza eMoraxellaQuando mtoo
inflamado e edemaciado-ATB e AINE-DECADRON (dexametasona) 4mg/ml 2,5 ml(equivale
a 1 amp) IM dose nicaGlicocorticide, d inflamatria crnica,
autoimune,oncolgica, dermatolgica e hematolgica. Por VO preferir tomar com
alimentos p reduzir a irritaogstrica.Doses venosas acima de 10mg deve ser
diluda emSGI ou SF e correr em 30minDoses menores: bolo em 1 a 5 min-HEXOMEDINE
SPRAY (Isetionato de hexamidina ecloridrato de tetracana) Aplicar 03 nebulizaes
ate de4 em 4 horas. Deve-se aplicar as nebulizaes nacavidade bucal direcionando o
aplicador para aorofaringe. Usar por no maximo 05 dias pois o uso prologando pode
resultar no desequilbrio da flora bacteriana normal presente na cavidade oral, com
riscode proliferao bacteriana ou fungica.Aao anestsica e antisseptica local
Amigdalite em grvida
- CEFALEXINA 500mg, 01 cp, 8/8h, 07d
Anasarca-
ALDACTONE 25mg VO de 12/12h- FUROSEMIDA 01 amp EV de 12/12 h
Anemia-
COMBIRON, tomar 01 cp, 2 vezes ao dia (almooe jantar)- SULFATO FERROSO 300 mg, 01
cp, antes do almooe jantar - ACIDO FLICO 5mg, 01 vez ao dia pela manha-
Transfusao sanguinea HMT <21 e HGB < 701 bolsa de sangue aumenta em 3,5 a 5 a HGB-
ERITROPOETINA 5000 UI (hemax) SC de 12/12h,OBS: pct com anemia e IRC no adianta
fazer Sulfatoferroso e ac folico
Asma:
NEBULIZAAO, fazer 3x com intervalo de 20- ATROVENT 16 gotas (Brometo de
ipatropio) (ate 30gotas)Anticolinergico por inibio competitiva nos receptores.-
BEROTEC 8 gotas (Fenoterol) (ate 10g) B2 agonistade ao curta til na crise de
broncoespasmo e na profilaxia da crise induzida por exerccioEC: tremores finos so
relativamente freqentes etendem a desaparecer com o uso- AGUA DESTILADA 5 ml
Asma grave:
- CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp(100 e 500mg), diluido em SORO
FISIOLOGICO,IV- AMINOFILINA (Aminofilina), 1 amp (10ml 24mg/ml), EVXantina
similar a teofilina com a vantagem de usovenoso.Doses teraputicas prximas as
doses txicas.CI: gastrite, ulcera e arritmia no controladaOBS: Em pct jovens
pedir um Rx pois pode ter uma pneumonia associada- ADRENALINA 0,3 ml SC (ate 0,7)-
PC: METICORTEN 20mg (Prednisona)01 cp 01 vez ao dia pela manha por 5 dias01/2 cp 01
vez ao dia pela manha por 3dOu01 cp, 03d, 12-12h01/2 cp, 03d, 24-24h01/4 cp, 03d,
24-24h
Asma grvida
- NBZ sem Berotec e Adrenalina- outros igual
Atestado de obito
Pct deu entrada j cadaver, em PCR, feito manobra deRCP sem exito. Pulso periferico
e central ausente. AR eACV inaudiveis. Pupilas midriaticas e nofotorreagentes.
Reflexo crneo palpebral ausente.Ausencia de reflexo crneo palpebral. ECG
semderivaao. Obito as X horas.Quando o pct estiver internado tem que colocar a
causado bito No atestato: autorizo o sepultamento em 24h