Teste Total - 1631480974

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\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch
\fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1
\af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Alimenta\uc1
\u355 ?ia natural\uc1 \u259 ? excluziv\uc1 \u259 ? \uc1 \u238 ?nseamn\uc1 \u259 ?
c\uc1 \u259 ?:Nu se d\uc1 \u259 ? copilului nici un alt aliment \uc1 \u238 ?n
afar\uc1 \u259 ? de lapte matern}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
Alopecia \uc1 \u238 ?n lupusul eritematos are urm\uc1 \u259 ?toarele
caracteristici, cu excep\uc1 \u355 ?ia: Alopecie total\uc1 \u259 ? tardiv\uc1 \u259
?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \lang1048 \langnp1048
Anemia caren\uc1 \u355 ?ial\uc1 \u259 ? de fier}{\rtlch \fcs1 \af7 \afs22 \ltrch
\fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \lang1033
\langnp1033 \langfe1049 \langfenp1049 \alang1025 }{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 de gr. I la copii }{\rtlch
\fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 {\field
{\*\fldinst SYMBOL 60 \'5cf "Symbol" \'5cs 11}{\fldrslt \f8 \fs22 }}}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 5ani se
determin\uc1 \u259 ? c\uc1 \u226 ?nd nivelul Hb constituie:}{\rtlch \fcs1 \af6
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 90}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u8211 ?}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 110
g/l}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\af6 \hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af6
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Anemia fieripriva
este, cu exceptia:cu schizocitoza}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Angina ulceronecrotic\uc1 \u259 ? Simanovs}{\rtlch \fcs1 \af6 \afs22 \ltrch
\fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 k}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 i -Wincent este:}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Angin\uc1 \u259 ?
primar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Antibioticul de
elec\uc1 \u355 ?ie \uc1 \u238 ?n pneumonia acut\uc1 \u259 ? de domiciliu la copilul
mic este:Amoxicilin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Aspira\uc1 \u355 ?ia
de corp str\uc1 \u259 ?in \uc1 \u238 ?n c\uc1 \u259 ?ile respiratorii este mai
frecvent\uc1 \u259 ? la:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 copil mic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Bradicardia la copii dup\uc1 \u259 ? v\uc1 \u226 ?rsta de 6 ani are o
frecven\uc1 \u355 ?\uc1 \u259 ? cardiac\uc1 \u259 ? inferioar\uc1 \u259 ? de:60
b\uc1 \u259 ?t\uc1 \u259 ?i/min}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx1080
\itap0 \ls0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\dbch \af2 \hich \af0 \loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033
\alang1025 {\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Bronhoscopia}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Cateterisarea venei subclavia}{\rtlch \fcs1 \af6
\f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 .}{\rtlch \fcs1 \af6
\f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \par }\pard
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Caracteriza\uc1 \u355 ?i
durerea \uc1 \u238 ?n ulcerul gastric:durere ne\uc1 \u238 ?nsemnat\uc1 \u259 ? \uc1
\u238 ?n epigastr}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\ltrch \loch \af6 \hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 u}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care antibiotic nu
este recomandat \uc1 \u238 ?n tratamentul faringitei streptococice?}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Gentamicina}
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care defect anatomic
nu caracterizeaz\uc1 \u259 ? Tetrada Fallot?Comunicarea interatrial\uc1 \u259 ?}
{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care din
complicatiile tuberculozei primare est emai severa:diseminatii miliare}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Care din fenomenele enumerate nu
caracterizeaz\uc1 \u259 ? anemia hemolitic\uc1 \u259 ?:}{\rtlch \fcs1 \af6
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 fermentemia}
\tab }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 \tab }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Cel mai sensibil
test al hemolizei este:reticulocitoza}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \lang1040
\langnp1040 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \li0 \ri0
\ltrch \dbch \af2 \hich \af0 \loch \af6 \lang1049 \langnp1049 \langfe1033
\langfenp1033 \alang1025 {\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Care din formele de tuberculoz\uc1 \u259 ? este de
genez\uc1 \u259 ? primar\uc1 \u259 ? ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tuberculoza g/limfatici
intratoracici}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx1080 \itap0 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care din plantele
medicinale are o ac\uc1 \u355 ?iune antiinflamatorie evident\uc1 \u259 ??Sun\uc1
\u259 ?toarea}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Prin ce }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 sindrom clinic se manifest\uc1 \u259 ? varianta
morfologic\uc1 \u259 ? a glomerulonefritei minime?}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Nefrotic}{\rtlch \fcs1 \af6 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af6 \loch \f6
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \aspalpha \aspnum
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care din preparatele
antituberculoase este contraindicat copiilor sub 6 ani ?etambutolul}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care din preparatele
antituberculoase este contraindicat gravidelor}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 :}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 streptomicina}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care din urm\uc1 \u259 ?toarele
afirma\uc1 \u355 ?ii este corect\uc1 \u259 ? pentru sindromul QT lung:Poate fi
congenital \uc1 \u351 ?i dob\uc1 \u226 ?n}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 dit}{\rtlch \fcs1 \af6 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care din urm\uc1 \u259 ?toarele
remedii este aritmic de clasa 1 (blocant al canalelor de Na):}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Digoxina}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Care din}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tre}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 erup\uc1 \u355 ?
iile enumerate mai jos pot fi \uc1 \u238 ?n rujeol\uc1 \u259 ?}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ?}{\rtlch \fcs1 \af6
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Macule-papule}
\hich \af0 \dbch \f0 \lang1049 \langnp1049 \langfe1049
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Care dintre urm\uc1
\u259 ?toarele preparate antivirale nu se indic\uc1 \u259 ? \uc1 \u238 ?n
grip\uc1 \u259 ??}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 \tab }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Ganciclovir}{\rtlch \fcs1 \af6 \afs22
\adjustright \lin0 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6 \lang1049
\langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af7 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este agentul
patogen, cauzal mai frecvent \uc1 \u238 ?n dezvoltarea pielonefritei la copii:}
Esherichia colii}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este
caracteristica sindromului dolor \uc1 \u238 ?n gastrita cronic\uc1 \u259 ? \uc1
\u238 ?n perioada de acutizare?durere surd\uc1 \u259 ? postprandial\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este cauza
etiologic\uc1 \u259 ? a colitei ulceroase nespecifice la copil?necunoscut\uc1
\u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Care este cel mai
constant \uc1 \u351 ?i durabil simptom paraclinic \uc1 \u238 ?n GN acut\uc1 \u259 ?
cu sindrom nefritic ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Hematurie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Care este cel mai frecvent factor etiologic ai bron\uc1 \u351 ?itelor acute la
copii?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Virusuri}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Care este cel mai
frecvent factor etiologic al glomerulonefritei acute?}{\rtlch \fcs1 \af6 \afs22
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Streptococul beta-
hemolitic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este criteriul
obiectiv instrumental ce }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 confirm\uc1 \u259 ? sindromul colonului iritabil?lipsa
modific\uc1 \u259 ?rilor organice ale mucoasei colonului}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este durata interdic\uc1
\u355 ?iei alimentare a produselor alergice la copilul mic?}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 6}{\rtlch \fcs1 \af6
luni}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este marcherul
alergiei \uc1 \u238 ?n hemoleucogram\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 eozinofilele}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este mecanismul de
infectare \uc1 \u238 ?n pneumonia acut\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aerogen}{\rtlch \fcs1
\af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich
\af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este
medicamentul de elec\uc1 \u355 ?ie \uc1 \u238 ?n dermatomiozit\uc1 \u259 ??}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Prednisolon }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este metoda
screening \uc1 \u238 ?n diagnosticul}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 pielonefritei?}{\rtlch \fcs1 \af6
\f6 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ultrasonografia
rinichilor \uc1 \u351 ?i scintigrafia rinichilor }{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este preparatul de
elec\uc1 \u355 ?ie \uc1 \u238 ?n terapia tahicardiei paroxistice supraventriculare
cu insuficien\uc1 \u355 ?a cardiac\uc1 \u259 ? congestiv\uc1 \u259 ?}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Digoxina}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care este semnul
clinic distinctiv pentru bron\uc1 \u351 ?itele obstructive?wheezing recurent
\uc1 \u238 ?n infec\uc1 \u355 ?iile respiratorii}{\rtlch \fcs1 \af6 \afs22
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Care factor nu poate fi
utilizat in terapia hemofiliei:Singele integru}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 \tab }{\rtlch \fcs1 \af6 \afs22
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 \tab }{\rtlch \fcs1 \af6
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 \tab }{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care grup }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 de maladii sunt cele
mai frecvente \uc1 \u238 ?n morbiditatea copiilor de v\uc1 \u238 ?rst\uc1 \u259 ?
mic\uc1 \u259 ??infec\uc1 \u355 ?iile respiratorii}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Care nivel de temperatur\uc1 \u259 ? la nou-n\uc1 \u259 ?
scut se consider\uc1 \u259 ? normal:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 36,5}{\rtlch \fcs1 \af6 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \up9
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 o }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C}{\rtlch \fcs1 \af6
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Care parametru }{\rtlch \fcs1
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 caracterizeaz\uc1
\u259 ? forma grav\uc1 \u259 ? a anemiei aplastice\uc1 \u160 ?:}{\rtlch \fcs1
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 granulocitele 0,4
* }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6
10 }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\alang1025 \super1 9}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 /l}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f9 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Care preparat este
utilizat \uc1 \u238 ?n tratamentul hipotiroidismului? }{\rtlch \fcs1 \af6 \afs22
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 tiroxina L}{\rtlch \fcs1
\langfe1033 \langfenp1033 \alang1025 {\rtlch
\fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich
\af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care}
semn clinic nu este caracteristic pentru dermatomiozit\uc1 \u259 ?? Uremie \uc1
\u238 ?n debut}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care semn clinic nu
este comun pentru faringita streptococic\uc1 \u259 ? la pre\uc1 \u351 ?colari?
Ra\uc1 \u351 ? scarlatiniform}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Care semn clinic nu este comun pentru faringita streptococic\uc1 \u259 ? la \uc1
\u351 ?colari?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 Tuse}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Care semn de laborator nu este caracterist}{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 ic pentru anemia hemolitic\uc1
\u259 ?:haptoglobina majorat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Care semn paraclinic nu este prezent \uc1 \u238 ?n febra
reumatismal\uc1 \u259 ??ECG- date normale pentru v\uc1 \u226 ?rst\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care sindrom clinic
de baz\uc1 \u259 ? \uc1 \u238 ?n febra reumatismal\uc1 \u259 ? poate fi atribuit
\uc1 \u351 ?i ca consecin\uc1 \u355 ?\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Valvulopatia}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care sindrom clinic nu este
secundar febrei reumatismale?Cardita}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Care sunt complica\uc1 \u355 ?iile mai frecvente a
complexului tuberculos primar ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 pleurezie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 diseminare bronhogen\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care sunt contraindica\uc1
\u355 ?iile pentru alimenta\uc1 \u355 ?ia la s\uc1 \u226 ?n?Mastita purulent\uc1
\u259 ? la mam\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 , }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 TBC, forma activa netratata}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care sunt manifest\uc1 \u259 ?rile
clinice \uc1 \u238 ?n hipoplazia pulmonar\uc1 \u259 ??hipoxie cronic\uc1 \u259 ?:
hipocratism digital}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \i1 \fs22 \rtlch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Care sunt
manifest\uc1 \u259 ?rile clinice \uc1 \u238 ?n vasculita hemoragic\uc1 \u259 ?:}
sindromul renal}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care sunt stadiile
radiologice ale complexului tuberculos primar, cu excep\uc1 \u355 ?ia ?}{\rtlch
\af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 de
stabilizare}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\alang1025 Care teste caracterizeaza calea comuna de coagulare: Timpul trombinei }
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Care teste
caracterizeaza dereglarile hemostazei primare:retractia cheagului}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Care tubulare de ritm nu se
refer\uc1 \u259 ? la bradicardieFibrila\uc1 \u355 ?ia atrial\uc1 \u259 ?}{\rtlch
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Cauzele
hipotiroidismului pot fi urm\uc1 \u259 ?toarele, except\uc1 \u226 ?nd:}{\rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 adenomul
pancreatic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce celule
predomin\uc1 \u259 ? \uc1 \u238 ?n lichidul pleural \uc1 \u238 ?n pleurezia
tuberculoas\uc1 \u259 ? ?.}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Limfocite}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6 \lang1049 \langnp1049
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce antioxidan\uc1 \u355 ?i din
produsele alimentare induc reac\uc1 \u355 ?ii alergice?}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E 320, 311}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce b\uc1 \u259 ?
utur\uc1 \u259 ? este recomandat\uc1 \u259 ? copiilor cu alergie alimentar\uc1
\u259 ??ap\uc1 \u259 ? plat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Ce este contraindicat \uc1 \u238 ?n dietoterapia
pacientului cu IRC\uc1 \u160 ??}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 M\uc1 \u259 ?rirea cantit\uc1 \u259 ?\uc1 \u355 ?ii de
lichid }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce este corect
pentru icterul cauzat de laptele matern?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 E legat de nivelul m\uc1 \u259 ?
rit a pregnandiolului \uc1 \u238 ?n lapte}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lin0 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Ce fenomen nu caracterizeaza
anemia aplastica:splenomegalia}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\hich \af0 \loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Ce
glomerulonefrit\uc1 \u259 ? poate progresa \uc1 \u238 ?n IRC\uc1 \u160 ??}
\hich \af7 \loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 GNC
forma mixt\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce investiga\uc1
\u355 ?ie este necesar\uc1 \u259 ? pentru diagnosticul de certitudine \uc1 \u238 ?n
boala bron\uc1 \u351 ?iectatic\uc1 \u259 ??computer tomografie pulmonar\uc1
\af6 \hich
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx426 \itap0 \rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce investiga\uc1
\u355 ?ie nu este obligatorie \uc1 \u238 ?n cazul prezen\uc1 \u355 ?ei enurezisului
la copil:biopsia renal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
investiga\uc1 \u355 ?ii paraclinice sunt indicate \uc1 \u238 ?n bron\uc1 \u351 ?
itele acute la copil?nu sunt necesare investiga\uc1 \u355 ?ii}{\rtlch \fcs1 \af6
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Ce maladie poate dezvolta IRC\uc1
\u160 ??}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Glomerulonefrita cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Ce manifestare clinic\uc1 \u259 ? nu este caracteristic
pentru sindromul anemic \uc1 \u238 ?n ICR?}{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Pericardit\uc1 \u259 ?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce modific\uc1 \u259 ?ri
auscultative sunt \uc1 \u355 ?n adenopatia tuberculoas\uc1 \u259 ? ?respira\uc1
\u355 ?ie vezicular\uc1 \u259 ? exagerat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Ce nu se include \uc1 \u238 ?n
cauzele prerenale \uc1 \u238 ?n IRA la copii?}{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Polichistoz\uc1 \u259 ?
renal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\alang1025 Ce }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 patologie renal\uc1 \u259 ? se manifest\uc1 \u259 ? mai
frecvent cu macrohematurie?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Cistita hemoragic\uc1 \u259 ? }{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce procedeu terapeutic este
indicat \uc1 \u238 ?n aspira\uc1 \u355 ?ia de corp str\uc1 \u259 ?in:}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bronhoscopioe}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce reprezint\uc1
\u259 ? maladia }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 Roger?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Defect de sept ventricular mic cu \uc1 \u351 ?unt
st\uc1 \u226 ?nga-dreapta minim sau moderat}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Ce reprezint\uc1 \u259 ? suplimentul? formula de lapte,
administrat\uc1 \u259 ? \uc1 \u238 ?n alimentarea mixt\uc1 \u259 ? a sugarului}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce semn morfologic
deosebe\uc1 \u351 ?te inflama\uc1 \u355 ?ia tuberculoas\uc1 \u259 ? de alte procese
granulomatoase ?cazeum \uc1 \u238 ?n centrul granulomului}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Ce sindrom clinic al
glomerulonefritei acute \uc1 \u238 ?n cazul croniciz\uc1 \u259 ?rii procesului se
transform\uc1 \u259 ? \uc1 \u238 ?n forma mixt\uc1 \u259 ? a glomerulonefritei
cronice?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Sindromul nefrotic cu }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 hematurie \uc1 \u351 ?i hipertensiune
arterial\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Ce sindrom nu
caracterizeaz\uc1 \u259 ? anemia aplastic\uc1 \u259 ?\uc1 \u160 ?:}{\rtlch \fcs1
\f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 limfoproliferativ}
\f9 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Ce sindrom nu este
caracteristic \uc1 \u238 ?n IRC\uc1 \u160 ??}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Sindromul Jilbera}{\rtlch \fcs1
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Ce sindrom nu este caracteristic
pentru IRC\uc1 \u160 ??}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Hipotensiv}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 }
trebuie s\uc1 \u259 ? includ\uc1 \u259 ? ra\uc1 \u355 ?ia copilului la v\uc1
\u226 ?rsta de 3 luni aflat la alimenta\uc1 \u355 ?ia natural\uc1 \u259 ??}
Numai lapte matern}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Ce vaccinare mai
frecvent se poate complica cu GN acut\uc1 \u259 ??}{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?mpotriva difteriei,
tetanosului \uc1 \u351 ?i pertusis (DTP)}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Cea mai eficient\uc1 \u259 ? metoda de terapie \uc1
\u238 ?n microsferocitoz\uc1 \u259 ? este:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 splenectomie}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cea mai frecvent\uc1
\u259 ? acuz\uc1 \u259 ? \uc1 \u238 ?n acromegalie presupune:}{\rtlch \fcs1 \af7
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 modific\uc1 \u259 ?
ri ale exteriorului }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cea mai frecvent\uc1
\u259 ? cale de r\uc1 \u259 ?sp\uc1 \u226 ?ndire a micobacterielor \uc1 \u238 ?n
organism \uc1 \u238 ?n tuberculoza pulmonar\uc1 \u259 ? diseminat\uc1 \u259 ?
este : hematogen\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Cea mai
frecvent\uc1 \u259 ? cauz\uc1 \u259 ? a puberta\uc1 \u355 ?ii tardive la b\uc1
\u259 ?ie\uc1 \u355 ?i o constituie:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1049 \langfe1049 \langfenp1049 \alang1025 hipogonadismul prepubertar}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Cea mai frecvent\uc1 \u259 ?
eroare de diagnostic \uc1 \u238 ?n rahitismul caren\uc1 \u355 ?ial \uc1 \u355 ?ine
de:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\alang1025 Maladiile monogenice ale scheletului}{\rtlch \fcs1 \af6 \afs22 \ltrch
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Cea mai grava forma
a vasculitei hemoragice este:forma cerebrala}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Cel mai specific semn de laborator \uc1 \u238 ?n
microsferocitoz\uc1 \u259 ? e}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 ste:diamentrul mediu eritrocitar 5,5-6,5 nm}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Chimioprofilaxia
tuberculozei se efectueaz\uc1 \u259 ? cu:Izoniazid\uc1 \u259 ?}{\rtlch \fcs1
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Clinic diabetul salin
renal se manifest\uc1 \u259 ? prin urm\uc1 \u259 ?toarele simptome, cu excep\uc1
\u355 ?ia\uc1 \u160 ?:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Diurezei sc\uc1 \u259 ?zute}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Complica\uc1 \u355 ?iile
adenopatiei tuberculoase enumerate sunt, cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 amiloidoza organelor
interne}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Complica\uc1
\u355 ?iile obezit\uc1 \u259 ?\uc1 \u355 ?ii pot fi urm\uc1 \u259 ?toarele,
except\uc1 \u226 ?nd:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 intestin}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 ul}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1049 \langfe1049 \langfenp1049 \alang1025 iritabil}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Conduita dietetic\uc1 \u259 ? \uc1
\u238 ?n diareile alergice prevede:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 dieta \uc1 \u8470 ? 3}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Con\uc1 \u355 ?inutul fierului
seric la copilul s\uc1 \u259 ?n\uc1 \u259 ?tos constituie:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 13}{\rtlch \fcs1
mkm/l}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Contraindica\uc1
\u355 ?iile alimenta\uc1 \u355 ?iei naturale sunt:Forma activ\uc1 \u259 ? a
tuberculozei}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Convulsiile \uc1
\u351 ?i mobilizarea convulsiv\uc1 \u259 ? la copiii cu rahitism caren\uc1 \u355 ?
ial acut se datoreaz\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Hipocalcemiei}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Copiii cu anemie caren\uc1 \u355 ?
ial\uc1 \u259 ? prezint\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 paliditate}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copiii cu boala
celiac\uc1 \u259 ? nu pot digera:produsele cu con\uc1 \u355 ?inut sporit de gluten}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copiilor,
alimenta\uc1 \u355 ?i artificial, complementul se indic\uc1 \u259 ?: la v\uc1 \u226
?rsta de 6 luni, ca \uc1 \u351 ?i \uc1 \u238 ?n alimenta\uc1 \u355 ?ia natural\uc1
\u259 ? }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copilul cu pneumonie
sever\uc1 \u259 ? trebuie supravegheat \uc1 \u351 ?i tratat \uc1 \u238 ?n condi\uc1
\u355 ?ii de:sec\uc1 \u355 ?ie pediatric\uc1 \u259 ? sta\uc1 \u355 ?ionar}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copilul eutrof are
un indice ponderal \uc1 \u238 ?ncadrat \uc1 \u238 ?ntre: }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 0,9-1,1}{\rtlch
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0
Copilul eutrof are un indice ponderal \uc1 \u238 ?ncadrat \uc1 \u238 ?ntre: }
0,9-1,1}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\f6 \lang1046 \langnp1046 \langfe1049 \langfenp1049 \alang1025 Co-trixomazolul
(Biseptol) es}{\rtlch \fcs1 \af9 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 te toxic \uc1 \u238 ?n combinare cu\uc1 \u160 ?:}{\rtlch \fcs1 \af6
\f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Levomicitina}{\rtlch
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 \par }\pard
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Criteriile majore de diagnosticare
a febrei reuma}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 tismale sunt urm\uc1 \u259 ?toarele, cu excep\uc1 \u355 ?
ia:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\alang1025 Eritem nodos}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Criteriul paraclinic
diagnostic \uc1 \u238 ?n toxocaroz\uc1 \u259 ? este: granulom eozinofilic \uc1
\u238 ?n ficat }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CS Durata
profilaxiei secundare a febrei reumatismale acute , f\uc1 \u259 ?r\uc1 \u259 ?
cardit\uc1 \u259 ? cu benzatin benzilpenicillin\uc1 \u259 ? o dat\uc1 \u259 ?
\uc1 \u238 ?n lun\uc1 \u259 ? este de: 5ani sau p\uc1 \u226 ?n\uc1 \u259 ? la 18
ani}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx180 \tql \tx360
\alang1025 Cu ce patologie nu este necesar de efectuat diagnosticul diferen\uc1
\u355 ?ial \uc1 \u238 ?n cazul IRA\uc1 \u160 ??Hematuria familial\uc1 \u259 ?
benign\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\slmult1 \nowidctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cum se nume\uc1
\u351 ?te proba tuberculinic\uc1 \u259 ? pozitiv\uc1 \u259 ? pentru prima data?}
{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch
\af10 \hich \af6 \loch \f6 \lang1048 \langnp1048 \langfe1041 \langfenp1041
\alang1025 Viraj tuberculinic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Cura de profilaxie a rahitismului va dura:1
an 6 luni}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\nowidctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Debutul mai frecvent
al complexului tuberculos primar este ?subacut}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Diagnosticul de reumatism articular acut, conform
criteriilor Jones, este sus\uc1 \u355 ?inut de: 2 criterii majore \uc1 \u351 ?i 1
criteriu obligator minor}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Diagnosticul de
pielonefrit\uc1 \u259 ?: criteriile de baz\uc1 \u259 ?:}{\rtlch \fcs1 \af7
\f7 \lang1046 \langnp1046 \langfe1049 \langfenp1049 \alang1025 Date anamnestice,
bacteriuria, leucocituria, diminuarea func\uc1 \u355 ?iilor renale, morfologice
conform datelor urografice}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 Diagnosticul dismicrobismului intestinal poate }{\rtlch \fcs1 \af9
\f9 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 fi stabilit numai
\uc1 \u238 ?n baza:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Coproculturii}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Diagnosticul etiologic de certitudine al pneumoniei acute se }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 stabile\uc1 \u351 ?
te \uc1 \u238 ?n baza:explor\uc1 \u259 ?rilor bacteriologice cantitative a sputei}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Diagnosticul
mucoviscidozei prevede:diagnosticul genetic, molecular cu depistarea genelor
mucoviscidozei}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Diagnosticul
paraclinic al pancreatitei cronice este confirmat prin:ecografia pancreasului}
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Diagnosticul par}
aclinic \uc1 \u238 ?n refluxul gastroesofagian se stabile\uc1 \u351 ?te prin:}
biopsie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\alang1025 }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 esofagean}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 \uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs22
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 pH}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 metrie}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 intraesofagian}
\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 pH}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 metrie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 intragastral}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0
\langnp1049 \langfe1049 \langfenp1049 \alang1025 \uc1 \u259 ?}{\rtlch \fcs1 \af6
\afs22 \ltrch \fcs0 \fs22
Diagnosticul pozitiv \uc1 \u238 ?n fistula traheobron\uc1 \u351 ?ic\uc1 \u259 ?
este confirmat prin:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 esofagogastroscopie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Diareea cu scaune sangvinolente la copil este cel mai
frecvent provocat\uc1 \u259 ? de:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Shigella }{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Din care produs alimentar este asimilata cea mai mare
cantitate de Fe:carnea de vitel}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Disbacterioza
intestinal\uc1 \u259 ? tranzitorie la n-n se caracterizeaz\uc1 \u259 ? prin:Se
dezvolt\uc1 \u259 ? la to\uc1 \u355 ?i n-n}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Doza curativ\uc1 \u259 ? a preparatelor de fier pe zi
este:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 4}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 \uc1 \u8211 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 6 mg/kg}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Dup\uc1 \u259 ? datele OMS, Hb la copii p\uc1 \u226 ?n\uc1
\u259 ? la 5 ani trebuie s\uc1 \u259 ? fie nu mai joas\uc1 \u259 ? de:}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hb 110 g/l}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Dup\uc1 \u259 ?
vaccinarea \uc1 \u351 ?i revaccinarea BCG sunt posibile urm\uc1 \u259 ?toarele
complica\uc1 \u355 ?ii, cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cicatrice de 4-8 mm la 1
an}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Edemul cerebral
acut la sugar se }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 caracterizeaz\uc1 \u259 ? prin:Febr\uc1 \u259 ?
persistent\uc1 \u259 ?, malign\uc1 \u259 ?, agita\uc1 \u355 ?ie psihomotorie,
\uc1 \u355 ?ip\uc1 \u259 ?t encefalic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Elementul esen\uc1 \u355 ?ial \uc1 \u238 ?n clasificarea
pubert\uc1 \u259 ?\uc1 \u355 ?ii precoce este prezentat de}{\rtlch \fcs1 \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 reactivitatea:}
sistemului hipotalamo-hipofizar}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Erup\uc1 \u355 ?ie
tranzitorie scarlatiniform\uc1 \u259 ? (rash) \uc1 \u238 ?n perioada
prodromal\uc1 \u259 ? poate fi \uc1 \u238 ?n una din urm\uc1 \u259 ?toarele
maladii:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Varicel\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\alang1025 Etapa ini\uc1 \u355 ?ial\uc1 \u259 ? a reanim\uc1 \u259 ?rii dureaz\uc1
\u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 15 - 30 sec}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Eviden\uc1 \u355 ?a
copilului sugar cu anemie caren\uc1 \u355 ?ial\uc1 \u259 ? presupune urm\uc1
\u259 ?torul program de control al medicului de familie:nu mai rar de 1 dat\uc1
\u259 ? \uc1 \u238 ?n 2 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni}{\rtlch \fcs1
Eviden\uc1 \u355 ?ia\uc1 \u355 ?i care din afec\uc1 \u355 ?iunile respiratorii
enumerate este caracteristic\uc1 \u259 ? practic exclusiv copilului
sugar, \uc1 \u238 ?n primele luni de via\uc1 \u355 ?\uc1 \u259 ?:bron\uc1 \u351 ?
iolita }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Eviden\uc1 \u355 ?ia\uc1 \u355 ?i
care din factorii enumera\uc1 \u355 ?i determin\uc1 \u259 ? starea imunit\uc1
\u259 ?\uc1 \u355 ?ii locale:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Ig A secretorie}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Eviden\uc1 \u355 ?ia\uc1 \u355 ?i
termenul optim, la care nou-n\uc1 \u259 ?scutul trebuie s\uc1 \u259 ? fie aplicat
la s\uc1 \u226 ?n:imediat dup\uc1 \u259 ? na\uc1 \u351 ?tere \uc1 \u238 ?n primele
30 minute}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Exantemul \uc1 \u238
?n rubeol\uc1 \u259 ? este:Maculos, discret pe p\uc1 \u259 ?r\uc1 \u355 ?ile
extensorii ale membrelor, }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 pe }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 fese}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Explorarea imagistic\uc1 \u259 ? a copilului cu pubertate precoce sau tardiv\uc1
\u259 ? include, except\uc1 \u226 ?nd:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 scintigrafia osoas\uc1 \u259 ?}{\rtlch
\plain \s25 \li0 \ri-195 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin-195 \itap0 \rtlch \fcs1 \af0 \afs16 \ltrch \fcs0
\fs16 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6 \lang1049
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Factorii de risc \uc1
\u238 ?n DZ sunt urm\uc1 \u259 ?tori, except\uc1 \u226 ?nd:hipotensiunea
arterial\uc1 \u259 ?, deficitul masei corporale}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1033 \alang1025 Factorul cu poten\uc1 \u355 ?ial \uc1 \u238 ?nalt de
inducere a hiperactivit\uc1 \u259 ?\uc1 \u355 ?ii bron\uc1 \u351 ?}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 ice este:}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 virusul
respirator sinci\uc1 \u355 ?ial}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Factorul
etiologic \uc1 \u238 ?n pneumonia franco-lobar\uc1 \u259 ? este:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Pneumococul}
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Fenomenele
caracteristice pentru sindromul sideropenic, sunt cu exceptia:acufenele}{\rtlch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Forma sever}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 \uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 a anemiei aplastice include:}{\rtlch \fcs1 \af7 \afs22
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 num\uc1 \u259 ?r de
granulocite mai mic de 0,2 * 10 }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 \super1 9}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1036 \langfe1049 \langfenp1049 \alang1025 /l}{\rtlch \fcs1 \af6 \afs22
\langnp1033 \langfe1049 \langfenp1049 \alang1025 G\uc1 \u259 ?si\uc1 \u355 ?i
afirma\uc1 \u355 ?ia }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 gre\uc1 \u351 ?it\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs22
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 referitor la
afec\uc1 \u355 ?iunile neurologice \uc1 \u238 ?n infec\uc1 \u355 ?ia
herpetic\uc1 \u259 ?:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 \uc1 \u206 ?n lichidul cefalorahidian se determin\uc1
\u259 ? pleiocitoz\uc1 \u259 ? cu predominarea }{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 neutrofilelor, hipoglicorahie.}
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Hepatozele secundare
pot fi condi\uc1 \u355 ?ionate de:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 helminteaze}{\rtlch \fcs1 \af6 \afs22
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Hiperoxaluria
secundar\uc1 \u259 ? se \uc1 \u238 ?nt\uc1 \u238 ?lne\uc1 \u351 ?te la copii
\uc1 \u238 ?n urm\uc1 \u259 ?toatrele boli, cu excep\uc1 \u355 ?ia: Bron\uc1
\u351 ?itei acute}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hiperplazia
osteoid\uc1 \u259 ? la copiii cu rahitism se atest\uc1 \u259 ? \uc1 \u238 ?n :}
Rahitismul subacut}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 Hipokaliemia la
sugar se manifest\uc1 \u259 ? prin:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Meteorism pronun\uc1 \u355 ?at}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Histiocitoza \uc1 \u8221 ?X\uc1
\u8221 ? pulmonar\uc1 \u259 ? este determinat\uc1 \u259 ? de:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 celule Langerhans}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n ce
cazuri apare icterul la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i \uc1 \u238 ?n I zi de
via\uc1 \u355 ?\uc1 \u259 ??Incompatibilitatea dup\uc1 \u259 ? sistemul ABO}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n ce consta
tratamentul de urgen\uc1 \u355 ?\uc1 \u259 ? al bradicardiei}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Atropina 0,02-0,04
mg/kg i/v}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n ce
const\uc1 \u259 ? tratamentul sindromului Wolff-Parkinson-WhiteW-P-W nu necesit\uc1
\u259 ? tratament }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 \uc1 \u206 ?n }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 diabetul renal fosfaturic au loc urm\uc1 \u259 ?toarele
schimb\uc1 \u259 ?ri, cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1
\af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af6 \hich \af6
\loch \f6 \lang1044 \langnp1044 \langfe1049 \langfenp1049 \alang1025 Glucozurie}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n
epidemiologia lupusului eritematos sunt importan\uc1 \u355 ?i urm\uc1 \u259 ?torii
factori, cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 Prevalare la sexul masculin}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n etiologia
puberta\uc1 \u355 ?ii tardive la fete se includ urm\uc1 \u259 ?toarele,
except\uc1 \u226 ?nd:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 vulvita cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22
\langnp1033 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n geneza sindrom}
ului Rotor sunt prezente urm\uc1 \u259 ?toarele fenomene:}{\rtlch \fcs1 \af6 \afs22
\lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 }{\rtlch \fcs1 \af9
\f9 \lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 perturbare \uc1
\u238 ?n mecanismele de transport al bilirubinei}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n scop
profilactic copilului i se vaadministra zilnic vit.D \uc1 \u238 ?n urm\uc1 \u259 ?
toarele doze:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\langfe1049 \langfenp1049 \alang1025 700 UI}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi-142
\li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin142 \rin0 \tql
\tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-2 \expndtw-2 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 }{\rtlch \fcs1 \af7
\f7 \expnd-2 \expndtw-2 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 \cf1 Indica\uc1 \u355 ?i punctul clasic de ausculta\uc1 \u355 ?ie al
valvei mitrale la copii:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 la apex}{\rtlch \fcs1 \af6
Indica\uc1 \u355 ?i afirma\uc1 \u355 ?iile corecte privind dezvoltarea
neuropsihic\uc1 \u259 ? a copiilor \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de
p\uc1 \u226 ?n\uc1 \u259 ? la 6 ani:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \b1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 du}{\rtlch \fcs1 \af7 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 p\uc1 \u259 ? v\uc1
\u226 ?rsta de o lun\uc1 \u259 ? are loc diminuarea reflexelor necondi\uc1 \u355 ?
ionate }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \b1 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \b1 \fs22
\langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?nc}{\rtlch \fcs1 \af7 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ep\uc1 \u226 ?nd cu
primul an de via\uc1 \u355 ?\uc1 \u259 ? are loc apari\uc1 \u355 ?ia \uc1 \u351 ?i
consolidarea reflexelor condi\uc1 \u355 ?ionate }{\rtlch \fcs1 \af7 \afs22 \ltrch
\fcs0 \b1 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ac}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tivitatea motorie
parcurge o dezvoltare \uc1 \u351 ?i des\uc1 \u259 ?v\uc1 \u226 ?r\uc1 \u351 ?ire
treptat\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \b1 \fs22 \rtlch
\langfenp1049 \alang1025 are}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 loc stabilirea \uc1 \u351 ?i des\uc1 \u259 ?v\uc1 \u226 ?
r\uc1 \u351 ?irea func\uc1 \u355 ?iei musculare \uc1 \u351 ?i verbale}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i caracterul
scaunelor \uc1 \u238 ?n infec\uc1 \u355 ?ia rotaviral\uc1 \u259 ? la copii:}{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Frecvente,
apoase, spumoase, nedigerate, de culoare galben-aurie sau albicioase }{\rtlch
\alang1025 Indica\uc1 \u355 ?i care clas\uc1 \u259 ? de imunoglobuline
reprezint\uc1 \u259 ? un marcher de infec\uc1 \u355 ?ie recent\uc1 \u259 ?:}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ig M}
\par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
\fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd-5 \expndtw-
5 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Indica\uc1
\u355 ?i care este longevitatea eritrocitelor la copiii nou-n\uc1 \u259 ?
scu\uc1 \u355 ?i s\uc1 \u259 ?n\uc1 \u259 ?to\uc1 \u351 ?i:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 90-}{\rtlch \fcs1
\alang1025 \cf1 60 zile}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\slmult1 \nowidctlpar \lin0 \rin0 \tql \tx312 \itap0 \rtlch \fcs1 \af6 \afs22
\alang1025 \cf1 Indica\uc1 \u355 ?i care este nivelul normal al hemoglobinei
\uc1 \u238 ?n s\uc1 \u226 ?ngele periferic al nou-n\uc1 \u259 ?scu\uc1 \u355 ?ilor
dup\uc1 \u259 ? na\uc1 \u351 ?tere:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd5 \expndtw5
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 180-220 g/1}{\rtlch
Indica\uc1 \u355 ?i care sunt metodele de stimulare a dezvolt\uc1 \u259 ?rii
cognitive la copii s\uc1 \u259 ?n\uc1 \u259 ?to\uc1 \u351 ?i de v\uc1 \u226 ?
rst\uc1 \u259 ? fraged\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 jocul , comunicarea }{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i care valoare a
ICT poate fi sugestiv\uc1 \u259 ? pentru o cardiopatie la copii \uc1 \u238 ?n v\uc1
\u226 ?rsta de p\uc1 \u226 ?n\uc1 \u259 ? la 2 luni}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 :peste 0,60
}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\alang1025 \par }\pard \plain \fi-142 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin142 \rin0 \tql \tx284 \itap0
Indica\uc1 \u355 ?i care valuare a ICT poate fi sugestiv\uc1 \u259 ? pentru o
cardiopatie la copii \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de p\uc1 \u226 ?
n\uc1 \u259 ? la 2 ani:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 peste0,55
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i
c\uc1 \u259 ?rui culuar centilic corespunde aprecierea \uc1 \u8222 ?foarte jos "
pentru v\uc1 \u226 ?rst\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 0 - 3 centile}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i ce prevede
regimul alimentar adecvat al copilului \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ?
de 7 luni, al}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 imentat natural:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 alimentare la s\uc1 \u226 ?n la cerere, min. 5-6 ori/24
ore, inclusiv noaptea, plus 3 aliment\uc1 \u259 ?ri complementare}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i ce
reprezint\uc1 \u259 ? indicele ponderal:raportul \uc1 \u238 ?ntre masa (greutatea)
real\uc1 \u259 ? a corpului \uc1 \u351 ?i cea ideal\uc1 \u259 ?}{\rtlch \fcs1
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i ce
reprezint\uc1 \u259 ? mortalitatea infantil\uc1 \u259 ?:reprezint\uc1 \u259 ?
num\uc1 \u259 ?rul de copii deceda\uc1 \u355 ?i \uc1 \u238 ?n v\uc1 \u226 ?
rst\uc1 \u259 ? de p\uc1 \u226 ?n\uc1 \u259 ? la 1 an, raportat la 1000 nou-
n\uc1 \u259 ?scu\uc1 \u355 ?i vii (pentru o anumit\uc1 \u259 ? perioad\uc1 \u259 ?
de timp)}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af7
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i
dup\uc1 \u259 ? care limit\uc1 \u259 ? FR (frecven\uc1 \u355 ?a respiratorie) este
apreciat\uc1 \u259 ? ca respira\uc1 \u355 ?ie accelerat\uc1 \u259 ? la tahipnee}
\hich \af0 \loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 }
copilul \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 2 - 12 luni:}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 50 respira\uc1 \u355
?ii pe minut \uc1 \u351 ?i mai mult}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22
dup\uc1 \u259 ? care limit\uc1 \u259 ? FR (frecven\uc1 \u355 ?a respiratorie) este
apreciat\uc1 \u259 ? ca respira\uc1 \u355 ?ie accelerat\uc1 \u259 ? tahipnee la
copilul \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 12 luni - }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 5 ani:}{\rtlch \fcs1
?ii pe minut \uc1 \u351 ?i mai mult }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1
\af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1
dup\uc1 \u259 ? care limite FR (frecven\uc1 \u355 ?a respiratorie) este
apreciat\uc1 \u259 ? ca respira\uc1 \u355 ?ie accelerat\uc1 \u259 ? tahipnee la
copilul \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 7 zile -2 luni:}{\rtlch \fcs1
Indica\uc1 \u355 ?i factorii principali care influen\uc1 \u355 ?eaz\uc1 \u259 ?
dezvoltarea afectiv\uc1 \u259 ? a copilului:}{\rtlch \fcs1 \af7 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 s}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 entimentul de
dragoste \uc1 \u238 ?n familie }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \b1 \fs22
\langfe1049 \langfenp1049 \alang1025 au}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 toritatea celor din jur }
{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \b1 \fs22 \rtlch \alang1025 \ltrch \dbch
\alang1025 cli}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 matul afectiv (emo\uc1 \u355 ?ional, sentimental)
favorabil \uc1 \u238 ?n mediul de cre\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i \uc1 \u238 ?n
care culuar centilic se \uc1 \u238 ?ncadreaz\uc1 \u259 ? talia copilului,
apreciat\uc1 \u259 ? ca \uc1 \u8222 ?joas\uc1 \u259 ?\uc1 \u8221 ?:}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 3 -10 centile}
\langfenp1049 \alang1025 Indica\uc1 \u355 ?i \uc1 \u238 ?n care din patologiile
enumerate la sugar se pot constata auscultativ raluri sibilante:\uc1 \u238 ?n caz
de bron\uc1 \u351 ?it\uc1 \u259 ? acut\uc1 \u259 ? obstructiv\uc1 \u259 ?}
\langfenp1049 \alang1025 Indica\uc1 \u355 ?i \uc1 \u238 ?n ce perioad\uc1 \u259 ?
de v\uc1 \u226 ?rst\uc1 \u259 ? a copilului se constat\uc1 \u259 ? dispneea
fiziologic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 \uc1 \u238 ?n perioada de nou-n\uc1 \u259 ?scut}{\rtlch
Indica\uc1 \u355 ?i \uc1 \u238 ?n ce perioad\uc1 \u259 ? de v\uc1 \u226 ?rst\uc1
\u259 ? copiii au tendin\uc1 \u355 ?a de generalizare a infec\uc1 \u355 ?
iilor:\uc1 \u238 ?n perioada de nou-n\uc1 \u259 ?scut}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi-
142 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin142 \rin0
\tql \tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\alang1025
\ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd-9 \expndtw-9 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Indica\uc1 \u355 ?i
localizarea auscultativ\uc1 \u259 ? a suflului sistolic func\uc1 \u355 ?ional la
copiii }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\af6 \hich \af0 \dbch \f0 \expnd-9 \expndtw-9 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 \cf1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch
metoda exact\uc1 \u259 ? de calcul a volumului alimentar, necesar pentru 24 de ore
copiilor sugari:metoda caloric\uc1 \u259 ? (energetic\uc1 \u259 ?)}{\rtlch \fcs1
\hich \af0 \loch \f7 \expnd-5 \expndtw-5 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 Indica\uc1 \u355 ?i}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0
11 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nivelul mediu al
hemoglobinei \uc1 \u238 ?n s\uc1 \u226 ?ngele periferic al copilului nou-n\uc1
\u259 ?scut s\uc1 \u259 ?n\uc1 \u259 ?tos:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-9
\expndtw-9 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 180-220 g/l}
\par }\pard \plain \fi-142 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin142 \rin0 \tql \tx284 \itap0
Indica\uc1 \u355 ?i pentru care patologii la copii este caracteristic suflul
sistolic, perceput la baza cordului:patologie cardiac\uc1 \u259 ? congenital\uc1
\u259 ? }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi-142 \li142 \ri-2424
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin142 \rin-2424 \tql \tx284
\ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd1 \expndtw1 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 \cf1 Indica\uc1 \u355 ?i punctul clasic de
ausculta\uc1 \u355 ?ie al valvei tricuspidale la copii:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 la }{\rtlch \fcs1
\alang1025 \cf1 marginea inferioar\uc1 \u259 ? a sternului}{\rtlch \fcs1 \af6
terapia medicamentoas\uc1 \u259 ? de elec\uc1 \u355 ?ie \uc1 \u238 ?n caz de
hepatit\uc1 \u259 ? citomegalic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 ganciclovir}{\rtlch \fcs1 \af6
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd-5 \expndtw-5 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i termenul
c\uc1 \u226 ?nd, conform OMS, se recomand\uc1 \u259 ? prima aplicare a nou-
n\uc1 \u259 ?scutului la s\uc1 \u226 ?n:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n primele}{\rtlch
\loch \f7 \expnd-7 \expndtw-7 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 30 de minute de la na\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1033 \langfenp1033 \alang1025 Indica\uc1 \u355 ?i termenul,
c\uc1 \u226 ?nd \uc1 \u238 ?ncepe ontogeneza sistemului cardio-vascular:\uc1
\u238 ?n s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?na a II de dezvoltare
intrauterin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
termenul, recomandat de OMS, pentru ablactarea (,,\uc1 \u238 ?n\uc1 \u355 ?\uc1
\u259 ?rcarea\uc1 \u8221 ?) copiilor mici:la v\uc1 \u226 ?rsta copilului de 2
ani \uc1 \u351 ?i mai mult}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 \cf1 Indica\uc1 \u355 ?i v\uc1 \u226 ?rsta copilului, c\uc1 \u226 ?nd
are loc a doua \uc1 \u238 ?ncruci\uc1 \u351 ?are a formulei leucocitare:}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 }{\rtlch
\dbch \f0 \expnd-1 \expndtw-1 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 \cf1 la }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 \cf1 v\uc1 \u226 ?rsta de }{\rtlch \fcs1 \af6 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-
1 \expndtw-1 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 4 - 5
ani}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\widctlpar \aspalpha
v\uc1 \u226 ?rsta }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 la}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 care infec\uc1 \u355 ?ia meningococic\uc1 \u259 ? se \uc1
\u238 ?nt\uc1 \u226 ?lne\uc1 \u351 ?te cel mai frecvent:}{\rtlch \fcs1 \af6
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Sugar}{\rtlch
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?ia
pentru punc\uc1 \u355 ?ie lombar\uc1 \u259 ? \uc1 \u238 ?n caz de convulsii febrile
este urm\uc1 \u259 ?toarea: }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfe1049 \langfenp1049 \alang1025 copil cu toleran\uc1 \u355 ?\uc1 \u259 ? la
tratament antipiretic masiv}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?ii
pentru care perioad\uc1 \u259 ? de v\uc1 \u226 ?rst\uc1 \u259 ? a copilului este
caracteristic\uc1 \u259 ? pierderea fiziologic\uc1 \u259 ? \uc1 \u238 ?n
greutate:nou-n\uc1 \u259 ?scut }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Prematur se consider\uc1 \u259 ?
copilul n\uc1 \u259 ?scut p\uc1 \u226 ?n\uc1 \u259 ? la termenul:37 s\uc1 \u259 ?
pt\uc1 \u259 ?m\uc1 \u226 ?ni de gesta\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs22
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Infarctul uric
este caracteristic pentru:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 nou-n\uc1 \u259 ?scut}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Infec\uc1 \u355 ?iile respiratorii cu virusul respirator
sinci\uc1 \u355 ?ial la sugarul mic se manifest\uc1 \u259 ? clinic prin:bron\uc1
\u351 ?iolit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 La etap\uc1 \u259 ?
2 a dietoterapiei copiilor cu malnutri\uc1 \u355 ?ie sever\uc1 \u259 ? se
recomand\uc1 \u259 ?:majorarea treptat\uc1 \u259 ? a cantit\uc1 \u259 ?\uc1
\u355 ?ii de proteine \uc1 \u238 ?n ra\uc1 \u355 ?ie }{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 La copii cu malnutri\uc1 \u355 ?
ie de gradul I \uc1 \u355 ?esutul adipos:se p\uc1 \u259 ?streaz\uc1 \u259 ? peste
tot, dar e diminuat pe abdomen}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 La
copiii cu }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 malnutriTie }{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 de gradul II deficitul de mas\uc1 \u259 ? \uc1 \u238 ?n
raport cu masa ideal\uc1 \u259 ? constituie:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 20}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u8211 ?}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 30%}{\rtlch
\loch \f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 25}{\rtlch
\loch \f6 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u8211 ?}
40%}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 La copiii cu }
malnutri\uc1 \u355 ?ie}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 de gradul III deficitul de mas\uc1 \u259 ? \uc1 \u238 ?n
raport cu masa ideal\uc1 \u259 ? constituie:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048
\langfe1049 \langfenp1049 \alang1025 > 30%}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 > 40%}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 La copiii cu }{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 malnutri\uc1 \u355 ?
ie}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2
gradul I deficitul de mas\uc1 \u259 ? \uc1 \u238 ?n raport cu mas\uc1 \u259 ?
ideal\uc1 \u259 ? constituie:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 10}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u8211 ?}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 20%}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 La copiii cu malnutri\uc1 \u355 ?
ie sever\uc1 \u259 ? nu se atest\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 edemuri periferice}{\rtlch
\loch \f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom
convulsiv}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 La copil, boala
infec\uc1 \u355 ?ioas\uc1 \u259 ? care se manifest\uc1 \u259 ? cu poliadenopatie
este:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Mononucleoza infec\uc1 \u355 ?ioas\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22
\langnp1033 \langfe1049 \langfenp1049 \alang1025 La un copil sub 5 ani cu diaree
acut\uc1 \u259 ?, deshidratarea sever\uc1 \u259 ? se v\uc1 \u259 ? produce \uc1
\u238 ?n caz de sc\uc1 \u259 ?dere ponderal\uc1 \u259 ? brusc\uc1 \u259 ? cu:}
\hich \af0 \dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 10}
\uc1 \u8211 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 15 %}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Laringita
acut\uc1 \u259 ? stenozant\uc1 \u259 ? primar\uc1 \u259 ? la copii se instaleaz\uc1
\u259 ? cel mai }{\rtlch \fcs1 \af9 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 frecvent \uc1 \u238 ?n:}{\rtlch \fcs1 \af7 \afs22
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Paragrip\uc1 \u259 ?}
Lipotimia se deosebe\uc1 \u351 ?te de sincop\uc1 \u259 ? prin:}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 men\uc1 \u355 ?
inerea func\uc1 \u355 ?iilor vitale (activitatea cardiac\uc1 \u259 ? \uc1 \u351 ?i
respira\uc1 \u355 ?ia)}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Manifest\uc1 \u259 ?
rile cardiace \uc1 \u238 ?n lupusul eritematos sunt urm\uc1 \u259 ?toarele, cu
excep\uc1 \u355 ?ia: Nu se afecteaz\uc1 \u259 ? coronarele}{\rtlch \fcs1 \af6
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Marcherul important al
contagiozit\uc1 \u259 ?\uc1 \u355 ?ii copilului bolnav de HVB este:}{\rtlch \fcs1
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 HBeAg}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Mecanisme trigger \uc1 \u238 ?n
lupus pot fi urm\uc1 \u259 ?toarele, cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1 \af6
\f0 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Razele ultraviolete sunt
protectoare}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Men\uc1 \u355 ?
iona\uc1 \u355 ?i cea mai frecvent\uc1 \u259 ? cauz\uc1 \u259 ? \uc1 \u238 ?n
producerea alergiei alimentare la sugar:consumul de lapte de vac\uc1 \u259 ?}
iona\uc1 \u355 ?i iatrogeniile care pot produce stop cardiac ,perfuzii rapide cu
solu\uc1 \u355 ?ie de potasiu }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfenp1049 \alang1025 Men\uc1 \u355 ?iona\uc1 \u355 ?i semnul caracteristic
colestazei anicterice:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 icter cutaneo-muco}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 s,}{\rtlch \fcs1 \af6 \afs22
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hiperbilirubinemie}
\hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}
eozinofilie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Metoda
alternativ\uc1 \u259 ? este utilizat\uc1 \u259 ?: \uc1 \u238 ?n caz de alimenta\uc1
\u355 ?ie mixt\uc1 \u259 ? a sugarului}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
Metoda complementar\uc1 \u259 ? este utilizat\uc1 \u259 ?:\uc1 \u238 ?n caz de
alimentare mixt\uc1 \u259 ? a sugar}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 ului}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Metoda principal\uc1 \u259 ? de depistare a tuberculozei
la momentul actual }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 este: ?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 microscopia sputei la BAAR (bacili alcoolo-
acido rezisten\uc1 \u355 ?i)}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Metodele de
depistare a adenopatiei tuberculoase la copii sunt cele enumerate, cu excep\uc1
\u355 ?ia ?radiofotografia medical\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Milia la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i prezint\uc1
\langfenp1049 \alang1025 Obtura\uc1 \u355 ?ia canalelor glandelor sebacee}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Mirosul de "\uc1
\u351 ?oarece" de la nou-n\uc1 \u259 ?scut poate fi legat cu:}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Fenilcetonuria}
Modific\uc1 \u259 ?rile radiologice \uc1 \u238 ?n pl\uc1 \u259 ?m\uc1 \u226 ?ni
latuberculoza pulmonar\uc1 \u259 ? diseminat\uc1 \u259 ?miliar\uc1 \u259 ? apar
peste}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\langfenp1049 \alang1025 14 zile}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\alang1025 \ltrch \dbch \af2 \hich
\af0 \loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Multiplicarea
bacterian\uc1 \u259 ? \uc1 \u238 ?n campilobacterioz\uc1 \u259 ? are loc \uc1 \u238
?n:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \loch
\alang1025 Ileon }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \expnd-9 \expndtw-9 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
Nivelul granulocitelor \uc1 \u351 ?i agranulocitelor din s\uc1 \u226 ?ngele
periferic al nou-n\uc1 \u259 ?scu\uc1 \u355 ?ilor se egaleaz\uc1 \u259 ? la:a 5 - a
zi dup\uc1 \u259 ? na\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Normalizarea metabolismului hidrosalin \uc1 \u351 ?i a
echilibrului acido-bazic la malnutri\uc1 \u355 ?ia sever\uc1 \u259 ? se
efectueaz\uc1 \u259 ? prin administrarea lichidului:per os \uc1 \u351 ?i infuzie}
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Nota\uc1 \u355 ?i
cel mai frecvent sindrom \uc1 \u238 ?n salmoneloz\uc1 \u259 ? la copiii mici:}
Enterocolitic }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 No\uc1 \u355 ?iunea
de bron\uc1 \u351 ?it\uc1 \u259 ? recidivant\uc1 \u259 ? este determinat\uc1
\u259 ? de:2-3 episoade de bron\uc1 \u351 ?it\uc1 \u259 ? pe perioada de 1-2 ani
consecutivi}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Numi\uc1 \u355 ?i
factorul etiologic declan\uc1 \u351 ?ator al sindromului colonului iritabil:stresul
\uc1 \u351 ?i tensiunea emo\uc1 \u355 ?ional\uc1 \u259 ?}{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Salmonella}
\hich \af0 \loch \f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}
alimenta\uc1 \u355 ?ie bogat\uc1 \u259 ? cu fibre vegetale}{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament cu
corticosteroizi > de 4 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni}{\rtlch \fcs1
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Numiti produsul alimentar cu cel
mai mare continut de Fe:ciupercile uscate}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Oreionul este provocat de:Virusuri}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Pe parcursul supravegherii
medicale a copilului cu anemie caren\uc1 \u355 ?ial\uc1 \u259 ? se evalueaz\uc1
\u259 ? \uc1 \u238 ?n dinamic\uc1 \u259 ?:nivelul Hb, num\uc1 \u259 ?rul }
eritrocitelor}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 ,}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 nivelul fierului seric}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Pentru blocul de ramur\uc1 \u259 ? st\uc1 \u226 ?nga a
fascicolului Hiss nu este caracteristic:Axa electric\uc1 \u259 ? a cordului
deviat\uc1 \u259 ? la dreapta}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Pentru care sindrom}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025
al GN acute este caracteristic\uc1 \u259 ? hipercolesterolemia?}{\rtlch \fcs1
\f6 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Sindromul nefrotic}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 Pentru care
situa\uc1 \u355 ?ie clinic\uc1 \u259 ? copilul cu bron\uc1 \u351 ?ite repetate va
fi considerat vindecat complet?nu s-au depistat acutiz\uc1 \u259 ?ri de bron\uc1
\u351 ?it\uc1 \u259 ? 2-3 ani}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Pentru hiperbilirubinemia "fiziologic\uc1 \u259 ?" este caracteristic:Apari\uc1
\u355 ?ia icterului la a III zi de via\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Pentru scaunul prematurului ce se
afl\uc1 \u259 ? la alimenta\uc1 \u355 ?ia natural\uc1 \u259 ? e caracteristic:}
Culoarea galben - aurie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Perioada
convulsiv\uc1 \u259 ? \uc1 \u238 ?n pertussis se caracterizeaz\uc1 \u259 ? prin:}
Accese de tuse}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\slmult1 \widctlpar \nooverflow \faroman \lin0 \rin0 \tql \tx1080 \itap0 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Perioada
critic\uc1 \u259 ? pentru apari\uc1 \u355 ?ia enurezisului este:de la 4 ani
p\uc1 \u226 ?n\uc1 \u259 ? la 5 ani}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfenp1049 \alang1025 Peste c\uc1 \u226 ?t timp de la suportarea infec\uc1 \u355
?iei streptococice debuteaz\uc1 \u259 ? GN acut\uc1 \u259 ??}{\rtlch \fcs1 \af6
\f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 14 zile}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Planul individual de supraveghere
medical\uc1 \u259 ? a copilului cu malnutri\uc1 \u355 ?ie prevede examenul:}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 medicului de
familie }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Pleurezia
tuberculoas\uc1 \u259 ? se poate caracteriza prin urm\uc1 \u259 ?toarele tipuri de
exudat, cu excep\uc1 \u355 ?ia: }{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 transudat}{\rtlch
2 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Poliomielita cu
afec\uc1 \u355 ?iuni ale sistemului nervos central se nume\uc1 \u351 ?te:}
Meningian\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 Poliuria este prezent\uc1 \u259 ? \uc1 \u238 ?n urm\uc1 \u259 ?toarele
tubulopatii la copii, cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1044 \langfe1049 \langfenp1049 \alang1025 Diabetului renal fosfaturic}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Preciza\uc1 \u355 ?i
aspectul tipic al exantemului scarlatinos:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Rozeole-papule aspre la palpare}
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1049
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Preparatele cu
con\uc1 \u355 ?inut de fier trebuie administrate:\uc1 \u238 ?ntre meseCS. Calea
principal\uc1 \u259 ? de administrare a preparatelor de fier este:per oral\uc1
\u259 ?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Preparatul de
elec\uc1 \u355 ?ie \uc1 \u238 ?n cuparea tahicardiei paraxistic\uc1 \u259 ?
supeaventricular\uc1 \u259 ? la sugar este:}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 adenozina }{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Prezen\uc1 \u355 ?a
poliartritei \uc1 \u351 ?i tumefierea articular\uc1 \u259 ? dispropor\uc1 \u355 ?
ional\uc1 \u259 ? febrei nu este sugestiv\uc1 \u259 ? pentru urm\uc1 \u259 ?
torul diagnostic:Artrit\uc1 \u259 ? viral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Primul semn clinic al anemiei
carentiale este:paliditatea}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Prin retard
statural}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 se \uc1 \u238 ?n\uc1 \u355 ?elege:}{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1049 \langfe1049 \langfenp1049 \alang1025 hipotrofie staturoponderal\uc1
\u259 ? armonic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Principiile generale
ale terapiei medicamentoase \uc1 \u238 ?n colita ulcero-necrotic\uc1 \u259 ?
\uc1 \u238 ?n acutizare includ, except\uc1 \u226 ?nd:}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 claritromicina}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Proba Mantoux cu 2
UT este hiperergic\uc1 \u259 ? la copii:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 de la 17 mm}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Profilaxia c\uc1 \u259 ?ror st\uc1
\u259 ?ri de fon se efectueaz\uc1 \u259 ? \uc1 \u238 ?n faza acut\uc1 \u259 ? a
infec\uc1 \u355 ?iei respiratorii?nu se efectueaz\uc1 \u259 ?}{\rtlch \fcs1 \af6
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Profilaxia rahitismului
la copil }{\rtlch \fcs1 \af9 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 \uc1 \u238 ?ncepe:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n perioada antenatal\uc1 \u259 ?}
Profilaxia specific\uc1 \u259 ? cu vit.D a rahitismului la copil va \uc1 \u238 ?
ncepe:de la 10\uc1 \u8211 ?14 zile de via\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Prognosticul }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nefavorabil \uc1
\u238 ?n dermatomiozit\uc1 \u259 ? este determinat de:}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Infarctul miocardic}
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Programul
terapeutic \uc1 \u238 ?n sindromul Gilbert \uc1 \u238 ?n perioada acutiz\uc1
\u259 ?rii include:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 \ltrch \loch \af6 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 fenobarbital}
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Pubertatea precoce
la b\uc1 \u259 ?ie\uc1 \u355 ?i se define\uc1 \u351 ?te prin apari\uc1 \u355 ?ia
oric\uc1 \u259 ?rui semn de maturizare sexual\uc1 \u259 ? la o v\uc1 \u226 ?rst\uc1
\u259 ? mai mic\uc1 \u259 ? de:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 sub 9 ani}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Pubertatea precoce la fete se define\uc1 \u351 ?te prin apari\uc1 \u355 ?ia
oric\uc1 \u259 ?rui semn de maturizare sexual\uc1 \u259 ? la o v\uc1 \u226 ?rst\uc1
\u259 ? mai mic\uc1 \u259 ? de:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 8 ani}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Pubertatea tardiv\uc1 \u259 ? define\uc1 \u351 ?te absen\uc1 \u355 ?a caracterelor
sexuale p\uc1 \u226 ?n\uc1 \u259 ? la v\uc1 \u226 ?rsta de: }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 16 ani}{\rtlch \fcs1
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Purpura trombocitopenica este un
proces:imunopatologic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Rahitismul florid
este caracterizat prin urm\uc1 \u259 ?toarele semne clinice, except\uc1 \u226 ?nd}
Izodactilie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Redoarea }
matinal\uc1 \u259 ? nu este caracteristic\uc1 \u259 ? \uc1 \u238 ?n urm\uc1 \u259 ?
torul diagnostic:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 Lupusul eritematos sistemic}{\rtlch \fcs1 \af6 \afs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Reflexul Babchin dispare la v\uc1
\u226 ?rsta de:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 4 luni}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Reflux
gastroesofagian se manifest\uc1 \u259 ? prin:}{\rtlch \fcs1 \af7 \afs22 \ltrch
\langnp1049 \langfe1049 \langfenp1049 \alang1025 agita\uc1 \u355 ?ie \uc1 \u238 ?n
timpul aliment}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 \uc1 \u259 ?rii}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langfenp1049 \alang1025 Reproducerea adenovirusurilor nu este posibil\uc1
\u259 ? \uc1 \u238 ?n:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Mucoasa organelor genitale}{\rtlch \fcs1 \af6 \afs22
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 \caps1 \par }\pard
\plain \fi-142 \li142 \ri-2424 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
\lin142 \rin-2424 \tql \tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
9 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 s\uc1 \u259 ?
n\uc1 \u259 ?to\uc1 \u351 ?i de v\uc1 \u226 ?rst\uc1 \u259 ? fraged\uc1 \u259 ?:}
la}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2
\langfenp1049 \alang1025 \cf1 a. pulmonar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Selecta\uc1 \u355 ?i
afirma\uc1 \u355 ?ile corecte privind calendarul de vaccinare a copilului ce
sufer\uc1 \u259 ? de gastroduodenit\uc1 \u259 ? cronic\uc1 \u259 ?:vaccinarea se va
permite peste 2 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni de la ultima acutizare}
\par }\pard \plain \s23 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6
\afs22 \ltrch \fcs0 \b0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025
Selecta\uc1 \u355 ?i factorii declan\uc1 \u351 ?atori ai comei diabetice
hiperosmolare:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \b0 \fs22 \rtlch
\langfenp1049 \alang1025 tratamentul cu glucocorticoizi, hemodializa }{\rtlch \fcs1
\af6 \afs22 \ltrch \fcs0 \b0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich
\af0 \loch \f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch
\fcs1 \af6 \afs22 \ltrch \fcs0 \b0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2
asocierea gastroenteritei, pancreatitei}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\b0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f6 \lang1033
\langnp1033 \langfe1049 \langfenp1049 \alang1025 ,tratamentul cu anticoagulante
orale sau }{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \b0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 sulfanilamide antimicrobiene}{\rtlch \fcs1 \af6 \afs22
\ltrch \fcs0 \b0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f6
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af7
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 tratamentul
f\uc1 \u259 ?r\uc1 \u259 ? control cu diuretice}{\rtlch \fcs1 \af7 \afs22 \ltrch
\tx7845 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Selecta\uc1 \u355 ?i formele de abuz asupra copilului:}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fizic sexual}
emo\uc1 \u355 ?ional}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 psihic}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Selecta\uc1 \u355 ?i un semn sigur, care indic\uc1 \u259 ? c\uc1 \u259 ? sugarul nu
prime\uc1 \u351 ?te cantitatea necesar\uc1 \u259 ? de lapte:curba ponderal\uc1
\u259 ? este plat\uc1 \u259 ? (cre\uc1 \u351 ?tere \uc1 \u238 ?n mas\uc1 \u259 ?
mai pu\uc1 \u355 ?in de 500g/lun\uc1 \u259 ?)}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Semnele clinice enumerate sunt p}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 osibile la examenul
fizic \uc1 \u238 ?n adenopatia tuberculoas\uc1 \u259 ?, cu excep\uc1 \u355 ?ia ?
matitate \uc1 \u238 ?n ariile superioare ale pl\uc1 \u259 ?m\uc1 \u226 ?nilor}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Semnul articular
necaracteristic \uc1 \u238 ?n dermatomiozit\uc1 \u259 ? este: Artrit\uc1 \u259 ?
deformativ\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Semnul
primordial \uc1 \u238 ?n diagnosticarea malforma\uc1 \u355 ?iilor congenitale de
cord la copil este:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 Dispneea}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Sindromul anemic in anemia carentiala se prezinta prin, cu exceptia:senzatia
\uc1 \u8220 ?picioarelor de vata\uc1 \u8221 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Sindromul Crigler-Najjar este determinat de:}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 insuficien\uc1 \u355
?a glucuroniltransferazei}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1044 \langnp1044 \langfe1049 \langfenp1049 \alang1025 Sindromul de Toni-
Debre-Fanconi se caracterizeaz\uc1 \u259 ? prin urm\uc1 \u259 ?toarele
schimb\uc1 \u259 ?ri biochimice \uc1 \u238 ?n urin\uc1 \u259 ?, cu excep\uc1
\u355 ?ia:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 Hipercalciurie}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 \par }\pard \plain \li0
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Sindromul renal in vasculita
hemoragica se caracterizeaza, cu exceptia:leucociturie marcata}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Sindromul Wolff-Parkinson-Whit}
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e
este caracterizat prin, cu excep\uc1 \u355 ?ia:Fibrila\uc1 \u355 ?ie atrial\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Supravegherea
medical\uc1 \u259 ? a copiilor cu mucoviscidoz\uc1 \u259 ? este necesar\uc1
\u259 ?:pe parcursul \uc1 \u238 ?ntregii vie\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tahipnee la
copilul \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 2 - 12 luni:}{\rtlch \fcs1
Terapia purpurii trombocitopenice nu necesita:reglare fibrinolitica}{\rtlch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Testul determinant in argumentarea
anemiei carentiale este:cantitatea hemoglobinei}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Tipul de singerare characteristic
pentru boala Willebrand: Mixt}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
Tipul de s\uc1 \u238 ?ngerare \uc1 \u238 ?n anemia aplastic\uc1 \u259 ? este:}
petesial-macular}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Tipul mixt de
singerare este caracteristic pentru, cu exceptia:vasculita hemoragica}{\rtlch \fcs1
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Tipul petesial macular se
caracterizeaza prin, cu exceptia:se pot asocia cu hematoame }{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Tratamentul copiilor cu
malnutri\uc1 \u355 ?ie de gradul I:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 poate fi efectuat la domiciliu}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Tratamentul de durata al alergiei
alimentare a copilului prevede:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 diet\uc1 \u259 ? hipoalergic\uc1 \u259 ?}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Tratamentul infec\uc1 \u355 ?iei
cu RS-virus (form\uc1
\u259 ? sever\uc1 \u259 ?) include:}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Spitalizare \uc1 \u351 ?i terapie
intensiv\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 \caps1 e}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 nterovirusurile fac parte din familia:}{\rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Picornaviridae
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tratamentul
rahitismului caren\uc1 \u355 ?ial forma u\uc1 \u351 ?oar\uc1 \u259 ? include
administrarea vit.D zilnic \uc1 \u238 ?n dozele:}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 50000 UI }{\rtlch
\adjustright \lin0 \rin0 \tql \tx426 \tql \tx709 \itap0 \rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tuberculina
prezint\uc1 \u259 ?:tuberculoproteina purificat\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Un pacient cu hipertiroidism
poate prezenta urm\uc1 \u259 ?toarele acuze, except\uc1 \u226 ?nd:}{\rtlch \fcs1
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 prurit al talpelor}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Un semn clinic
important diferen\uc1 \u355 ?iaz\uc1 \u259 ? perioada de debut a rahitismului
caren\uc1 \u355 ?ial:Absen\uc1 \u355 ?a toracelui cu baza evazat\uc1 \u259 ?}
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Unul dintre semnlee
clinice enum\uc1 \u259 ?rate este patognomic pentru avitaminoza A: }{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Scorbutul}
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Urm\uc1 \u259 ?
toarele afirma\uc1 \u355 ?ii privind tratamentul cu I}{\rtlch \fcs1 \af6 \afs22
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \super1 131}{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 sunt a}
dev\uc1 \u259 ?rate,}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 \super1 }{\rtlch \fcs1 \af9 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 except\uc1 \u226 ?nd:}{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 conduce la
distruc\uc1 \u355 ?ia tirocitelor,}{\rtlch \fcs1 \af9 \afs22 \ltrch \fcs0 \fs22
\langfe1049 \langfenp1049 \alang1025 este contraindicat \uc1 \u238 ?n cazuri cu
tiroida de dimensiuni mici,}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langfenp1049 \alang1025 poate produce afonie}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langfenp1049 \alang1025 Urm\uc1 \u259 ?torul semn clinic al artritei nu este
caracteristic \uc1 \u238 ?n lupus eritematos:Deforma\uc1 \u355 ?ii a coloanei
vertebrale}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Urm\uc1 \u259 ?torul
semn clinic nu este criteriu de diagnostic al dermatomiozitei:}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Biopsie mu}
scular\uc1 \u259 ?- miozit\uc1 \u259 ?, necroze, infiltrat perivascular}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch
Electromiograma patologic\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs22 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Rash heliotrop periorbital}{\rtlch
\plain \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\langfenp1049 \alang1025 Urm\uc1 \u259 ?torul semn cutanat este caracteristic
\uc1 \u238 ?n dermatomiozi\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Eritem periorbital violaceu}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Urm\uc1 \u259 ?
torul semn cutanat nu este criteriu de clasificare \uc1 \u238 ?n lupus eritematos:}
Papule pruriginoase}{\rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Volumul de s\uc1
\u226 ?nge circulant la copii prematuri constituie:}{\rtlch \fcs1 \af6 \afs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 110 - 120 ml/kg/corp}
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch
\fcs0 \fs22
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Complement multiplu}{\rtlch
\plain \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Respira\uc1 \u355 ?ia
pueril\uc1 \u259 ? la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i este cauzat\uc1 \u259 ?
de:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 a) }{\rtlch
Elasticitatea \uc1 \u238 ?nalt\uc1 \u259 ? \uc1 \u351 ?i peretele toracic
sub\uc1 \u355 ?ire}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 b) }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Asocierea
respira\uc1 \u355 ?iei laringiene}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \dbch \f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 c)
}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 Distan\uc1 \u355 ?a mic\uc1 \u259 ? de la fisura vocal\uc1 \u259 ? p\uc1
\u238 ?n\uc1 \u259 ? la locul ausculta\uc1 \u355 ?iei respira\uc1 \u355 ?iei}
\aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Numiti semnele
hiportemiei tranzitorii la nou-nascut: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 a) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 Tegumnetle palide}{\rtlch \fcs1 \af6 \afs24
\langnp2057 \langfe1049 \langfenp1049 \alang1025 b) }{\rtlch \fcs1 \af6 \afs24
\ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 Inhibitie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
c) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 Subt slab}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 \par }\pard \plain \li720 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM
Care sunt indicii de baza ai vitalitatii la nou-nascut?}{\rtlch \fcs1 \af6
\langnp1040 \langfe1049 \langfenp1049 \alang1025 a) }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Temperatura corpului}
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 b) }{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Frecventa
respiratorie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 c) }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Frecventa
cardiaca}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 d)}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tensiunea arteriala}
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Culoarea p\uc1 \u259
?m\uc1 \u238 ?ntie a pielii la nou-n\uc1 \u259 ?scut poate cauza:}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Acidoz\uc1 \u259 ?
metabolic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Infec\uc1 \u355 ?ie
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM
Care schimb\uc1 \u259 ?ri ale pielii sunt fiziologice pentru un nou-n\uc1 \u259 ?
scut ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Milia}
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 d) }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Miliaria
cristalin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch
\af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af6
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 e) }{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Nevus}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Complica\uc1 \u355 ?
iile hipotermiei la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i sunt:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipoglicemia}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u350 ?ocul}{\rtlch
\langnp2057 \langfe1049 \langfenp1049 \alang1025 c) }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Apnea}{\rtlch \fcs1 \af6
\langnp2057 \langfe1049 \langfenp1049 \alang1025 e) }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Acidoza metabolic\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Pentru men\uc1
\u355 ?inerea temperatrii corpului copilului \uc1 \u238 ?n timpul transport\uc1
\u259 ?rii e necesar de a fi folosite urm\uc1 \u259 ?toarele metode:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Contactul "piele la
piele"}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Incubatoarele de
transport}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 c) }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Saltele umplute cu
ap\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copilul \uc1 \u238 ?
nvelit \uc1 \u238 ?n plapum\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lin720 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM Dismicrobismul la nou-nascuti
se caracterizeaza prin\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
a) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 dereglari dispeptice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 stagnare in greutate
in prima luna de viata}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 meteorism}{\rtlch
\langnp1031 \langfe1049 \langfenp1049 \alang1025 d) }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 regurgitari}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Laptele }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 matern poate
fi p\uc1 \u259 ?strat:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 a) }{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 6 luni la t -20}
\hich \af0 \dbch \f0 \up9 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 o}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 C}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 e) 24 ore la t +4}
\hich \af0 \dbch \f0 \up9 \lang2057 \langnp2057 \langfe1049 \langfenp1049
\alang1025 o}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 C}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\sl240 \slmult1 \widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin720 \rin0
\itap0 \outlinelevel0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 CM Care din afirma\uc1 \u355 ?ii corespund celor 10 pa\uc1
\u351 ?i pentru a deveni "spital prieten al copilului":}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 S\uc1 \u259 ? ajute
mamele s\uc1 \u259 ? al\uc1 \u259 ?pteze \uc1 \u238 ?n prima jum\uc1 \u259 ?tate de
or\uc1 \u259 ? dup\uc1 \u259 ? na\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 S\uc1 \u259 ? nu ofere
copiilor alte alimente dec\uc1 \u226 ?t laptele matern}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 S\uc1 \u259 ? practice
"rooming in-ul"}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 S\uc1 \u259 ?
\uc1 \u238 ?ncurajeze al\uc1 \u259 ?ptarea la cererea copilului}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 CM Beneficiile laptelui matern:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Protec\uc1 \u355 ?ia
\uc1 \u238 ?mpotriva infec\uc1 \u355 ?iei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 b) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Protec\uc1 \u355 ?ia fa\uc1 \u355 ?\uc1 \u259 ? de
alergie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 O inciden\uc1
\u355 ?\uc1 \u259 ? mai sc\uc1 \u259 ?zut\uc1 \u259 ? a sindromului mor\uc1 \u355 ?
ii }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 subite la copii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 O mai bun\uc1
\u259 ? dezvoltare psihomotorie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Pentru suptul corect al copilului la s\uc1 \u226 ?n e caracteristic:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copilul trebuie s\uc1
\u259 ? cuprind\uc1 \u259 ? o por\uc1 \u355 ?iune c\uc1 \u226 ?t mai mare a
s\uc1 \u226 ?nului \uc1 \u238 ?n gur\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copilul suge \uc1
\u238 ?ntr-un ciclu supt-\uc1 \u238 ?nghi\uc1 \u355 ?it-respirat}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Mamelonul, }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 areola au
form\uc1 \u259 ? de "tetin\uc1 \u259 ?" \uc1 \u238 ?n gura copilului}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Limba copilului cuprinde
ca o cup\uc1 \u259 ? mamelonul \uc1 \u351 ?i o und\uc1 \u259 ? de compresie se
deplaseaz\uc1 \u259 ? de-a lundul limbii c\uc1 \u259 ?tre partea din spate a gurii}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Semne ale unei
pozi\uc1 \u355 ?ii corecte la s\uc1 \u226 ?n sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin720 \rin0 \tql \tx720 \itap0 \ls1 \rtlch \fcs1 \af6 \afs22
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard
\plain \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 \f2 a)\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Gura copilului e larg }{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 deschis\uc1 \u259 ?}{\rtlch
\dbch \f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B\uc1 \u259 ?rbia
copilului atinge s\uc1 \u226 ?nul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
d) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 Buza inferioar\uc1 \u259 ? a copilului este curbat\uc1 \u259 ? c\uc1
\u259 ?tre exterior}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Ce este caracteristic pentru regurgitare la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Alimentele \uc1
\u238 ?ntrebuin\uc1 \u355 ?ate sunt eliminate f\uc1 \u259 ?r\uc1 \u259 ? efort,
f\uc1 \u259 ?r\uc1 \u259 ? contrac\uc1 \u355 ?ia mu\uc1 \u351 ?chilor abdominali}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Pozi\uc1 \u355 ?ia
orizontal\uc1 \u259 ? a stomacului la regurgit\uc1 \u259 ?ri}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Alte cauze - sl\uc1
\u259 ?biciunea sfincterului cardiei \uc1 \u238 ?nso\uc1 \u355 ?it de dezvoltarea
satisf\uc1 \u259 ?c\uc1 \u259 ?toare a por\uc1 \u355 ?iunii piloric}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Ce este caracteriatic
\uc1 \u238 ?n pilorospasm la copil:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
b) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 Hipertonusul sistemului simpatic ca rezultat al hipoxiei,
encefalopatiei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Se desf\uc1
\u259 ?\uc1 \u351 ?oar\uc1 \u259 ? tabloul clinic dup\uc1 \u259 ? na\uc1 \u351 ?
tere}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Voma ca regul\uc1
\u259 ? \uc1 \u238 ?nainte de alimentare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM Etapele initial ale reanimarii
nou-nascutului include urmatoarele:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \dbch \f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 a)
pozitionarea nou-nascutului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 b) plasarea nou-
nascutului pe o saltea incalzita sub o sursa de caldura radianta}{\rtlch \fcs1 \af6
\langnp2057 \langfe1049 \langfenp1049 \alang1025 c) aspirarea continutului
nazofaringian }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) stimularea
tactila }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enumera\uc1 \u355
?i ceea ce este caracteristic at\uc1 \u238 ?t pentru apneea primar\uc1 \u259 ?,
c\uc1 \u238 ?t \uc1 \u351 ?i pentru apneea secundar\uc1 \u259 ?:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Nou-n\uc1 \u259 ?scutul
nu respir\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Frecven\uc1 \u355 ?a
cardiac\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 scade}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
e) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 Poate ap\uc1 \u259 ?rea intrauterin}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp2057 \langfe1049 \langfenp1049 \alang1025 CM }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i care
sunt gesturile de reanimare neonatal\uc1 \u259 ? pentru componentul B ABC-ului
reanim\uc1 \u259 ?rii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Folosirea
balonului \uc1 \u351 ?i a m\uc1 \u259 ?\uc1 \u351 ?tii}{\rtlch \fcs1 \af6 \afs24
\langnp2057 \langfe1049 \langfenp1049 \alang1025 d) Ventilarea cu presiune pozitiv}
\uc1 \u1075 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Stimularea
tactil\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Aspira\uc1 \u355 ?ia de meconiu provoac\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Obstruc\uc1 \u355 ?ia
c\uc1 \u259 ?ilor respiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Dereglarea
schimbului de gaze}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cre\uc1 \u351 ?terea
rezisten\uc1 \u355 ?ei \uc1 \u238 ?n vasele pulmonare}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Boala membranelor
hialine}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Care dintre
urm\uc1 \u259 ?toarele sunt considerate complica\uc1 \u355 ?ii ale masajului
cardiac extern?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Fracturi costale}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ruptura
hepatic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Pneumotorax}
\lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 CM }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Numi\uc1 \u355 ?i
cele mai frecvente cauze ale cianozei nou-n\uc1 \u259 ?scutului \uc1 \u238 ?n sala
de na\uc1 \u351 ?tere:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Eritrocitoza}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotermia}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Vicii cardiace
congenitale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Mai jos
este prezentat\uc1 \u259 ? lista etapelor introducerii laringoscopului \uc1 \u351 ?
i a sondei endotraheale \uc1 \u238 ?n timpul intuba\uc1 \u355 ?iei. Indica\uc1
\u355 ?i primele 3 etape:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Fixarea capului nou-
n\uc1 \u259 ?scutului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Introducerea
lamei \uc1 \u238 ?ntre limb\uc1 \u259 ? \uc1 \u351 ?i palat p\uc1 \u238 ?n\uc1
\u259 ? la baza limbii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 e) }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ridicarea
lamei \uc1 \u351 ?i vizualizarea epiglotei \uc1 \u351 ?i a glotei}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Din pat}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ologiile
infec\uc1 \u355 ?ioase ale bontului ombilical fac parte :}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Omfalita cataral\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Gangrena bontului
ombilical}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ulcer ombilical}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Omfalita se
manifest\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Piuria ombilicului}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Edemul inelului
ombilical}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Infiltra\uc1 \u355 ?
ia \uc1 \u355 ?esutului adipos \uc1 \u238 ?n jurul }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ombilicului}{\rtlch
\langnp1049
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Tratamentul Candidozei la nou-
n\uc1 \u259 ?scu\uc1 \u355 ?i include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
a) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 Alimenta\uc1 \u355 ?ia la s\uc1 \u226 ?n (dac\uc1 \u259 ? nu este
afectat mamelonul)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Terapia local\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Preparate
antifungice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Tratamentul candidozei cutanate include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 a) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Solu\uc1 \u355 ?ie 1% gen\uc1 \u355 ?ian de violet}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Unguent de levori}
n\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Solu\uc1 \u355 ?ie
kastelani}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Septicemia
precoce se caractezizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Debut la 1 - 4 zi}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 b) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 Evolu\uc1 \u355 ?ie "fulger"}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Detres\uc1 \u259 ?
respiratorie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Septicemia tardiv\uc1 \u259 ? se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6
\plain \li0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Meningit\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Evolu\uc1 \u355 ?ie
lent\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Meningita stafilococic\uc1 \u259 ? la nou-n\uc1 \u259 ?scut se manifest\uc1 \u259 ?
prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Febr\uc1 \u259 ?}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hiperexcitare}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Bombarea fontanelei}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Convulsii}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Manifest\uc1 \u259 ?
rile cardiorespiratoriei sunt caracteristice pentru:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Bradicardie}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tonus muscular diminuat}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotensiune
Criteriile de diagnostic al asfixiei sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Scorul Apgar mic \uc1 \u351 ?i persistent (0-3 puncte \uc1
\u351 ?i mai mult de 5')}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 c) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 pH mai mare de 7,0}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 d) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 Convulsii}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 e) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 Coma}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Prima faz\uc1 \u259 ? a \uc1
\u351 ?ocului (asfixia se socoate un \uc1 \u351 ?oc) se caracterizeaz\uc1 \u259 ?:}
\uc1 \u238 ?n s\uc1 \u226 ?nge a glucocorticoizilor}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cre\uc1 \u351 ?terea
nivelului de eritrocite \uc1 \u351 ?i a volumului de s\uc1 \u226 ?nge circulant}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tahicardie}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Faza II a \uc1
\u351 ?ocului se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Epuizarea sistemului
simpato-adrenergic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotensiune
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 d}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Colaps}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipovolemie}{\rtlch
\ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i primele 3
m\uc1 \u259 ?suri necesare de efectuat pentru a lichida \uc1 \u351 ?ocul
hipovolemic:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Introducerea
plasmei, albuminei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Solu\uc1 \u355 ?ii
cristaloide}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 S\uc1 \u226 ?nge
placentar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Detresa
respiratorie la nou-n\uc1 \u259 ?scut se caracterizeaz\uc1 \u259 ? prin:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tahipnee}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tiraj intercostal
\uc1 \u351 ?i sternal, retrac\uc1 \u355 ?ia sternului}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cianoz\uc1 \u259 ? la
inspira\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 a}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 aerul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 ui}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 din camer\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Activarea antenatal\uc1 \u259 ?
a maturiz\uc1 \u259 ?rii pl\uc1 \u259 ?m\uc1 \u226 ?nilor include:}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Glucocorticoizi}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Eofilina}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Piracetamul}{\rtlch
\rtlch \alang1025 \ltrch \dbch \af2
d) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 Mucosolvanul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Complica\uc1 \u355 ?iile de baz\uc1 \u259 ? \uc1 \u238 ?n cazul bolii membranelor
hialine sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Deregl\uc1 \u259 ?ri
metabolice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Sindromul coagul\uc1
\u259 ?rii }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 intravasculare diseminate}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Enterocolita ulcero-necrotic\uc1 \u259 ?}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hemoragie int}{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 r}{\rtlch
aventricular\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Surfactantul are urm\uc1 \u259 ?toarele func\uc1 \u355 ?ii :}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Prevenirea colab\uc1
\u259 ?rii alveolelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Regleaz\uc1 \u259 ?
microcircula\uc1 \u355 ?ia \uc1 \u238 ?n pl\uc1 \u259 ?m\uc1 \u226 ?ni}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Condi\uc1 \u355 ?
ioneaz\uc1 \u259 ? clearance-ul mucociliar}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Din }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 semnele generale ale
bolii membranei hialine (BMH) se at\uc1 \u226 ?rn\uc1 \u259 ? :}{\rtlch \fcs1
\langnp2057 \langfe1049 \langfenp1049 \alang1025 a}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Tahipnee mai mare de 60}{\rtlch
\aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tiraj intercostal}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cianoz\uc1 \u259 ?
la respira\uc1 \u355 ?ie cu aer \uc1 \u238 ?nconjur\uc1 \u259 ?tor}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Boala
hemolitic\uc1 \u259 ? a nou-n\uc1 \u259 ?scu\uc1 \u355 ?ilor apare \uc1 \u238 ?n
caz de:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Incompatibilitate
ABO}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Incompatibilitate Rh
factor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Antigen Rh rar
\uc1 \u238 ?nt\uc1 \u226 ?lnite}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Antigene sistem
Liuteran}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Pentru icterul
fiziologic este caracteristic:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 Apari\uc1 \u355 ?ia lui dup\uc1 \u259 ? 24 ore de via\uc1 \u355 ?\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Nivelul bilirubinei
la sf\uc1 \u238 ?r\uc1 \u351 ?itul I zile de via\uc1 \u355 ?\uc1 \u259 ? mai
pu\uc1 \u355 ?in de 80 mcmol/}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 CM Care din indicii enumera\uc1 \u355 ?i mai jos confirm\uc1 \u259 ?
prezen\uc1 \u355 ?a bolii hemolitice a nou-n\uc1 \u259 ?scutului?}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Anemie cu
reticulocitoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\af0 \dbch \f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 d) }
Icter din primele ore de via\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hepatosplenomegalia}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?ii
pentru exsangiunotransfuzie sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 Icterul tegumentelor din prima or\uc1 \u259 ? de via\uc1 \u355 ?\uc1
pe or\uc1 \u259 ? a bilirubinei - 6-7 mcmol/l}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 d) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Nivelul builirubinei la 24 ore de via\uc1 \u355 ?\uc1
\u259 ? - 170 mcmol/l}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Anemie}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Complica\uc1 \u355 ?
iile exsanguinotransfuziei sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 Enterocolita ulcero-necrotic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Embolia}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Deregl\uc1 \u259 ?ri de
electroli\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Stop cardic cu edem
pulmonar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 CM }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n care
din cazurile enumerate mai jos \uc1 \u238 ?nt\uc1 \u226 ?lnim obligatoriu
hepatosplenomegalia?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
c) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 Forma edematoas\uc1 \u259 ? a bolii hemolitice a nou-n\uc1 \u259 ?
scutului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Sindromul Gilbert}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Diagnosticul bolii
hemolitice include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Proba Coombs
indirect\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Proba agregat-
hemaglutinin du}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 p\uc1 \u259 ? Idelson}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Concentra\uc1 \u355 ?ia de bilirubin\uc1 \u259 ? \uc1
\u238 ?n apele fetale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Ultrasonografia}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Profilaxia
specific\uc1 \u259 ? a bolii hemolitice include:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Imunocorec\uc1 \u355 ?ia
la gravide}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hemosorb\uc1 \u355 ?
ia, plasmafereza}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?ia
anti - D globulinei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Transplant de
\uc1 \u355 ?esut cutanat de la so\uc1 \u355 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 gravidei}{\rtlch \fcs1 \af6
\f0 \lang2057 \langnp2057
\alang1025 CM }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 Pentru hipotiroidismul comgenital sunt caracteristice:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fruntea ingusta}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 faciesul rotund}
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 macroglosia}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Care din urm\uc1
\u259 ?toarele elemente coreleaz\uc1 \u259 ? cu v\uc1 \u226 ?rsta gesta\uc1 \u355 ?
ional\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Lungimea femurului
f\uc1 \u259 ?tului stabilit ecografic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 e) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Diametrul }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 biparietal al capului la f\uc1 \u259 ?t}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Criteriile de
determinare a retardului dezvolt\uc1 \u259 ?rii fizice intrauterine:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Morfologic}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tabelele centile}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Clinica retardului
\uc1 \u238 ?n dezvoltarea fizic\uc1 \u259 ? intrauterin\uc1 \u259 ? se manifest\uc1
\u259 ? prin :}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Icter fiziologic
\uc1 \u238 ?ndelungat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\af6
\afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0
\lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 e) }{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Policitemie}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Sc\uc1 \u259 ?derea
turgorului \uc1 \u355 ?esuturilor poate fi determinat\uc1 \u259 ? de:}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Deshidratare}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Infec\uc1 \u355 ?ia
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 d) }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotrofia
congenital\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
CM }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 Accelerarea b\uc1 \u259 ?t\uc1 \u259 ?ilor cardiace la nou-n\uc1 \u259 ?
scut pot fi legate de:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipertermie}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 La nou-n\uc1 \u259 ?
scu\uc1 \u355 ?i care s-au n\uc1 \u259 ?scut \uc1 \u238 ?n asfixie u\uc1 \u351 ?
oar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Care din reflexele enumerate mai jos sunt fiziologice la nou-n\uc1 \u259 ?
scu\uc1 \u355 ?i la v\uc1 \u226 ?rsta de un an?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Reflexul Babinschii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Reflexul de supt}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Paloarea tegumentelor este
caracteristic\uc1 \u259 ? pentru:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
a) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 Anemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u350 ?oc}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Septicemie}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Acrocianoza este}
condi\uc1 \u355 ?ionat\uc1 \u259 ? de :}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Hipotermie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
c) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 Sindromul copilului ab}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 i}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 a n\uc1 \u259 ?scut}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Policitemie}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Simptomul "petei
albe" se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Hipovolemie pronun\uc1 \u355 ?at\uc1 \u259 ?}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Prezen\uc1 \u355 ?a
deregl\uc1 \u259 ?rilor vegetative \uc1 \u238 ?n urma traumatiz\uc1 \u259 ?rii
sistemului nervos central}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Prezen\uc1 \u355 ?a
anemiei pronun\uc1 \u355 ?ate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 CM Pentru cefalhematom sunt caracteristice:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Est eo hemoragie
subperiostala}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\widctlpar \aspalpha \aspnum \adjustright
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Este o hemoragie
aponeurotica}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Dispare la prima
saptamina de viata}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Ce este fiziologic pentru copilul nou-n\uc1 \u259 ?scut?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Nivelul glucozei - 3,5
mmol/l}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cantitatea de
leucocite - 20 x10}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \up9 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 9}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 /L}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Nivelul trombocitelor - 200 x10}{\rtlch \fcs1 \af6
\f0 \up9 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 9}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 /L}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Semnele care
indic\uc1 \u259 ? c\uc1 \u259 ? copilul nu adaug\uc1 \u259 ? bine \uc1 \u238 ?n
greutate:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Nu a recuperat la a
2-a s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?n\uc1 \u259 ? de via\uc1 \u355 ?\uc1
\u259 ? greutatea de la na\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Eliminarea redus\uc1 \u259 ? de urin\uc1 \u259 ?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Beneficiile laptelui
matern sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Protec\uc1 \u355 ?ia
\uc1 \u238 ?mpotriva infec\uc1 \u355 ?iei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Protec\uc1 \u355 ?ia fa\uc1 \u355 ?\uc1 \u259 ? de
alergie}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 O inciden\uc1 \u355 ?\uc1 \u259 ? mai sc\uc1 \u259 ?
zut\uc1 \u259 ? a sindromului mor\uc1 \u355 ?ii subite la copii}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 O mai bun\uc1 \u259 ?
dezvoltare psihomotorie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Care din urm\uc1 \u259 ?toarele situa\uc1 \u355 ?ii exclud no\uc1 \u355 ?iune de
alimenta\uc1 \u355 ?ie natural\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Copilului i se ofer\uc1 \u259 ? alte alimente, diferite de
laptele matern}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Copilului i se
ofer\uc1 \u259 ? biberon}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Se limiteaz\uc1
\u259 ? num\uc1 \u259 ?rul de al\uc1 \u259 ?pt\uc1 \u259 ?ri}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Se limiteaz\uc1 \u259 ?
durata suptului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Simptoamele hemoragiei acute:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 Se men\uc1 \u355 ?ine paliditatea, de\uc1 \u351 ?i se continu\uc1
\u259 ? oxigenarea }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Puls slab, filiform}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Simptomul "petei
palide" 3 secunde \uc1 \u351 ?i mai mult}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Numi\uc1 \u355 ?i cele mai
frecvente cauze ale cianozei nou-n\uc1 \u259 ?scutului \uc1 \u238 ?n sala de na\uc1
\u351 ?tere:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Eritrocitoza}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotermia}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Vicii cardiace
congenitale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
CM .Mai jos este prezentat\uc1 \u259 ? lista etapelor introducerii
laringoscopului \uc1 \u351 ?i a sondei endotraheale \uc1 \u238 ?n timpul intuba\uc1
\u355 ?iei. Indica\uc1 \u355 ?i primele 3 etape:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Fixarea capului nou-
n\uc1 \u259 ?scutului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Introducerea
lamei \uc1 \u238 ?ntre limb\uc1 \u259 ? \uc1 \u351 ?i palat p\uc1 \u238 ?n\uc1
\u259 ? la baz}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 a limbii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 Ridicarea lamei \uc1 \u351 ?i vizualizarea epiglotei \uc1 \u351 ?i a
glotei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1
\u355 ?iile absolute pentru ventila\uc1 \u355 ?ia artificial\uc1 \u259 ?
pulmonar\uc1 \u259 ? (VAP) la nou-n\uc1 \u259 ?scut sunt:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Aspira\uc1 \u355 ?ie de
meconiu v\uc1 \u238 ?scos}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
inerea pCO}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \af6 \hich \af0 \dbch \f0 \dn3 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 2 }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 la nivel de 60 mm col Hg \uc1 \u351 ?i mai mult}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
Oxigenarea ineficace cu masca}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 CM Criteriile de diagnostic al retardului de dezvoltare
intrauterin\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 Sc\uc1 \u259 ?derea greut\uc1 \u259 ?\uc1 \u355 ?ii corporale cu 2
\uc1 \u351 ?i mai multe sigme (al 10- lea percentil \uc1 \u351 ?i mai jos)}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Sc\uc1 \u259 ?derea
analogic\uc1 \u259 ? a datelor antropometrice (perimetrul cranian \uc1 \u351 ?i a}
cutiei toracice, lungimea)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Stratul adipos
subcutanat sub\uc1 \u355 ?ire}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 CM Respira\uc1 \u355 ?ia la prematuri este:}{\rtlch \fcs1 \af6 \afs24
\langnp2057 \langfe1049 \langfenp1049 \alang1025 a) De tip }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 abdominal}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cu crize de apnee}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce factori
favorizeaz\uc1 \u259 ? dezvoltarea infec\uc1 \u355 ?iilor respiratorii acute la
copilul mic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 \par }\pard \plain \fi-360 \li720 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \tql
\tx720 \itap0 \ls2 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af6 \afs22 \ltrch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 A.\tab }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 frecventarea
colectivit\uc1 \u259 ?\uc1 \u355 ?ilor }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 de copii}{\rtlch \fcs1 \af6 \afs24
360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\alang1025 \f2 B.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 imaturitatea protec\uc1 \u355 ?iei antiinfec\uc1 \u355 ?
ioase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\ls2 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch
\af2 \hich \af0 \loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033
\alang1025 {\listtext \pard \plain \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1033 \langfenp1033 \alang1025 \f2 C.\tab }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 anemia caren\uc1 \u355 ?
ial\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\alang1025 CM. Infec\uc1 \u355 ?iile respiratorii cu virusurile gripale la copilul
mic se manifest\uc1 \u259 ? clinic prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\alang1025 \f0 A.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 sindrom toxic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi-360 \li990 \ri0
\lin990 \rin0 \tql \tx990 \itap0 \ls3 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\langnp1049 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \plain \rtlch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f0 B.\tab }
sindrom febril}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0 \tql
\alang1025 CM. Care sunt indica\uc1 \u355 ?iile pentru spitalizarea copilului cu
infec\uc1 \u355 ?ii r}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 espiratorii virale?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi-900 \li1440
\adjustright \lin1440 \rin0 \tql \tx540 \tql \tx900 \tql \tx1440 \itap0 \ls4 \rtlch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\listtext
\pard \plain \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1033 \alang1025 \f2 A.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 convulsii febrile}{\rtlch \fcs1
\plain \fi-900 \li1440 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1440 \rin0 \tql \tx540 \tql \tx900 \tql \tx1440 \itap0
\langfe1033 \langfenp1033 \alang1025 \f2 B.\tab }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom toxico-infec\uc1
\u355 ?ios}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\tql \tx900 \tql \tx1440 \itap0 \ls4 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langfe1033 \langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af6
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 C.\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 vome
dup\uc1 \u259 ? ficare alimentare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce complica\uc1 \u355 ?ii se
pot dezvolta \uc1 \u238 ?n infec\uc1 \u355 ?iile respiratorii virale la copii?}
\par }\pard \plain \fi0 \li540 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\tql \tx1440 \itap0 \ls5 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 A.\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom
coagulare intravascular\uc1 \u259 ? diseminat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\fi0 \li540 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\langfenp1033 \alang1025 \f2 B.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul Reye}{\rtlch \fcs1
\plain \fi0 \li540 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pneumonie}{\rtlch
\langfe1033 \langfenp1033 \alang1025 \f2 D.\tab }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 encefalit\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce predelec\uc1
\u355 ?ii sezoniere sunt caracteristice pentru enterovirusuri?}{\rtlch \fcs1
\plain \fi-180 \li900 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin900 \rin0 \tql \tx900 \tql \tx1080 \tql
\tx1770 \itap0 \ls6 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 vara}
\tql \tx1770 \itap0 \ls6 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 B.\tab }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 toamna}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt principiile
conduitei terapeutice \uc1 \u238 ?n infec\uc1 \u355 ?iile respiratorii virale acute
la copilul mic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 regim alimentar
obi\uc1 \u351 ?nuit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f0 B.\tab }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 regim de repaus}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce m\uc1 \u259 ?
suri de profilaxie a infec\uc1 \u355 ?iilor respiratorii virale sunt indicate
pentru copii?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \par }\pard \plain \fi0 \li540 \ri0 \lisb0 \sa0 \lisa0 \sl240
\tql \tx1080 \tql \tx1440 \itap0 \ls8 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 A.\tab }
evitarea infec\uc1 \u355 ?iilor cu virusuri}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi0 \li540
\langnp1048 \langfe1049 \langfenp1049 \alang1025 aerisirea \uc1 \u238 ?nc\uc1 \u259
?perilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 C.\tab }
vaccinarea antigripal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.
Ce remedii antivirale se utilizeaz\uc1 \u259 ? \uc1 \u238 ?n infec\uc1 \u355 ?iile
respiratorii?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfe1033 \langfenp1033 \alang1025 \f0 A.\tab }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 amantadina}{\rtlch \fcs1
\aspalpha \aspnum
\adjustright \lin990 \rin0 \tql \tx990 \itap0 \ls9 \rtlch \fcs1 \af6 \afs22 \ltrch
rimantadina}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f0 C.\tab }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 interferonul}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sunt manifest\uc1
\u259 ?rile clinice \uc1 \u238 ?n bron\uc1 \u351 ?it\uc1 \u259 ? obstructiv\uc1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 respira\uc1 \u355 ?ie
aspr\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\tx900 \itap0 \ls10 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6
wheezing}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 raluri
sibilante}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce mecanizme
patogenice sunt implicate \uc1 \u238 ?n realizarea bron\uc1 \u351 ?itei
obstructive?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
hiperactivitatea bron\uc1 \u351 ?ic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
hipersecre\uc1 \u355 ?ia bron\uc1 \u351 ?ic\uc1 \u259 ?}{\rtlch \fcs1 \af6
\aspalpha \aspnum \adjustright \lin900 \rin0 \tql \tx900 \itap0 \ls11 \rtlch
\langfenp1033 \alang1025 \f0 C.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 edemul mucoasei bron\uc1 \u351 ?
ice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bronhospazmul}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt semnele de pericol
la copilul cu infec\uc1 \u355 ?ie respiratorie?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi-360 \li960 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin960 \rin0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul de hipotermie}
\widctlpar \aspalpha \aspnum \adjustright \lin960 \rin0 \tql \tx960 \itap0 \ls12
{\listtext \pard \plain \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul CID}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Simptomatologia bron\uc1 \u351
?iolitei acute include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tahipnee}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 torace emfizematos}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 raluri subcrepitante
difuze}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 expir prelungit}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt
semnele etiologiei bacteriene \uc1 \u238 ?n bron\uc1 \u351 ?ita acut\uc1 \u259 ??}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom febril >3 zile}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sput\uc1 \u259 ?
purulent\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 \par }\pard \plain \fi-345 \li1065 \ri0 \lisb0 \sa0 \lisa0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 neutrofilie}
\hich \af0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce remedii
mucolitice \uc1 \u351 ?i expectorante sunt indicate \uc1 \u238 ?n bron\uc1 \u351 ?
it\uc1 \u259 ? acut\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
carbocisteina}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bromhexina}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 lazolvanul}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tratamentul copilului cu
wheezing include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Salbutamol}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Beclometazon}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Bron\uc1 \u351 ?it\uc1 \u259 ?
acut\uc1 \u259 ? este caracterizat\uc1 \u259 ? prin urm\uc1 \u259 ?toarele date
fizicale:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
aspr\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 raluri umede
bilateral}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tactica
medical\uc1 \u259 ? \uc1 \u238 ?n bron\uc1 \u351 ?ita acut\uc1 \u259 ? la copil
prevede:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\itap0 \ls18 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 supraveghere
medical\uc1 \u259 ? ambulatorie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\tx1065
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 medica\uc1 \u355 ?ie
simptomatic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tratamentul
bron\uc1 \u351 ?itei acute cu expectora\uc1 \u355 ?ii purulente prevede:}{\rtlch
\aspnum \adjustright \lin1065 \rin0 \tql \tx1065 \itap0 \ls19 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 antibioticoterapie}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 mucolitice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Bron\uc1 \u351 ?ita cronic\uc1 \u259 ? la copil este o maladie :}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 ineversibil\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 dob\uc1 \u238 ?ndit\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt factorii cauzali
pentru acutiz\uc1 \u259 ?rile de bron\uc1 \u351 ?it\uc1 \u259 ? cronic\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 virusurile
respiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 flora
bacterian\uc1 \u259 ? pneumotrop\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\alang1025 \f2 C.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 suprar\uc1 \u259 ?ceala}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Factorii de risc \uc1 \u238 ?n
bron\uc1 \u351 ?ita cronic\uc1 \u259 ? la copil sunt:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nocivit\uc1
\u259 ?\uc1 \u355 ?ile atmosferice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1065 \itap0 \ls22 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antecedente
familiale de maladii cronice respiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 fumatul pasiv}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 D.\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 infec\uc1
\u355 ?ii respiratorii frecvente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
CM. Care sunt variantele clinice ale bron\uc1 \u351 ?itei cronice la copil?}{\rtlch
\langfenp1049 \alang1025 bron\uc1 \u351 ?it\uc1 \u259 ? cronic\uc1 \u259 ?
obstructiv\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bron\uc1 \u351
?it\uc1 \u259 ? cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Bron\uc1 \u351 ?ita cronic\uc1 \u259 ? obstructiv\uc1 \u259 ? la copil se
prezint\uc1 \u259 ? cu :}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 wheezing}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 raluri sibilante}{\rtlch
\langfenp1049 \alang1025 respira\uc1 \u355 ?ie aspr\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce remedii antibacteriene sunt
indicat}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 e \uc1 \u238 ?n acutizarea bron\uc1 \u351 ?itei cronice la copil \uc1
\u238 ?n condi\uc1 \u355 ?iile medicinei de familie?}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 amoxiclav per os}{\rtlch
\langfenp1049 \alang1025 cefalexin}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx900 \tql \tx1065 \itap0 \ls25 \rtlch \fcs1 \af6 \afs22 \ltrch
azitromicin}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
indica\uc1 \u355 ?iile pentru antibioticoterapie \uc1 \u238 ?n acutizarea
bron\uc1 \u351 ?itei cronice?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
sput\uc1 \u259 ? purulent\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
sindrom subfebril \uc1 \u238 ?ndelungat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
neutrofiloz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Programul de
fluidificare a secre\uc1 \u355 ?iilor bron\uc1 \u351 ?ice la copii cu bron\uc1
\u351 ?it\uc1 \u259 ? cronic\uc1 \u259 ? prevede administrarea:}{\rtlch \fcs1
\langfenp1049 \alang1025 ambroxolului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 bromhexinei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 ceaiurilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 decocturil\uc1
\u351 ?or mucolitice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Cu ce maladii
este necesar de a efectua diagnosticul diferen\uc1 \u355 ?iat la copil cu
bron\uc1 \u351 ?ite repetate?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
sinuzita cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
cililor imotili}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fibroza
chistic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aspira\uc1
\u355 ?ie de corp str\uc1 \u259 ?in}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Care sunt principiile terapeutice \uc1 \u238 ?n acutizarea bron\uc1 \u351 ?itei
recidivante?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 restabilirea
permeabilit\uc1 \u259 ?\uc1 \u355 ?ii bron\uc1 \u351 ?ice}{\rtlch \fcs1 \af6 \afs24
tratament etiotrop}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce }{\rtlch
manifest\uc1 \u259 ?ri clinice pot fi prezente la copil \uc1 \u238 ?n remisia
bron\uc1 \u351 ?itei recidivante?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
tuse iritativ\uc1 \u259 ? la efort fizic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
tuse iritativ\uc1 \u259 ? la aer rece }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch
\langfenp1049 \alang1025 tuse iritativ\uc1 \u259 ? la aeropoluan\uc1 \u355 ?i}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tuse matinal\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Factorii
etiologici \uc1 \u238 ?n pneumoniile acute de domiciliu sunt:}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Pneumococ}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Mycoplazma}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 H.influenzae}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt particularit\uc1
\u259 ?\uc1 \u355 ?ile de evolu\uc1 \u355 ?ie a pneumoniei cu focare confluente-?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 se dezvolt\uc1 \u259 ?
destruc\uc1 \u355 ?ii pulmonare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
evolueaz\uc1 \u259 ? cu sindrom toxic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 se
complic\uc1 \u259 ? cu pleurezie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Pentru pneumonia acut\uc1 \u259 ? la copilul mic sunt caracteristice urm\uc1
\u259 ?toarele manifest\uc1 \u259 ?ri clinice}{\rtlch \fcs1 \af6 \afs24 \ltrch
tiraj al cutiei toracice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tahipnee}{\rtlch \fcs1 \af6 \afs24
sindrom febril}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
complica\uc1 \u355 ?iile purulente extrapulmonare \uc1 \u238 ?n pneumonia
acut\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
meningit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
osteomielit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 otit\uc1 \u259
?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
indica\uc1 \u355 ?iile pentru internare \uc1 \u238 ?n sec\uc1 \u355 ?ie
pediatric\uc1 \u259 ? a }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 copilului cu pneumonie?}{\rtlch \fcs1 \af6 \afs24
\langnp2057 \langfe1049 \langfenp1049 \alang1025 B.}{\rtlch \fcs1 \af6 \afs24
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 sindrom convulsiv}
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 C.}{\rtlch \fcs1
abdominal acut}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 D.}{\rtlch \fcs1
\dbch \f0 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 wheezing
sever}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang2057 \langnp2057 \langfe1049 \langfenp1049 \alang1025 E.}{\rtlch \fcs1
malnutri\uc1 \u355 ?ie avansat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Eficacitatea antibioticoterapiei \uc1 \u238 ?n
pneumonia acut\uc1 \u259 ? este determinat\uc1 \u259 ? de:}{\rtlch \fcs1
\af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 reducerea sindromului febril}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 reducerea tahipneei}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 involu\uc1 \u355 ?ia
semnelor de toxicoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce
complica\uc1 \u355 ?ii pleuropulmonare se pot dezvolta la etapa de
convalescen\uc1 \u355 ?\uc1 \u259 ? \uc1 \u238 ?n pneumoniile copilului?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 aderen\uc1 \u355 ?e pleural\uc1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bron\uc1 \u351 ?
iectazii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bron\uc1 \u351 ?ita
obliterant\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fibroz\uc1
\u259 ? pulmonar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tabloul
auscultativ \uc1 \u238 ?n pneumonia acut\uc1 \u259 ? este specificat prin:}
atenuat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 raluri umede
de calibru mic localizate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1049 \langnp1049
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 crepita\uc1 \u355 ?ie}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Terapia
antibacterian\uc1 \u259 ? \uc1 \u238 ?n pneumonia acut\uc1 \u259 ? a \uc1 \u351 ?
colarului va include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Augmentina}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Azitromicin}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Eritromicina}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Programul terapeutic al
pneumoniei acute necomplicate prevede:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
antibioticoterapie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 mucolitice}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 inhala\uc1 \u355 ?ii
alcalino-saline}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce remedii
antibacteriene pot fi utilizate \uc1 \u238 ?n pneumonia acut\uc1 \u259 ? la copil
cu probleme alergologice?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Gentamicina}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Lincomicina}{\rtlch
\fs24 \rtlch \alang1025
\langfenp1049 \alang1025 Cotrimaxazol}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 Pentru ce durat\uc1 \u259 ? a pneumoniei se
constat\uc1 \u259 ? o evolu\uc1 \u355 ?ie trenant\uc1 \u259 ??}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 6 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1
\u226 ?ni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 6 luni}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. \uc1 \u206 ?n aspira\uc1 \u355
?ia de corp str\uc1 \u259 ?in cu mecanism de supap\uc1 \u259 ? la copil se
prezint\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hemitorace
bombat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 percu\uc1 \u355 ?ie
hipersonor\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 murmur
vezicular atenuat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
directive evolutive }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 ale aspira\uc1 \u355 ?iei corpului str\uc1 \u259 ?in la
copil?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 stop cardio-respirator}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 procese bronhopulmonare
trenante, recidivante}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 expulzarea
spontan\uc1 \u259 ? prin reflex puternic de tuse}{\rtlch \fcs1 \af6 \afs24
\dbch \af2 \hich \af0 \loch \af6 \lang1049 \langnp1049 \langfe1033
\langfenp1049 \alang1025 CM. Ce investiga\uc1 \u355 ?ii paraclinice sunt
informative pentru aspira\uc1 \u355 ?ia de corp str\uc1 \u259 ?in?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 radiografia pul}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 monar\uc1 \u259 ?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bronhoscopia}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Criteriile diagnostice de
certitudine \uc1 \u238 ?n aspira\uc1 \u355 ?ia de corp str\uc1 \u259 ?in sunt:}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 depistarea corpului
str\uc1 \u259 ?in endobron\uc1 \u351 ?ic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
eviden\uc1 \u355 ?ierea corpului str\uc1 \u259 ?in radiologic}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Programul terapeutic la
copilul cu aspira\uc1 \u355 ?ia de corp str\uc1 \u259 ?in prevede:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 antibioticoterapie}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 bronholitice}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 medica\uc1 \u355 ?ie
antiinflamatoare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bronhoscopii
curative}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce corpi
str\uc1 \u259 ?ini cel mai frecvent pot fi aspira\uc1 \u355 ?i de copii?}{\rtlch
\aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx720 \itap0 \ls47
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 semin\uc1 \u355 ?e de
floarea soarelui}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 boabe de
gr\uc1 \u259 ?un\uc1 \u355 ?e}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
fragmente de oase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 obiecte mici
metalice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Criteriile
radiologic}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 e diagnostice \uc1 \u238 ?n aspira\uc1 \u355 ?ia de corp str\uc1 \u259 ?
in la copil sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 corp
str\uc1 \u259 ?in radioopac}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 atelectazia
segmentar\uc1 \u259 ? lobar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
hiperinfla\uc1 \u355 ?ie localizat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 D.\tab }
devierea mediastinului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Diagnosticul
diferen\uc1 \u355 ?iat \uc1 \u238 ?n aspira\uc1 \u355 ?ia de corp str\uc1 \u259 ?in
se face cu:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 criz\uc1 \u259
? de astm bron\uc1 \u351 ?ic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 crupul difteric}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 timomegalie}{\rtlch \fcs1 \af6
\langfenp1033 \alang1025 \f2 D.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 laringotraheit\uc1 \u259 ? cu
stenoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Simptome clinice de
debut \uc1 \u238 ?n aspira\uc1 \u355 ?ie de corp str\uc1 \u259 ?in sunt:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 criz\uc1 \u259 ? de sufocare
subit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 apnee}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 wheezing}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tuse chinuitoare \uc1 \u238 ?n
accese}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
direc\uc1 \u355 ?iile evolutive \uc1 \u238 ?n aspira\uc1 \u355 ?ia de corp
str\uc1 \u259 ?in la copil?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 vindecare}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 expulsia corpului
str\uc1 \u259 ?in prin tuse}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deces prin
asfixie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\langfe1033 \langfenp1033 \alang1025
\f2 D.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 procese bronhopulmonare cronice}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tusea \uc1 \u238 ?n boala
bron\uc1 \u351 ?iectatic\uc1 \u259 ? se caracterizeaz\uc1 \u259 ? prin:}{\rtlch
\aspnum \adjustright \lin1065 \rin0 \tql \tx900 \tql \tx1065 \itap0 \ls52 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 expectora\uc1 \u355 ?ii purulente
matinale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tuse cu
expectora\uc1 \u355 ?ii dup\uc1 \u259 ? kineziterapie}{\rtlch \fcs1 \af6 \afs24
\adjustright \lin1065 \rin0 \tql \tx900 \tql \tx1065 \itap0 \ls52 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 expectora\uc1 \u355 ?ii cu miros fetid}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 complica\uc1 \u355 ?
ii pulmonare se pot dezvolta la copiii cu boala bron\uc1 \u351 ?iectatic\uc1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 abces
pulmonar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
piopneumotorax}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\tx900 \tql \tx1065 \itap0 \ls53 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pleurezii
purulente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
diferen\uc1 \u355 ?ial \uc1 \u238 ?n tusea cronic\uc1 \u259 ? se va efectua cu:}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tusea habitual\uc1 \u259
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tusea
rinofaringean\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tuberculoza
pulmonar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 refluxul
gastroesofagian}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Fibroza
chistic\uc1 \u259 ? se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 maldigestie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 infec\uc1 \u355 ?ii respiratorii recurente}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 determinism ereditar}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tulbur\uc1 \u259 ?ri de cre\uc1
\u351 ?tere}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
formele clinice ale mucoviscidozei la copil?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
ileus meconial}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 forma
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 forma
intestinal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 forma mixt\uc1
\widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Criteriile semnificative
pentru mucoviscidoz\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 hipotrofie ponderal\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 sindrom bronhoobstructiv recurent}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 opacit\uc1 \u259 ?\uc1 \u355 ?i reticulo-nodulare
confluente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f0 D.\tab }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 steatoree}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Sindromul Kartagener se
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sinusite
cronice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 otite cronice}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 situs inversus}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tusea cronic\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce metode
explorative sunt informative pentru hipoplazia pulmonar\uc1 \u259 ?:}{\rtlch
\langfenp1049 \alang1025 radiografia pulmonar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0
\langfenp1049 \alang1025 bronhografia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1
\langfenp1049 \alang1025 scintigrafia pulmonar\uc1 \u259 ?}{\rtlch \fcs1 \af6
\afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0
\alang1025 \f2 D.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 angiopulmonografie}{\rtlch \fcs1 \af6 \afs24 \ltrch
\fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt caracteristicele
imagistice ale pulmonului hipertransparent?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 desen pulmonar diminuat}{\rtlch \fcs1 \af6 \afs24
\ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0
\langfenp1049 \alang1025 deformarea bronhiilor cu p\uc1 \u259 ?strarea
arhitectonicii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 lipsa fluxului
sanguin scintigrafic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Emfizemul lobar
congenital se manifest\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 detres\uc1 \u259 ? respiratorie sever\uc1 \u259 ?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipertransparen\uc1
\u355 ?\uc1 \u259 ? lobar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 deplasarea mediastinului \uc1 \u238 ?n partea s\uc1
\u259 ?n\uc1 \u259 ?toas\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM.Pneumoniile prin hipersensibilizare includ urm\uc1
\u259 ?toarele entit\uc1 \u259 ?\uc1 \u355 ?i:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\fcs0 \fs24 \rtlch \alang1025 \ltrch
\itap0 \ls62 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 astmul cu
precipitine}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 alveolita
alergic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pneumonia
alergic\uc1 \u259 ? extrinsec\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. Tabloul clinic \uc1 \u238 ?n toxocaroz\uc1 \u259 ?
include urm\uc1 \u259 ?toarele semne:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 A. sindrom febril}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C. dureri musculare}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.
dispnee, wheezing}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. raluri
bron\uc1 \u351 ?ice, pulmonare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Care sunt factorii etiologici \uc1 \u238 ?n pneumoniile prin hipersensibilizare?}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A.actinomicete}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B.aspergilus}{\rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.penicilina}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E.proteina laptelui
de vac\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 CM.Manifest\uc1 \u259 ?rile extrapulmonare \uc1 \u238 ?n
toxocaroz\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B.
sindrom convulsiv}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C.
keratit\uc1 \u259 ?, irit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 D. hepatomegalie nedureroas\uc1 \u259 ?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 E. erup\uc1 \u355 ?ii
cutanate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\nowidctlpar \lin0 \rin0 \tql \tx7845 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i
pentru care perioade ale copil\uc1 \u259 ?riei este caracteristic\uc1 \u259 ?
prevalen\uc1 \u355 ?a imunit\uc1 \u259 ?\uc1 \u355 ?ii pasive la copil:}{\rtlch
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d)}
perioada de sugar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e)}{\rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 perioada de nou-
n\uc1 \u259 ?scut}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\u355 ?i particularit\uc1 \u259 ?\uc1 \u355 ?ile perioadei de copil sugar:}
\par }\pard \plain \fi0 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 a)\tab }
dezvoltare treptat\uc1 \u259 ? a manifest\uc1 \u259 ?rilor socio - afective \uc1
\u351 ?i a memoriei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \par }\pard \plain \fi0 \li142 \ri0 \lisb0 \sa0 \lisa0
\sl240 \slmult1 \nowidctlpar \lin142 \rin0 \tql \tx142 \itap0 \ls63 \rtlch \fcs1
\af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard
\alang1025 \f2 b)\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 apari\uc1 \u355 ?ia denti\uc1 \u355 ?iei \uc1 \u351 ?i
dezvoltarea func\uc1 \u355 ?iei digestive care permit diversificarea
alimenta\uc1 \u355 ?iei }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?i riscurile pentru dezvoltarea intrauterin\uc1 \u259 ? a copilului, care se
refer\uc1 \u259 ? la perioada primului trimestru (primele 12 s\uc1 \u259 ?
pt\uc1 \u259 ?m\uc1 \u226 ?ni) de sarcin\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a)}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pot interveni
factori cu ac\uc1 \u355 ?iune teratogen\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) se pot produce muta\uc1 \u355 ?
ii \uc1 \u351 ?i abera\uc1 \u355 ?ii cromozomi}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ale }{\rtlch \fcs1 \af6 \afs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c)}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 se pot forma vicii
congenitale de dezvoltare }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?i care sunt caracteristicile ultimelor 12 s\uc1 \u259 ?pt\uc1 \u259 ?
m\uc1 \u226 ?ni de sarcin\uc1 \u259 ?, care determin\uc1 \u259 ? riscurile acestei
perioade pentru copil:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a)}{\rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cre\uc1 \u351 ?tere
accelerat\uc1 \u259 ? a masei f\uc1 \u259 ?tului }{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 trecerea
maxim\uc1 \u259 ? transplacentar\uc1 \u259 ? a imunoglobulinelor de la mam\uc1
\u259 ? la f\uc1 \u259 ?t }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d)}{\rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sinteza maxim\uc1
\u259 ? de surfactant}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?ii motivele, pentru care v\uc1 \u226 ?rsta sugarului de 3-6 luni este
\uc1 \u238 ?ncadrat\uc1 \u259 ? \uc1 \u238 ?n perioadele critice ale copil\uc1
\u259 ?riei:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) se men\uc1 \u355 ?ine
\uc1 \u238 ?nc\uc1 \u259 ? imunodeficien\uc1 \u355 ?a fiziologic\uc1 \u259 ?}
\langfenp1049 \alang1025 b) scade imunitatea transmis\uc1 \u259 ? transplacentar,
datorit\uc1 \u259 ? catabolismului anticorpilor materni}{\rtlch \fcs1 \af6
\alang1025 are loc mielinizarea intens\uc1 \u259 ? a structurilor sistemului nervos
\uc1 \u351 ?i formarea reflexelor condi\uc1 \u355 ?ionate}{\rtlch \fcs1 \af6 \afs24
\alang1025 CM Indica\uc1 \u355 ?i particularit\uc1 \u259 ?\uc1 \u355 ?ile perioadei
de nou-n\uc1 \u259 ?scut:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 existen\uc1 \u355 ?a
st\uc1 \u259 ?rilor tranzitorii (icter fiziologic, pierdere fiziologic\uc1
\u259 ? \uc1 \u238 ?n greutate, criz\uc1 \u259 ? genital\uc1 \u259 ? etc)}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) cre\uc1 \u351 ?tere staturo-
ponderal\uc1 \u259 ? rapid\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deficien\uc1
\u355 ?\uc1 \u259 ? a func\uc1 \u355 ?iei de barier\uc1 \u259 ? a tegumentelor
\uc1 \u351 ?i mucoaselor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) dezvoltare
slab\uc1 \u259 ? a scoar\uc1 \u355 ?ei cerebrale \uc1 \u351 ?i prevalen\uc1 \u355 ?
a structurilor subcorticale }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?i pentru care copii este caracteristic\uc1 \u259 ? imunodeficien\uc1 \u355 ?
a fiziologic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) nou-n\uc1 \u259 ?
scu\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) sugari}{\rtlch
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c)
copii \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 1-3 ani}{\rtlch \fcs1 \af6
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d)
copii \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 4-6 ani}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i ce
particularit\uc1 \u259 ?\uc1 \u355 ?i sunt caracteristice perioadei de pre\uc1
\u351 ?colar (v\uc1 \u226 ?rsta de 3-7 ani):}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) ritm de
cre\uc1 \u351 ?tere comparativ cu alte perioade mai lent}{\rtlch \fcs1 \af6
apari\uc1 \u355 ?ia din\uc1 \u355 ?ilor definitivi}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) dezvoltarea
complex\uc1 \u259 ? a SNC (g\uc1 \u226 ?ndirii, vorbirii, locomo\uc1 \u355 ?iei)
\uc1 \u351 ?i cre\uc1 \u351 ?terea independen\uc1 \u355 ?ei}{\rtlch \fcs1 \af6
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e)
patologia }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 dominat\uc1 \u259 ? de boli contagioase, cronicizarea unor patologii}
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i riscurile
pentru dezvoltarea intrauterin\uc1 \u259 ? a copilului, care se refer\uc1 \u259 ?
la perioada ultimului trimestru (ultimele 12 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1
\u226 ?ni) de sarcin\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) afectarea cre\uc1 \u351 ?terii
f\uc1 \u259 ?tului \uc1 \u351 ?i na\uc1 \u351 ?terea cu mas\uc1 \u259 ? mic\uc1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sensibilizare sporit\uc1
\u259 ? a mamei \uc1 \u351 ?i a f\uc1 \u259 ?tului \uc1 \u238 ?n cazuri de conflict
pe factor Rh \uc1 \u351 ?i sistemul de grup ABO}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) afectare
hipoxic\uc1 \u259 ? a SNC al f\uc1 \u259 ?tului}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) na\uc1 \u351 ?
tere prematur\uc1 \u259 ? sau na\uc1 \u351 ?tere cu semne de dismaturitate}
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i
particularit\uc1 \u259 ?\uc1 \u355 ?ile caracteristice ale perioadei antepre\uc1
\u351 ?colare (v\uc1 \u226 ?rsta copilului 1-3 ani):}{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 are loc \uc1 \u238 ?
ncetinirea vitezei de cre\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) erup\uc1 \u355 ?
ia din\uc1 \u355 ?ilor de lapte se \uc1 \u238 ?ncheie}{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) are loc
dezvoltarea intens\uc1 \u259 ? a \uc1 \u355 ?esutului limfoid \uc1 \u238 ?n
nasofaringe}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) a}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ctivitatea motorie
este dezvoltat\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?i particularit\uc1 \u259 ?\uc1 \u355 ?ile caracteristice perioadei
pre\uc1 \u351 ?colare de dezvoltare a copilului: }{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?ncepe
schimbarea denti\uc1 \u355 ?iei de lapte cu cea permanent\uc1 \u259 ? }{\rtlch
b) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 are loc dezvoltarea intens\uc1 \u259 ? a intelectului }{\rtlch \fcs1
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c)}
\hich \af0 \loch \f7 \lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 se manifest\uc1 \u259 ?
diferen\uc1 \u355 ?e de comportament a feti\uc1 \u355 ?elor \uc1 \u351 ?i b\uc1
\u259 ?ie\uc1 \u355 ?ilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d)}{\rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 are loc
intensificarea cre\uc1 \u351 ?terii, \uc1 \u238 ?n special a membrelor}{\rtlch
\langfenp1049 \alang1025 Nota\uc1 \u355 ?i indicii coagulagramei la nou-n\uc1 \u259
?scutul s\uc1 \u259 ?n\uc1 \u259 ?tos:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx0 \itap0 \rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a.
trombocite 150 }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfe1049 \langfenp1049 \alang1025 400}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx0 \itap0 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b.
fibronogenul 1,5-3 g}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 /l}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 }{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 c. timpul
protrobinic 13 }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfe1049 \langfenp1049 \alang1025 16 sec}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx0 \itap0 \rtlch
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 d. timpul
tromboplastinic 45 }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1049 \langfenp1049 \alang1025 65 sec}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\u355 ?i care glande endocrine exercit\uc1 \u259 ? o influen\uc1 \u355 ?\uc1
\u259 ? prioritar\uc1 \u259 ? asupra cre\uc1 \u351 ?terii \uc1 \u351 ?i dezvolt\uc1
\u259 ?rii fizice a copilului \uc1 \u238 ?n primul an de via\uc1 \u355 ?\uc1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 a)}{\rtlch \fcs1 \af6 \afs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tiroida}{\rtlch
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b)}
timusul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i care glande
endocrine influen\uc1 \u355 ?eaz\uc1 \u259 ? cre\uc1 \u351 ?terea \uc1 \u351 ?i
dezvoltarea fizic\uc1 \u259 ? a copilului \uc1 \u238 ?n perioada de dezvoltare
intrauterin\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\sl240 \slmult1 \nowidctlpar \lin142 \rin0 \tql \tx142 \itap0 \ls64 \rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tiroida}{\rtlch
\plain \fi0 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin142
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 b)\tab }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 suprarenalele}
\langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i criteriile de apreciere a
maturiz\uc1 \u259 ?rii biologice la \uc1 \u351 ?colarul mic:}{\rtlch \fcs1 \af6
num\uc1 \u259 ?rul din\uc1 \u355 ?ilor permanen\uc1 \u355 ?i}{\rtlch \fcs1 \af6
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e)
"v\uc1 \u226 ?rsta osoas\uc1 \u259 ?" }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Dezvoltarea
fizic\uc1 \u259 ? patologic\uc1 \u259 ? se constat\uc1 \u259 ? \uc1 \u238 ?n
cazul \uc1 \u238 ?n care masa sau talia corpului se situeaz\uc1 \u259 ?:}{\rtlch
mai jos de culoarul centilic 3}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) mai sus de
culoarul centilic 90}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enumera\uc1 \u355
?i care parametri ai dezvolt\uc1 \u259 ?rii fizice a copiilor se apreciaz\uc1 \u259
? prin somatometrie:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 a)\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 talia \uc1
\u351 ?i masa corporal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi142 \li0 \ri0 \lisb0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 lungimea
membrelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 c)\tab }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 l\uc1
\u259 ?\uc1 \u355 ?imea umerilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 d)\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 perimetrul
craniului, a bra\uc1 \u355 ?ului, a coapsei, a gambei, a cutiei toracice}{\rtlch
\fs24 \rtlch \alang1025 \ltrch
\alang1025 CM Enumera\uc1 \u355 ?i care parametri ai dezvolt\uc1 \u259 ?rii fizice
a copiilor se apreciaz\uc1 \u259 ? prin somatoscopie:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 gradul de dezvoltare a musculaturii \uc1 \u351 ?i a
\uc1 \u355 ?esutului adipos}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 elasticitatea
tegumentelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 c)\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 semnele de
maturizare biologic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 forma cutiei
toracice, a spatelui, a t\uc1 \u259 ?lpii, \uc1 \u355 ?inuta}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enumera\uc1 \u355 ?i glandele
endocrine, care influen\uc1 \u355 ?eaz\uc1 \u259 ? dezvoltarea fizic\uc1 \u259 ? a
copiilor:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfe1033 \langfenp1033 \alang1025 \f2 a)\tab }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipofiza}{\rtlch
\langfenp1049 \alang1025 timusul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tiroida
\uc1 \u351 ?i paratiroidele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 d)\tab }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 suprarenalele
\uc1 \u351 ?i glandele sexuale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i reflexele
necondi\uc1 \u355 ?ionate ale membrelor superioare, prezente la nou-n\uc1 \u259 ?
scut:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) reflexul
Robinson}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
c)reflexul Babchin}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d) reflexul Moro}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM Indica\uc1 \u355 ?i reflexele necondi\uc1 \u355 ?ionate ale
membrelor inferioare, prezente la copii nou-n\uc1 \u259 ?scu\uc1 \u355 ?i:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) reflexul de
sprijin}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) reflexul
mersului automat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 d) reflexul de apucare Robinson inferior}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Eviden\uc1 \u355 ?
ia\uc1 \u355 ?i factorii predispozan\uc1 \u355 ?i pentru edem cerebral la copii
\uc1 \u238 ?n primul an de via\uc1 \u355 ?\uc1 \u259 ?:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) re\uc1 \u355 ?ea
vascular\uc1 \u259 ? cerebral\uc1 \u259 ? bine dezvoltat\uc1 \u259 ?}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) reflux venos dificil}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) hi}{\rtlch
drofilitatea \uc1 \u355 ?esutului cerebral}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i prin ce se
manifest\uc1 \u259 ? ,,complexul de \uc1 \u238 ?nviorare\uc1 \u8221 ? la copilul
sugar: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) prin z\uc1
\u226 ?mbet}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 b) prin g\uc1 \u226 ?ngurit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) prin mi\uc1 \u351 ?c\uc1
\u259 ?ri active \uc1 \u351 ?i energice \uc1 \u238 ?n membre }{\rtlch \fcs1 \af6
\fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Dezvoltarea
neuropsihic\uc1 \u259 ? a copilului include:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 a) dezvoltarea motorie a
copilului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) dezvoltarea
cognitiv\uc1 \u259 ? a copilului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) dezvoltarea socio-
afectiv\uc1 \u259 ? a copilului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d) dezv}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 oltarea senzorial\uc1 \u259 ? a copilului}{\rtlch
componentele comportamentului social-afectiv la copiii \uc1 \u238 ?n v\uc1
\u226 ?rst\uc1 \u259 ? de 1-6 luni:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 a) prezint\uc1 \u259 ? z\uc1 \u226
?mbet involuntar \uc1 \u238 ?n somn}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) primul z\uc1 \u226 ?mbet
voluntar ca r\uc1 \u259 ?spuns la chipuri \uc1 \u351 ?i voci cunoscute \uc1 \u238 ?
ncep\uc1 \u226 ?nd de la v\uc1 \u226 ?rsta de 2 luni}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) r\uc1 \u226 ?de cu
toat\uc1 \u259 ? fa\uc1 \u355 ?a la sf\uc1 \u226 ?r\uc1 \u351 ?itul lunii a 3 de
viat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 d) imit\uc1 \u259 ? mimica \uc1 \u351 ?i mi\uc1 \u351 ?c\uc1 \u259 ?
rile capului de la v\uc1 \u226 ?rsta de 5 luni }{\rtlch \fcs1 \af6 \afs24
care sunt componentele comportamentului social-afectiv la copiii \uc1 \u238 ?n
v\uc1 \u226 ?rsta de 6-9 luni:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) bate \uc1 \u238 ?n mas\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) sun\uc1 \u259 ?
din juc\uc1 \u259 ?rii sun\uc1 \u259 ?toare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lin0 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) manifest\uc1
\u259 ? reac\uc1 \u355 ?ie de bucurie fa\uc1 \u355 ?\uc1 \u259 ? de c\uc1
\u226 ?ntec, muzic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 e) distinge chipurile str\uc1 \u259 ?ine \uc1 \u351 ?i cele din
familie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Dezvoltarea
limbajului copiilor \uc1 \u238 ?n primele 6 luni de via\uc1 \u355 ?\uc1 \u259 ?
include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) reac\uc1 \u355 ?
ioneaz\uc1 \u259 ?, \uc1 \u238 ?ntorc\uc1 \u226 ?nd capul, c\uc1 \u226 ?nd este
chemat pe nume c\uc1 \u259 ?tre v\uc1 \u226 ?rsta de 6 luni }{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) g\uc1 \u226 ?
ngure\uc1 \u351 ?te}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d) lalalizeaz\uc1 \u259 ? (ma-ma, ba-ba etc.)}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) formeaz\uc1 \u259 ?
silabe}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Care sunt
particularit\uc1 \u259 ?\uc1 \u355 ?ile circula\uc1 \u355 ?iei sangvine cerebrale
la copii \uc1 \u238 ?n primul an de via\uc1 \u355 ?\uc1 \u259 ?:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a)}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 re\uc1 \u355 ?ea
vascular\uc1 \u259 ? \uc1 \u351 ?i capilar\uc1 \u259 ? bine dezvoltat\uc1 \u259 ? }
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) reflux sangvin
dificil}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) flux arterial
bogat }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) reflux venos
adecvat prin venele diploice doar dup\uc1 \u259 ? dezvoltarea acestora, odat\uc1
\u259 ? cu \uc1 \u238 ?nchiderea fontanelelor }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enumera\uc1 \u355 ?i
particularit\uc1 \u259 ?\uc1 \u355 ?ile fiziologice ale creierului copilului nou-
n\uc1 \u259 ?scut:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b) hidrofilitatea \uc1 \u355 ?esutului cerebral este sporit\uc1
\af6 \hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049
\alang1025 c) procesele de inhibare predomin\uc1 \u259 ? asupra celor de excitare }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) este
caracteristic\uc1 \u259 ? dezvoltarea insuficient\uc1 \u259 ? a analizatorului
auditiv \uc1 \u351 ?i a celui vizual }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) este caracterist}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ic\uc1 \u259 ?
predominarea func\uc1 \u355 ?ional\uc1 \u259 ? a sistemului talamo-palidar asupra
celui strio-palidar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
ce caracterizeaz\uc1 \u259 ? dezvoltarea neuropsihic\uc1 \u259 ? a copilului
\uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 1 an:}{\rtlch \fcs1 \af6 \afs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 are un vocabular de
8-10 cuvinte}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?
ndepline\uc1 \u351 ?te cerin\uc1 \u355 ?e elementare ale adultului}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i prin ce se
manifest\uc1 \u259 ? retardul dezvolt\uc1 \u259 ?rii neuropsihice la copii:}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 prin
re\uc1 \u355 ?inere \uc1 \u238 ?n formarea deprinderilor motorii}{\rtlch \fcs1 \af6
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 prin retard
verbal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\slmult1 \nowidctlpar \lin142 \rin0 \tql \tx142 \itap0 \ls68 \rtlch \fcs1 \af6
\alang1025 \f2 c)\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 prin re\uc1 \u355 ?inere a dezvolt\uc1 \u259 ?rii
cognitive}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\slmult1 \nowidctlpar \lin142 \rin0 \tql \tx142 \itap0 \ls68 \rtlch \fcs1 \af6
\alang1025 \f2 d)\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 prin persistarea reflexelor necondi\uc1 \u355 ?ionate ale
nou-n\uc1 \u259 ?scutului dup\uc1 \u259 ? v\uc1 \u226 ?rsta de 1 lun\uc1 \u259 ? }
\u355 ?i de ce este necesar\uc1 \u259 ? introducerea complimentului in alimenta\uc1
\u355 ?ia sugarului:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) necesit\uc1 \u259
?\uc1 \u355 ?ile nutritive la o anumit\uc1 \u259 ? v\uc1 \u226 ?rst\uc1 \u259 ? nu
mai pot fi acoperite doar de laptele matern}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) copilul are maturizarea
fiziologic\uc1 \u259 ? neuromuscular\uc1 \u259 ?, digestiv\uc1 \u259 ?, imun\uc1
\u259 ?, reno-urinar\uc1 \u259 ? necesar\uc1 \u259 ? consum\uc1 \u259 ?rii
produselor noi }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 CM Indica\uc1 \u355 ?i caracteristicile alimenta\uc1 \u355 ?iei copiilor
\uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ? de 3-7 ani: }{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) num\uc1 \u259 ?rul de
alimenta\uc1 \u355 ?ii/zi egal cu 5 (3 de baz\uc1 \u259 ? \uc1 \u351 ?i dou\uc1
\u259 ? gust\uc1 \u259 ?ri)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 e) volumul alimentar zilnic egal cu 2000-2500 ml/24 ore}{\rtlch
care gre\uc1 \u351 ?eli \uc1 \u238 ?n alimenta\uc1 \u355 ?ie pot cauza
tulbur\uc1 \u259 ?ri de nutri\uc1 \u355 ?ie la copii:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) alimentare
artificial\uc1 \u259 ? neadecvat\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) utilizarea excesiv\uc1 \u259 ?
a unor produse }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 d) introducerea tardiv\uc1 \u259 ? a alimentelor comp}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 lementare}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Eviden\uc1 \u355 ?
ia\uc1 \u355 ?i care sunt avantajele laptelui matern fa\uc1 \u355 ?\uc1 \u259 ? de
cel de vaci:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 a) con\uc1 \u355 ?inutul albuminelor mai mare dec\uc1 \u226 ?t cel al
cazeinei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) con\uc1 \u355 ?
ine factori imuni de protec\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) con\uc1 \u355 ?ine beta-
lactoz\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025
CM Ce reprezint\uc1 \u259 ? alimenta\uc1 \u355 ?ia complementar\uc1 \u259 ?:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) introducerea
alimentelor noi la v\uc1 \u226 ?rsta copilului de 6 l}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 uni}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) obi\uc1 \u351 ?nuirea
treptat\uc1 \u259 ? a copilului sugar cu alte alimente dec\uc1 \u226 ?t laptele}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) diversificarea
alimenta\uc1 \u355 ?iei, recomandat\uc1 \u259 ? pentru sugari \uc1 \u238 ?
ncep\uc1 \u226 ?nd cu v\uc1 \u226 ?rsta de 6 luni}{\rtlch \fcs1 \af6 \afs24
ce reprezint\uc1 \u259 ? diversificarea alimenta\uc1 \u355 ?iei sugarului:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) introducerea
alimentelor}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 noi la v\uc1 \u226 ?rsta copilului de 6 luni}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) alimenta\uc1 \u355 ?
ia complementar\uc1 \u259 ?, administrat\uc1 \u259 ? sugarului \uc1 \u238 ?ncep\uc1
\u226 ?nd cu v\uc1 \u226 ?rsta de 6 luni }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) obi\uc1 \u351 ?nuirea
treptat\uc1 \u259 ? a copilului sugar cu alte alimente dec\uc1 \u226 ?t laptele}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Selecta\uc1 \u355
?i care sunt condi\uc1 \u355 ?iile de baz\uc1 \u259 ? pentru ini\uc1 \u355 ?
ierea \uc1 \u351 ?i stimularea lacta\uc1 \u355 ?iei:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) aplicare la s\uc1
\u226 ?n a nou-n\uc1 \u259 ?scutului \uc1 \u238 ?n prima \uc1 \u189 ? or\uc1
\u259 ? dup\uc1 \u259 ? na}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \uc1 \u351 ?tere }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) aplicarea copilului la s\uc1
\u226 ?n la cerere, inclusiv noaptea }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) eliberarea maxim\uc1 \u259 ? de
lapte a s\uc1 \u226 ?nilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM Indica\uc1 \u355 ?i factorii, care pot cauza hipogalactie
secundar\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b) plasarea
rar\uc1 \u259 ? a copilului la s\uc1 \u226 ?n }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) pozi\uc1 \u355 ?ionarea \uc1
\u351 ?i aplicarea incorect\uc1 \u259 ? la s\uc1 \u226 ?n}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) patologiile
extragenitale ale mamei }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM Pozi\uc1 \u355 ?ionarea corect\uc1 \u259 ? la s\uc1 \u226 ?n a
sugarului implic\uc1 \u259 ? urm\uc1 \u259 ?toarele semne:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) corpul sugarului \uc1
\u351 ?i capul lui sunt aliniate pe o dreapt\uc1 \u259 ?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b)}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 corpul copilului
e \uc1 \u238 ?ntors spre corpul mamei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) mama sus\uc1 \u355 ?ine tot
corpul copilului, nu numai capul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 d) corpul copilului e lipit de
corpul mamei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 CM Selecta\uc1 \u355 ?i gre\uc1 \u351 ?elile \uc1 \u238 ?n
alimenta\uc1 \u355 ?ia sugarului, care pot duce la tulbur\uc1 \u259 ?ri de
nutri\uc1 \u355 ?ie:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 a) alimentare cu formule lactate diluate excesiv}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) alimentare \uc1 \u238
?ndelungat\uc1 \u259 ? la s\uc1 \u226 ?n cu introducere tardiv\uc1 \u259 ? a
alimentelor complementare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 c) alimentare cu formule lactate neadaptate }{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) utilizare exc}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 esiv\uc1 \u259
? a sucurilor \uc1 \u351 ?i ceaiurilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i care sunt
consecin\uc1 \u355 ?ele introducerii tardive a complimentului \uc1 \u238 ?n
alimenta\uc1 \u355 ?ia sugarului:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 a) retard \uc1 \u238 ?n cre\uc1 \u351 ?tere }{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) nutri\uc1 \u355 ?ie
sc\uc1 \u259 ?zut\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c) caren\uc1 \u355 ?e de
micronutrien\uc1 \u355 ?i (fier, zinc) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 d) abilit\uc1 \u259 ?\uc1 \u355 ?i
motorii de mestecare \uc1 \u238 ?nt\uc1 \u226 ?rziate}{\rtlch \fcs1 \af6 \afs24
care sunt consecin\uc1 \u355 ?ele introducerii precoce a complementului \uc1
\u238 ?n alimenta\uc1 \u355 ?ia sugarului:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) sc\uc1 \u259 ?derea
lacta\uc1 \u355 ?iei \uc1 \u351 ?i mic\uc1 \u351 ?orarea aportului de energie
\uc1 \u351 ?i substan\uc1 \u355 ?e nutritive de c\uc1 \u259 ?tre copil}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) risc de infec\uc1
\u355 ?ie crescut, odat\uc1 \u259 ? cu administrarea produselor care pot fi
contaminate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 d) risc crescut de boal\uc1 \u259 ? diareic\uc1 \u259 ? acut\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) risc cresc}
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ut
de alergie alimentar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Din variantele enumerate,
selecta\uc1 \u355 ?ii factorii de protec\uc1 \u355 ?ie \uc1 \u351 ?i
imunomodulatori ai laptelui uman:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 a) limfocitele T, B}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) macrofagii}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) anticorpii
antivirus}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) imunoglobulinele
de tip A, M}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \af2 \hich
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1
\u355 ?i recomand\uc1 \u259 ?rile practice, oferite mamelor ce al\uc1 \u259 ?
pteaz\uc1 \u259 ?, menite s\uc1 \u259 ? stimuleze reflexul de prolactin\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) aplicarea
frecvent\uc1 \u259 ? a copilului la s\uc1 \u226 ?n, ziua \uc1 \u351 ?i noaptea }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) evacuarea
complet\uc1 \u259 ? a laptelui produs din glanda mamar\uc1 \u259 ? }{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) aflarea permanent\uc1
\u259 ? a mamei al\uc1 \u259 ?turi de copil}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) interzicerea administr\uc1
\u259 ?rii altor alimente \uc1 \u351 ?i lichide, dec\uc1 \u226 ?t laptele
matern, \uc1 \u238 ?n primele 6 luni de via\uc1 \u355 ?\uc1 \u259 ? a sugarului }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Ce reprezint\uc1
\u259 ? ,,dieta prudent\uc1 \u259 ?\uc1 \u8221 ?, recomandat\uc1 \u259 ? pentru
copiii mai mari de 2 ani:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 a) aport sc\uc1 \u259 ?zut de colesterol (sub 100 mg/1000 kcal/zi) }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) diet\uc1 \u259 ?
hipoalergic\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 c) diet\uc1 \u259 ? cu nivel echilibrat de glucide (60% din aportul
caloric zilnic), lipide (sub 30% din aportul caloric)}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) diet\uc1 \u259 ?
vegetarian\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 CM }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Indica\uc1 \u355 ?i care din malforma\uc1 \u355 ?iile
congeni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 tale enumerate sunt cianozante:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin142 \rin0 \tql \tx284 \tql \tx360 \itap0 \ls69 \rtlch \fcs1
\langfenp1049 \alang1025 transpozi\uc1 \u355 ?ia vaselor magistrale}{\rtlch
\aspalpha \aspnum \adjustright \lin142 \rin0 \tql \tx284 \tql \tx360 \itap0
\langfe1033 \langfenp1033 \alang1025 \f2 b)\tab }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 artezia valvei
tricuspide }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \widctlpar \aspalpha
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?
i \uc1 \u238 ?n care patologii extracardiace la copii se vor constata
modific\uc1 \u259 ?ri patologice ale pulsului:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 a)\tab }
\uc1 \u238 ?n anemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 b)\tab }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n st\uc1
\u259 ?ri febrile}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 CM }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 Eviden\uc1 \u355 ?ia\uc1 \u355 ?ii prin ce se
caracterizeaz\uc1 \u259 ? suflurile organice:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 intensitate mare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 asociere de fream\uc1 \u259 ?t}{\rtlch \fcs1 \af6
\langfe1033 \langfenp1033 \alang1025 \f2 c)\tab }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 propagare \uc1 \u238 ?n
afara limitelor cordului }
Indica\uc1 \u355 ?i de care particularit\uc1 \u259 ?\uc1 \u355 ?i de v\uc1 \u226 ?
rst\uc1 \u259 ? este influen\uc1 \u355 ?at caracterul ECG la copii:}{\rtlch
\langfenp1049 \alang1025 de }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 pozi\uc1 \u355 ?ia cordului \uc1 \u238 ?n cutia
toracic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 de raportul intre
masa ventriculuilui st\uc1 \u226 ?ng \uc1 \u351 ?i a celui drept}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 de grosimea pere\uc1 \u355 ?ilor ventriculelor}{\rtlch
\plain \fi-142 \li142 \ri-2424 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
\lin142 \rin-2424 \tql
\tx284 \tql \tx1483 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch \fcs1 \af7 \afs24
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd-
18 \expndtw-18 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1
Selecta\uc1 \u355 ?i particularit\uc1 \u259 ?\uc1 \u355 ?ile specifice }{\rtlch
\alang1025 \cf1 suflurilor cardiace func\uc1 \u355 ?ionale la copii:}{\rtlch
\plain \fi-142 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
\lin142 \rin0 \tql \tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
5 \expndtw-5 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 nu se
asociaz\uc1 \u259 ? cu fream\uc1 \u259 ?t catar}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 nu}{\rtlch \fcs1 \af7
\alang1025 \cf1 se propag\uc1 \u259 ? \uc1 \u238 ?n afara limitelor cordului}
\nowidctlpar \lin142 \rin0 \tql \tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\alang1025 \cf1 dispar dup\uc1 \u259 ? efort fizic sau schimbarea pozi\uc1 \u355 ?
iei corpulu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-5 \expndtw-5 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 \cf1 \par }\pard \plain \li0 \ri0 \lisb0
\sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx284 \itap0 \rtlch
\u355 ?i \uc1 \u238 ?n care patologie cardiovascular\uc1 \u259 ? congenital\uc1
\u259 ? la copii se constat\uc1 \u259 ? \uc1 \u351 ?unt dreapta-st\uc1 \u226 ?
nga:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) \uc1 \u238 ?n
tetralogia Fallot}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lisa0 \sl240 \slmult1 \nowidctlpar \lin142 \rin0 \tql \tx284 \itap0 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n caz de
transpozi\uc1 \u355 ?ie a vas}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 elor magistrale}{\rtlch \fcs1 \af6 \afs24
142 \li142 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin142 \rin0
\langfenp1049 \alang1025 \uc1 \u238 ?n caz}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 de atrezie a valvei tricuspide}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch \fcs1
pentru care din anomaliile a sistemului cardiovascular este caracteristic\uc1 \u259
? prezen\uc1 \u355 ?a \uc1 \u351 ?untului st\uc1 \u226 ?nga-dreapta:}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 situa\uc1 \u355 ?ia
patologic\uc1 \u259 ? a venelor pulmonare }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 ductul arterial Botallo deschis }{\rtlch \fcs1 \af6 \afs24
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 defectul
septului interatrial}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\tx284 \tql \tx360 \itap0 \ls73 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 defectul
septului interventricular }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM Indica\uc1 \u355 ?i pentru care din anomaliile de dezvoltare a
sistemului cardiovascular este caracteristic \uc1 \u351 ?untul dreapta-st\uc1 \u226
?nga:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ductul
arterial comun persistent }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
transpozi\uc1 \u355 ?ia vaselor magistrale }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 atrezia valvei tricuspide}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin142 \rin0 \tql \tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) tetralogia Fallot }
\u355 ?i caracteristicile auscultative ale zgomotelor cardiace la copii:}{\rtlch
\aspnum \adjustright \lin0 \rin0 \tql \tx0 \tql \tx142 \itap0 \ls75 \rtlch \fcs1
\langfenp1049 \alang1025 sunt mai frecvente ca la adult}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 sunt mai intense ca la adult}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 au tendin\uc1 \u355 ?a de egalizare (la sugar)}{\rtlch
\langfenp1049 \alang1025 poate fi prezent\uc1 \u259
? aritmia respiratorie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx0 \tql
\langfenp1049 \alang1025 }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lin142 \rin0 \tql \tx284 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Eviden\uc1 \u355 ?ia\uc1
\u355 ?i caracteristicile suflurilor func\uc1 \u355 ?ionale la copii:}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 intensitatea dup\uc1
\u259 ? scara Lewine 1-2}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nu sunt
\uc1 \u238 ?nso\uc1 \u355 ?ite de fream\uc1 \u259 ?t }{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 dispar dup\uc1 \u259 ? schimbarea pozi\uc1 \u355 ?iei
corpului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nu se
propag\uc1 \u259 ? \uc1 \u238 ?n afara limitelor }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cordului}{\rtlch
\aspalpha \aspnum \adjustright \lin142 \rin0 \tql \tx284 \itap0 \rtlch \fcs1
\u355 ?i ce informa\uc1 \u355 ?ii de important\uc1 \u259 ? diagnostic\uc1 \u259 ?
poate oferii examenul radiologic \uc1 \u238 ?n examinarea sistemului
cardio-vascular la copii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 informa\uc1
\u355 ?ii privind cutia toracic\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 informa\uc1 \u355 ?ii privind circula\uc1 \u355 ?ia
pulmonar\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 informa\uc1
\u355 ?ii privind umbra cardiac\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 informa\uc1 \u355 ?ii privind ICT (indicele cardio-
toracic) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\expndtw-4 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch
\alang1025 Care din afirma\uc1 \u355 ?ii sunt caracteristice pentru duodenul nou-
n\uc1 \u259 ?scutului \uc1 \u351 ?i sugarului?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx142
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 duodenul }
\hich \af0 \dbch \f0 \expnd-4 \expndtw-4 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 \cf1 e localizat mai sus, la nivelul vertebrei I lombare}
\nowidctlpar \lin0 \rin0 \tql \tx142 \tql \tx284 \itap0 \ls78 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 duodenul e f}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd1 \expndtw1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 ixat insuficient }
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 CM }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Selecta\uc1 \u355 ?ii
caracteristicile scaunului }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \cf1 a nou - n\uc1 \u259 ?scutului \uc1 \u351 ?i sugarului
s\uc1 \u259 ?n\uc1 \u259 ?tos, alimentat natural}{\rtlch \fcs1 \af6 \afs24
1 \expndtw-1 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 : }
\langfenp1049 \alang1025 a) este }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd1 \expndtw1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 de culoare galben
aurie, cu miros acid}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) este}{\rtlch \fcs1
\alang1025 \cf1 frecvent, \uc1 \u238 ?n primele luni de via\uc1 \u355 ?\uc1
\u259 ? dup\uc1 \u259 ? fiecare alimenta\uc1 \u355 ?ie, de consisten\uc1
\u355 ?\uc1 \u259 ? instabil\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch
\expndtw-1 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1
4 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 CM \uc1 \u206 ?n
care din afec\uc1 \u355 ?iunile copilului de mai jos se poate \uc1 \u238 ?nt\uc1
\u226 ?lni hematemeza:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \cf1 varice esofagiene}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 \cf1 boal\uc1 \u259 ? ulceroas\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24
\alang1025 \cf1 sindrom CID}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 \par }\pard \plain \li0
4 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 CM Selecta\uc1
\u355 ?i semnele sindromului de deshidratare la copii:}{\rtlch \fcs1 \af6 \afs24
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \af6 \hich \af0 \dbch \f0 \expnd-8 \expndtw-8 \lang1048 \langnp1048
\sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6
\alang1025 \cf1 plica cutanat\uc1 \u259 ? revine la normal lent}{\rtlch \fcs1
\af2 \hich \af0 \loch \f7 \expnd-4 \expndtw-4 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 \cf1 ochi \uc1 \u238 ?nfunda\uc1 \u355 ?i}{\rtlch \fcs1
\langfenp1049 \alang1025 \cf1 bea cu l\uc1 \u259 ?comie, sete }{\rtlch \fcs1
\alang1025 \cf1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-4 \expndtw-
4 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 CM }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Care din
particularit\uc1 \u259 ?\uc1 \u355 ?ile anatomice principale ale stomacului
predispun nou-n\uc1 \u259 ?scutul \uc1 \u351 ?i sugarul la regurgita\uc1 \u355 ?
ie \uc1 \u351 ?i vom\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 \cf1 fundul mic al stomacului situat mai }{\rtlch \fcs1 \af7
\alang1025 \cf1 inferior dec\uc1 \u226 ?t partea piloric\uc1 \u259 ? }{\rtlch \fcs1
\alang1025 \cf1 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
stratul muscular circular al pilorului bine dezvoltat}{\rtlch \fcs1 \af6 \afs24
\alang1025 \cf1 sfincterul cardial nedezvoltat }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \li19
\dbch \af2 \hich \af0 \loch \f7 \expnd-4 \expndtw-4 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 \cf1 CM Care din afirma\uc1 \u355 ?iile
privind particularit\uc1 \u259 ?\uc1 \u355 ?ile anatomo-fiziologice ale stomacului
copilului nou-n\uc1 \u259 ?scut \uc1 \u351 ?i sugar sunt corecte ?}{\rtlch \fcs1
\langfenp1049 \alang1025 \cf1 secre\uc1 \u355 ?ia gastric\uc1 \u259 ? este
sc\uc1 \u259 ?zut\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 \cf1 sfincterul piloric este bine dezvoltat}{\rtlch \fcs1 \af6 \afs24
\alang1025 \cf1 sfincterul cardial e insuficient dezvoltat}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 CM }{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 \uc1 \u206 ?n
care din afec\uc1 \u355 ?iunile enumerate se poate constata disfagie?}{\rtlch \fcs1
b) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\af6 \hich \af0 \dbch \f0 \expnd1 \expndtw1 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 \cf1 anomalii de dezvoltare a esofagului}{\rtlch \fcs1
\langfenp1049 \alang1025 \cf1 \uc1 \u238 ?n tumori localizate la nivel de faringe,
esofag}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\uc1 \u238 ?n faringit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 n
esofagit\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
5 \expndtw-5 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 }
\langfenp1049 \alang1025 \cf1 CM }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd-5 \expndtw-5
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Indica\uc1 \u355 ?i
ce simptome se \uc1 \u238 ?ncadreaz\uc1 \u259 ? \uc1 \u238 ?n sindromul de
gastroenterocolit\uc1 \u259 ? }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \expnd-6 \expndtw-6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 acut\uc1 \u259 ? }
\langfenp1049 \alang1025 \cf1 la copii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-6 \expndtw-6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 ?}{\rtlch \fcs1
\langfenp1049 \alang1025 \cf1 vom\uc1 \u259 ? cu con\uc1 \u355 ?inut de alimente
consumate (v\uc1 \u259 ?rs\uc1 \u259 ?turi alimentare)}{\rtlch \fcs1 \af6 \afs24
\alang1025 \cf1 durere abdominal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\alang1025 \cf1 diaree}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \cf1 semne de deshidratare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0 \expnd-4 \expndtw-
4 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 \par }\pard
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM}
Perioada \uc1 \u238 ?ncadrat\uc1 \u259 ? \uc1 \u238 ?ntre v\uc1 \u226 ?rsta de
4 \uc1 \u351 ?i 6 luni a sugarului, critic\uc1 \u259 ? pentru dezvoltarea
imunoreactivit\uc1 \u259 ?\uc1 \u355 ?ii are urm\uc1 \u259 ?toarele
caracteristici:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 insuficien\uc1 \u355 ?a de Ig G}{\rtlch \fcs1 \af6 \afs24 \ltrch
care sunt func\uc1 \u355 ?iile sistemului imun la copii: }{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 men\uc1 \u355 ?ine
homeostaza organismului prin \uc1 \u238 ?ndep\uc1 \u259 ?rtarea celulelor \uc1
\u238 ?mb\uc1 \u259 ?tr\uc1 \u226 ?nite, lezate sau cu mitoz\uc1 \u259 ? atipic\uc1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 asigur\uc1 \u259 ?
cre\uc1 \u351 ?terea rezisten\uc1 \u355 ?ei fa\uc1 \u355 ?\uc1 \u259 ? de infec\uc1
\u355 ?ii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 d)}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 asigur\uc1 \u259 ?
respingerea grefelor sau a altor \uc1 \u355 ?esuturi \uc1 \u351 ?i substan\uc1
\u355 ?e heterogene}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 asigur\uc1 \u259 ?
men\uc1 \u355 ?inerea capacit\uc1 \u259 ?\uc1 \u355 ?ii generale de diferen\uc1
\u355 ?iere \uc1 \u238 ?ntre ,,propriu\uc1 \u8221 ? \uc1 \u351 ?i ,,str\uc1 \u259 ?
in\uc1 \u8221 ? (,,self\uc1 \u8221 ? \uc1 \u351 ?i ,,non-self\uc1 \u8221 ?)}{\rtlch
Selecta\uc1 \u355 ?i ce face parte din mijloacele de ap\uc1 \u259 ?rare
nespecific\uc1 \u259 ?: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b)}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 bariera
anatomic\uc1 \u259 ? cutaneo-mucoas\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sistemul de
fagocitoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) sistemul de
complement }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) limfokinele sau
citochinele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \nowidctlpar \lin0 \rin0 \tql \tx180 \tql \tx9900 \itap0 \rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Indica\uc1
\u355 ?i c}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \af2 \hich \af0 \loch \f7 \expnd-5 \expndtw-5 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 \cf1 e modific\uc1 \u259 ?ri hematopoetice se
petrec la f\uc1 \u259 ?t la a 5- a lun\uc1 \u259 ? de dezvoltare intrauterin\uc1
\u259
?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
func\uc1 \u355 ?ia hematopoetic\uc1 \u259 ? a ficatulului atinge apogeul }
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 se \uc1 \u238 ?ncep a forma
primele megacariocite \uc1 \u351 ?i neutrofile}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025 \cf1 tipul megaloblastic de hematopoez\uc1 \u259 ? se \uc1 \u238 ?
nlocuie\uc1 \u351 ?te cu cel normoblastic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx586 \itap0
\langfenp1049 \alang1025 \cf1 }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 CM}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Indica\uc1 \u355 ?i
particularit\uc1 \u259 ?\uc1 \u355 ?ile caracteristice formulei leucocitare }
\langfenp1049 \alang1025 \cf1 a nou-n\uc1 \u259 ?scu\uc1 \u355 ?ilor \uc1 \u238 ?n
primele 3 zile dup\uc1 \u259 ? na\uc1 \u351 ?tere:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025 \cf1 num\uc1 \u259 ?rul total absolut de neutrofile este m\uc1 \u259 ?
rit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
num\uc1 \u259 ?rul de neutrofile nesegmentate}{\rtlch \fcs1 \af6 \afs24 \ltrch
\expndtw-2 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 este}
\langfenp1049 \alang1025 \cf1 m\uc1 \u259 ?rit}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025 \cf1 prezen\uc1 \u355 ?a mielocitelor, promielocitelor}{\rtlch \fcs1
\langfenp1049 \alang1025 \cf1 Selecta\uc1 \u355 ?i care sunt particularit\uc1
\u259 ?\uc1 \u355 ?ile ,,s\uc1 \u226 ?ngelui ro\uc1 \u351 ?u\uc1 \u8217 ?\uc1
\u8217 ? la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f0 \expnd3 \expndtw3 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
\cf1 policitemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) }{\rtlch \fcs1
\alang1025 \cf1 hipercromie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) }{\rtlch \fcs1
\af7 \afs24
\expnd-4 \expndtw-4 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1
hemoglobina mai \uc1 \u238 ?nalt\uc1 \u259 ?, comparativ cu alte v\uc1 \u226 ?rste}
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 diametru eritrocitar m\uc1
\u259 ?rit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \af6 \hich \af0 \dbch \f0 \expnd-4 \expndtw-4 \lang1048 \langnp1048
\sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx610 \itap0 \rtlch
\alang1025 \cf1 Indica\uc1 \u355 ?i}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
3 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 factorii, care
determin\uc1 \u259 ? intensificarea eritropoezei la nou-n\uc1 \u259 ?scu\uc1
\u355 ?i:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 hipoxia \uc1
\u238 ?n timpul sarcinii \uc1 \u351 ?i a na\uc1 \u351 ?terii}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 \cf1 longevitatea mic\uc1 \u259 ? a eritrocitelor}
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 prezen\uc1 \u355 ?a \uc1
\u238 ?n s\uc1 \u226 ?ngele periferic a eritrocitelor nediferen\uc1 \u355 ?iate}
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 predispunerea eritrocitelor
c\uc1 \u259 ?tre hemoliz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \lin0 \rin0 \tql \tx307 \itap0
\langfenp1049 \alang1025 \cf1 Selecta\uc1 \u355 ?i simptomele caracteristice
sindromului hemolitic la copii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \cf1 icter }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) }{\rtlch \fcs1
\alang1025 \cf1 nivel sc\uc1 \u259 ?zut al hemoglobinei}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 \cf1 reticulocitoz\uc1 \u259 ?}{\rtlch \fcs1 \af6
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d)
\langfenp1049 \alang1025 \cf1 sc\uc1 \u259 ?derea rezisten\uc1 \u355 ?ei osmotice a
eritrocitelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\nowidctlpar \lin0 \rin0 \tql \tx1056 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\fcs0 \fs22
Indica\uc1 \u355 ?i pentru care din patologiile enumerate este
caracteristic\uc1 \u259 ? hiperplazia ganglionilor limfatici la copii:}{\rtlch
\langfenp1049 \alang1025 \cf1 tuberculoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\alang1025 \cf1 leucemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \cf1 infec\uc1 \u355 ?ie cu virusul HIV}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025 \cf1 patologie sistemic\uc1 \u259 ? a \uc1 \u355 ?esutului conjunctiv }
\sl240 \slmult1 \nowidctlpar \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Eviden\uc1 \u355 ?
ia\uc1 \u355 ?i care din func\uc1 \u355 ?iile renale enumerate se apreciaz\uc1
\u259 ? prin proba Zimni\uc1 \u355 ?kii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 func\uc1 \u355 ?ia
de concentrare \uc1 \u351 ?i de dilu\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Selecta\uc1 \u355 ?
i sindroamele clinice de baz\uc1 \u259 ? caracteristice pentru afectarea
sistemului renourinar la copii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) sindromul urinar}
\langfenp1049 \alang1025 b) sindromul hipertensiv}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) sindromul
edemic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 La copii sindromul
nefritic se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) hematurie }
\lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 proteinurie
ne\uc1 \u238 ?nsemnat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipertensiune
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Capacitatea
func\uc1 \u355 ?ional\uc1 \u259 ? canaliculelor renale la copii se
apreciaz\uc1 \u259 ? dup\uc1 \u259 ? urm\uc1 \u259 ?torii indici:}{\rtlch
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a)
indicii echilibrului acido-bazic }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c)}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nivelul
excre\uc1 \u355 ?iei aminoacizilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 reac\uc1 \u355 ?ia
urinei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e)}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 indicii din proba
Zimni\uc1 \u355 ?chi }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Sindromului nefrotic
la copii include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) edeme }{\rtlch
hipoproteinemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) hipercolesterolemie}
\langfenp1049 \alang1025 e)}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 proteinurie masiv\uc1 \u259 ? }{\rtlch \fcs1 \af6
Indica\uc1 \u355 ?i motivele extrarenale, \uc1 \u238 ?n care poate fi crescut
nivelul ureei la copii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a) catabolism proteic
crescut }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \af6 \hich \af0 \dbch \f0 \lang1048
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 afec\uc1 \u355 ?iuni
hepatice grave }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c)}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 exces de proteine
\uc1 \u238 ?n alimenta\uc1 \u355 ?
ie }{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 exicoz\uc1 \u259 ?}
\langfenp1049 \alang1025 CM Sindromul ne}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 frotic la copii se
caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 edeme
pronun\uc1 \u355 ?ate p\uc1 \u226 ?n\uc1 \u259 ? la anasarc\uc1 \u259 ?}
\langfenp1049 \alang1025 b) proteinurie peste 3,5 g/l}{\rtlch \fcs1 \af6
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c)}
hipoproteinemie \uc1 \u351 ?i disproteinemie}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) hiperlipidemie}
\langfenp1049 \alang1025 CM Indica\uc1 \u355 ?i \uc1 \u238 ?n ce st\uc1 \u259 ?ri
patologice la copii este intensificat fream\uc1 \u259 ?tul vocal}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 :}{\rtlch
\alang1025 \uc1 \u238 ?n ca\uc1 \u351 ?exie}{\rtlch \fcs1 \af6 \afs24 \ltrch
pneumonie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Indica\uc1 \u355 ?i
particularit\uc1 \u259 ?\uc1 \u355 ?ile morfo-func\uc1 \u355 ?ionale a sugarilor,
care determin\uc1 \u259 ? localizarea frecvent\uc1 \u259 ? a atelectaziilor
pulmonare \uc1 \u238 ?n p\uc1 \u259 ?r\uc1 \u355 ?ile postero - inferioare ale
pulmonilor?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 excursia mic\uc1 \u259 ? a cutiei toracice,
fiziologic\uc1 \u259 ? la aceast\uc1 \u259 ? v\uc1 \u226 ?rst\uc1 \u259 ?}
\langfenp1049 \alang1025 pozi\uc1 \u355 ?ia sugarului mic predominant culcat pe
spate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM \uc1 \u206 ?n ce st\uc1 \u259
?ri patologice la copii se \uc1 \u238 ?nt\uc1 \u226 ?lne\uc1 \u351 ?te tusea
"l\uc1 \u259 ?tr\uc1 \u259 ?toare"? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
inflama\uc1 \u355 ?ie cataral\uc1 \u259 ? a laringelui \uc1 \u351 ?i a traheii}
\langfenp1049 \alang1025 b)}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \uc1 \u238 ?n caz de crup (difterie)}{\rtlch \fcs1
\alang1025 \uc1 \u238 ?n caz de pseudocrup}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Ce
particularit\uc1 \u259 ?\uc1 \u355 ?i anatomo-fiziologice ale laringelui
explic\uc1 \u259 ? predispozi\uc1 \u355 ?ia copiilor cu infec\uc1 \u355 ?ii
respiratorii acute c\uc1 \u259 ?tre fenomene de stenoz\uc1 \u259 ??}{\rtlch
\alang1025 lumenul \uc1 \u238 ?ngust al laringelui}{\rtlch \fcs1 \af6 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 [vascularizarea
abundent\uc1 \u259 ? a mucoasei lari}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 ngiene}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dezvoltarea
abundent\uc1 \u259 ? a \uc1 \u355 ?esutului limfoid \uc1 \u238 ?n submucoasa
laringian\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Indica\uc1 \u355 ?
i \uc1 \u238 ?n ce st\uc1 \u259 ?ri patologice la copii se poate constata
dispnee expiratorie:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
astm bron\uc1 \u351 ?ic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) }{\rtlch \fcs1
bron\uc1 \u351 ?it\uc1 \u259 ? acut\uc1 \u259 ? obstructiv\uc1 \u259 ? }{\rtlch
\fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
bron\uc1 \u351 ?iolit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Eviden\uc1
\u355 ?ia\uc1 \u355 ?i simptomele clinice, caracteristice sindromului obstructiv la
copii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 b) [dispnee expiratorie}{\rtlch
\alang1025 respira\uc1 \u355 ?ie astmatiform\uc1 \u259 ?}{\rtlch \fcs1 \af6
\alang1025 raluri sibilante pe toat\uc1 \u259 ? aria pulmonar\uc1 \u259 ?}
\langfenp1049 \alang1025 CM Selecta\uc1 \u355 ?i care din particularit\uc1
\u259 ?\uc1 \u355 ?ile anatomice enumerate ale bronhilor determin\uc1 \u259 ?
fenomenele obstructive frecvente la copii de v\uc1 \u226 ?rst\uc1 \u259 ?
fraged\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipersecre\uc1 \u355
?ia bron\uc1 \u351 ?ic\uc1 \u259 ?, caracteristic\uc1 \u259 ? v\uc1 \u226 ?rstei}
\langfenp1049 \alang1025 mucoasa bron\uc1 \u351 ?ic\uc1 \u259 ? bogat
vascularizat\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
care din simptomele enumerate sunt caracteristice insuficien\uc1 \u355 ?ei
respiratorii acute la copii de v\uc1 \u226 ?rst\uc1 \u259 ? fraged\uc1 \u259 ?:}
\langfenp1049 \alang1025 respira\uc1 \u355 ?ie accelerat\uc1 \u259 ?}{\rtlch
\alang1025 frota\uc1 \u355 ?ia aripilor nazale}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cianoz\uc1 \u259 ?
perioral\uc1 \u259 ? \uc1 \u238 ?n repaos sau la efort}{\rtlch \fcs1 \af6 \afs24
\u355 ?i \uc1 \u238 ?n ce st\uc1 \u259 ?ri patologice la copii se constat\uc1
\u259 ? dispnee inspiratorie:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
laringotraheit\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
corp str\uc1 \u259 ?in al bron\uc1 \u351 ?ilor}{\rtlch \fcs1 \af6 \afs24
stridor congenital}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
difterie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Selecta\uc1 \u355 ?i care sunt
particularit\uc1 \u259 ?\uc1 \u355 ?ile anatomo-fiziologice ale cavit\uc1
\u259 ?\uc1 \u355 ?ii nazale caracteristice pentru copiii sugari:}{\rtlch \fcs1
\alang1025 absen\uc1 \u355 ?a meatului nazal inferior}{\rtlch \fcs1 \af6 \afs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) aproximativ
lumenului de dimensiunea 1 mm}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 mucoasa bogat
vascularizat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 e) }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 mucoasa umidificat\uc1 \u259 ? insuficient }{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Care semne sunt
caracteristice \uc1 \u238 ?n Tetrada Fallot?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 a.\tab }
Atrezia pulmonar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 b.\tab }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Forma
clasic\uc1 \u259 ? cu stenoz\uc1 \u259 ? de diferit grad}{\rtlch \fcs1 \af6
\langfenp1033 \alang1025 \f2 c.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Forma roz\uc1 \u259 ? (cu
stenoz\uc1 \u259 ? infundibular\uc1 \u259 ? nepronun\uc1 \u355 ?at\uc1 \u259 ?)}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. \uc1 \u206 ?n
care malforma\uc1 \u355 ?ii congenitale cardiace are loc suprasolicitarea cu
volum?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfe1033 \langfenp1033 \alang1025 \f2 a.\tab }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Defect septal atrial }
\langfe1033 \langfenp1033 \alang1025 \f2 b.\tab }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Defect septal
ventricular}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 c.\tab }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Canal
atrioventricular}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 d.\tab }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Canal arterial
persistent }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Malforma\uc1
\u355 ?iile congenitale de cord cu \uc1 \u351 ?unt st\uc1 \u226 ?nga-dreapta sunt:}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Defect de sept
ventricular}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Defect de sept
atrial}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfe1033 \langfenp1033 \alang1025 \f2 c.\tab }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Canal arterial
persistent}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
maladiile congenitale de cord cu leziuni obstructive?}{\rtlch \fcs1 \af6 \afs24
Stenoza arterei pulmonare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1033 \langfenp1033 \alang1025 \f2 b.\tab }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Coarcta\uc1 \u355 ?ia
aortei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Insuficien\uc1 \u355 ?a
congenital\uc1 \u259 ? mitral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 d.\tab }
Tetrada Fallot}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Enumera\uc1
\u355 ?i tipurile de stenoz\uc1 \u259 ? pulmonar\uc1 \u259 ?:}{\rtlch \fcs1 \af6
\langfenp1033 \alang1025 \f2 a.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Valvular\uc1 \u259 ?}{\rtlch \fcs1
\langfenp1033 \alang1025 \f2 b.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Infundibular\uc1 \u259 ?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Subinfundibular\uc1
\langfe1033 \langfenp1033 \alang1025 \f2 d.\tab }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Supravalvular\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Selecta\uc1
\u355 ?i afirma\uc1 \u355 ?iile corecte referitoare la \uc1 \u238 ?nchiderea
farmacologic\uc1 \u259 ? a Canalului arterial persistent:}{\rtlch \fcs1 \af6 \afs24
Utilizarea inhibitorilor de prostoglandine}{\rtlch \fcs1 \af6 \afs24 \ltrch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 b.\tab }
Administrarea medicamentel}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 or \uc1 \u238 ?n primele 10-14 zile de via\uc1 \u355 ?\uc1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Este posibil\uc1 \u259 ?
\uc1 \u238 ?nchiderea canalelor arteriale persistente
de diferit calibru}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?
nchiderea farmacologic\uc1 \u259 ? se efectueaz\uc1 \u259 ? doar la prematuri}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Extrasistolele pot
fi:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 atriale }{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ventriculare}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 nodale}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Din tulbur\uc1 \u259
?ri de automatism a}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 nodului sinusal fac parte:}{\rtlch \fcs1 \af6 \afs24
tahicardia sinusal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
bradicardia sinusal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aritmie
sinusal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 boala nodului
sinusal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Bradicardia
poate fi indus\uc1 \u259 ? de urm\uc1 \u259 ?toarele preparate medicamentoase:}
\lang1048
\langnp1048 \langfe1049 \langfenp1049 \alang1025 anaprilina}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 digitalice }{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 amiodarona}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt contraindica\uc1
\u355 ?iile pentru }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 utilizarea amiodaronei?}{\rtlch \fcs1 \af6 \afs24
Bloc atrio-ventricular gradul 3}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Hipersensibilitate la preparatele de iod}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 c.\tab }
\uc1 \u350 ?oc cardiogen}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
fibrila\uc1 \u355 ?iei atriale include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
Reducerea alurii ventriculare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Restaurarea ritmului sinusal (defibrilarea)}{\rtlch \fcs1 \af6 \afs24 \ltrch
Prevenirea recidivelor de }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 fibrila\uc1 \u355 ?ie atrial\uc1 \u259 ?}{\rtlch \fcs1
\langfenp1033 \alang1025 \f2 d.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich \af0 \dbch \f0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Prevenirea emboliilor}
semnele ECG a extrasistolei atriale:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
Apari\uc1 \u355 ?ia prematur\uc1 \u259 ? a undei P extrasistolice \uc1 \u351 ?i a
complexului QRST}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Deformarea sau
schimbarea polarit\uc1 \u259 ?\uc1 \u355 ?ii undei P extrasistolice}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Prezen\uc1 \u355 ?a complexulu
QRST neschimbat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 P}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 rezen\uc1
\u355 ?a pauzei compensatorii incomplete dup\uc1 \u259 ? extrasistola}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pe ECG \uc1 \u238 ?n caz de
bradicardie sinusal\uc1 \u259 ? se eviden\uc1 \u355 ?iaz\uc1 \u259 ?:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Intzervale R-R alungit\uc1 \u259 ?
\uc1 \u351 ?i regulate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Unda P
sinusal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Intervale P-P
regulate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care din urm\uc1
\u259 ?toarele afirma\uc1 \u355 ?ii se refer\uc1 \u259 ? la fibrila\uc1 \u355 ?ia
atrial\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 a.\tab }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Este o
tahiaritmie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfe1033
\langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af6 \afs22
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Contrac\uc1
\u355 ?ie segmentar\uc1 \u259 ? a atriilor}{\rtlch \fcs1 \af6 \afs24 \ltrch
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 FCC
400-700 b/min}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Clasificarea
medicamentelor antiaritmice include urm\uc1 \u259 ?toarele clase:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Clasa 1 \uc1 \u8211 ?
blocan\uc1 \u355 ?ii canalelor de Na}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
Clasa 2 \uc1 \u8211 ? B blocan\uc1 \u355 ?ii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
Clasa 3 \uc1 \u8211 ? blocan\uc1 \u355 ?ii canalelor de K}{\rtlch \fcs1 \af6 \afs24
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 d.\tab }
Clasa 4 \uc1 \u8211 ? blocan\uc1 \u355 ?ii}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 canalelor de Ca}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Factori de risc \uc1 \u238 ?n
febra reumatismal\uc1 \u259 ? sunt: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
Nutri\uc1 \u355 ?ie deficitar\uc1 \u259 ? cu caren\uc1 \u355 ?\uc1 \u259 ? de
vitamine \uc1 \u351 ?i minerale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Predispozi\uc1
\u355 ?ie ereditar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Colectivit\uc1 \u259 ?\uc1 \u355 ?i aglomerate}{\rtlch \fcs1 \af6 \afs24 \ltrch
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049
\langfenp1049 \alang1025 Infec\uc1 \u355 ?ii streptococice repetat}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Colectarea anamnezei \uc1 \u238
?n febra reumatismal\uc1 \u259 ? include: }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Identificarea factorilor de
risc}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Determinarea
susceptibilit\uc1 \u259 ?\uc1 \u355 ?ii genetice}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Aprecierea debutului bolii}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Cardita \uc1
\u238 ?n febra reumatismal\uc1 \u259 ? are urm\uc1 \u259 ?toarele semne clinice:}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Prezen\uc1 \u355 ?a
frec\uc1 \u259 ?turii pericardice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 B. Apari\uc1 \u355 ?ia suflurilor organice}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Constatarea cardiomegaliei}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Coreea
minor\uc1 \u259 ? are urm\uc1 \u259 ?toarele caracteristici clinice:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Mi\uc1 \u351 ?c\uc1 \u259 ?ri
dezorganizate distale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Vorbire
sacadat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Instabilitate
psihic\uc1 \u259 ? \uc1 \u351 ?i emo\uc1 \u355 ?ional\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.Caracteristicile evolutive ale
coreei minore sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 A. Durata medie a tulbur\uc1 \u259 ?rilor
coreice este de 2-3 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. \uc1 \u206 ?n coree
pot ap\uc1 \u259 ?rea complica\uc1 \u355 ?ii cardiace}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 D. \uc1 \u206 ?n cazuri grave
tulbur\uc1 \u259 ?rile coreice pot fi de 3-4 luni}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.Electrocardiografia permite
depistarea urm\uc1 \u259 ?toarelor modific\uc1 \u259 ?ri patologice \uc1 \u238 ?n
febra reumatismal\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 A. Tahicardie sinuzal\uc1 \u259 ?, atrial\uc1 \u259 ?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Prez}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 en\uc1 \u355 ?a
blocurilor AV}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Modific\uc1 \u259
?ri ale ST-T}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Pentru
diagnosticul febrei reumatismale la nivelul medicinii primare sunt obligatorii
urm\uc1 \u259 ?toarele investiga\uc1 \u355 ?ii:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Hemoleucograma}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Sumarul urinei }
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. ECG}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CMLa nivel consultativ \uc1
\u238 ?n febra reumatismal\uc1 \u259 ? sunt recomandabile urm\uc1 \u259 ?toarele
investiga\uc1 \u355 ?ii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A.
Proteina total\uc1 \u259 ? \uc1 \u351 ?i frac\uc1 \u355 ?iile}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Fibrinogenul}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Radiografia
toracic\uc1 \u259 ? standard}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Afectarea simetric\uc1 \u259 ?
a articula\uc1 \u355 ?iilor mici sunt sugestive pentru urm\uc1 \u259 ?toarele
diagnostice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C.
Artrita reumatoid\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 D. Artrita viral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Tratamentul medicamentos \uc1 \u238 ?n febra
reumatismal\uc1 \u259 ? are ca scop:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Eradicarea infec\uc1 \u355 ?iei
streptococice \uc1 \u351 ?i profilaxia ei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Supresia inflama\uc1 \u355 ?iei
\uc1 \u238 ?n r\uc1 \u259 ?spuns autoimun}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Tratamentul insuficien\uc1
\u355 ?ei cardiace congestive}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
CMLa copiii cu poliartrit\uc1 \u259 ? \uc1 \u351 ?i febr\uc1 \u259 ? prezen\uc1
\u355 ?a leucopeniei este sugestiv\uc1 \u259 ? pentru urm\uc1 \u259 ?toarele
diagnostice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B.
Lupus eritematos sistemic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.
Artrit\uc1 \u259 ? viral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM Managementul coreei include: }{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Tratament
antibacterian}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Antiinflamatoare
nesteroidiene}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Benzodiazepine}
{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 CM Criteriile de spitalizare a }{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 pacien\uc1 \u355 ?ilor cu febr\uc1
\u259 ? reumatismal\uc1 \u259 ? acut\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Adresare primar\uc1 \u259 ? cu
semne clinice de febr\uc1 \u259 ? reumatismal\uc1 \u259 ? acut\uc1 \u259 ?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Adresare
repetat\uc1 \u259 ? cu semne de rec\uc1 \u259 ?dere a bolii (febrei, sindroamelor
clinice de baz\uc1 \u259 ?)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E.
Deficit ponderal marcat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM \uc1 \u206 ?n
clasificarea febrei reu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 matismale acute sindroame clinice secundare sunt:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Eritem marginal}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Infec\uc1 \u355 ?
ia streptococic\uc1 \u259 ? precedent\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Conduita pacientului cu
febr\uc1 \u259 ? reumatismal\uc1 \u259 ? acut\uc1 \u259 ? include:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Stabilirea diagnosticului
precoce}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Determinarea
gradului de activitate in func\uc1 \u355 ?ie de organele \uc1 \u351 ?i sistemele
implicate }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. \uc1 \u206 ?
ntocmirea schemei de tratament individualizat}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM Criteriile de spitalizare a pacien\uc1 \u355 ?ilor cu
febr\uc1 \u259 ? reumatismal\uc1 \u259 ? \uc1 \u238 ?n sec\uc1 \u355 ?ia de terapie
intensiv\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Manifest\uc1
\u259 ?ri neurologice (stare confuz\uc1 \u259 ?, somnolen\uc1 \u355 ?\uc1 \u259 ?,
convulsii)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Tahi}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pnee,
tahicardie excesiv\uc1 \u259 ?.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Hipotensiune
marcat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Simptoame
generale \uc1 \u238 ?n lupus eritematos sunt urm\uc1 \u259 ?toarele:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Anorexie}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Fatigabilitate}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Febr\uc1 \u259 ?
durabil\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Urm\uc1 \u259 ?
toarele date paraclinice argumenteaz\uc1 \u259 ? diagnosticul \uc1 \u238 ?n lupus
eritematos:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A.
Anticorpi antinucleari ANA}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B.
Celule LE \uc1 \u238 ?n frotiul sanquin}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Autoanticorpi la micromolecule
smARN}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Autoanticorpi
ADN}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Urm\uc1 \u259 ?
toarele date hematologice pot fi sugestive pentru lupusul eritematos: }{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Anemia
hemolitic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Trombocitopenia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C.
Leucopenia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
tratamentul lupusului eritematos se indic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\li360 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Prednisolon\uc1 \u259
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B.
Cyclophosfamid\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Preven\uc1
\u355 ?ia acutiz\uc1 \u259 ?rii lupusului eritematos include urm\uc1 \u259 ?
toarele:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Evitarea
insol\uc1 \u259 ?rii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Monitorizarea tensiunii arteriale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 C. Inhibitori ACE \uc1 \u238 ?n implicare renal\uc1 \u259 ?}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Biofosfana\uc1
\u355 ?ii sunt indica\uc1 \u355 ?i \uc1 \u238 ?n osteoporoz\uc1 \u259 ?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Vasculita \uc1 \u238 ?n lupusul
eritematos se manifest\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Fenomen Raynaud}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Afectarea
coronarelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Livedo reticularis}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Afectarea
simetric\uc1 \u259 ? a articula\uc1 \u355 ?iilor mici \uc1 \u238 ?nso\uc1 \u355 ?
it\uc1 \u259 ? de febr\uc1 \u259 ? necesit\uc1 \u259 ? diagnostic diferen\uc1 \u355
?ial cu:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Artrita r}{\rtlch
eumatoid\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Lupusul
eritematos}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Artrit\uc1
\u259 ? viral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM Test \uc1 \u8222 ?screening\uc1 \u8221 ? \uc1 \u238 ?n
lupus eritematos este:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Anticorpi anti-
ADN}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Anticorpi
antinucleari-ANA}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Anticorpi
antifosfolipidici}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Tratamentul
complex al lupusului eritematos grav include:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 A. Protec\uc1 \u355 ?ia de }{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 raze ultraviolete}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Evitarea
vaccin\uc1 \u259 ?rilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D. Prednisolon}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Criterii de
apreciere a eficien\uc1 \u355 ?ei corticoterapiei sunt:}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Normalizarea complementului
seric}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Dispari\uc1 \u355
?ia febrei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Mic\uc1 \u351 ?
orarea proteinurii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Lupusul neonatal
se manifest\uc1 \u259 ? prin urm\uc1 \u259 ?toarele sem}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ne:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Rash tegumentar}{\rtlch
\fs24 \rtlch \alang1025
\langfenp1049 \alang1025 B. Bloc atrioventricular congenital}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Tahicardie}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Care grupe musculare sunt mai
rar afectate \uc1 \u238 ?n dermatomiozit\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Mu\uc1 \u351 ?chii globilor oculari}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Mu\uc1 \u351 ?chii sfincterelor}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM \uc1 \u206 ?n care din bolile
enumerate poate s\uc1 \u259 ? apar\uc1 \u259 ? infarctul miocardic la }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 copil?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 B. Lupusul eritematos}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Dermatomiozita}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Poliarteriita nodoas\uc1
\widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Semnele cutanate specifice
pentru dermatomiozi\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 A. Urticaria}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 D. Semnul Gottron pe dosul m\uc1 \u226 ?inilor}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Depozite cutanate de calciu}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Prezen\uc1
\u355 ?a hepatomegaliei cu transaminaze majorate pot fi sugestive pentru urm\uc1
\u259 ?toarele maladii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \li1080 \ri0 \lisb0
\langfenp1049 \alang1025 B. Poliarteriita nodoas\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C. Artrita reumatoid\uc1 \u259 ?
sistemic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Lupusul eritematos de sistem}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
dermatomiozita rezistent\uc1 \u259 ? la prednisolon se indic\uc1 \u259 ? urm\uc1
\u259 ?toarele preparate:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Methotrexat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.
Ciclophosfami}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 d\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Consecin\uc1
\u355 ?e fatale \uc1 \u238 ?n dermatomiozit\uc1 \u259 ? sunt urm\uc1 \u259 ?
toarele: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. Hemoragii
gastrointestinale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.
Uremie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. Insuficien\uc1
\u355 ?\uc1 \u259 ? poliorganic\uc1 \u259 ? avansat\uc1 \u259 ?}{\rtlch \fcs1
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Ce tipuri de digestie\uc1
\u160 ?cunoa\uc1 \u351 ?te\uc1 \u355 ?i\uc1 \u160 ??}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 preenteral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 parietal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 enteral\uc1
intracelular\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pentru sindromul
de }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 malabsorb\uc1 \u355 ?ie sunt caracteristice:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 maldigestia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 malabsorb\uc1 \u355 ?ia}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pentru sindromul de
malabsorb\uc1 \u355 ?ie sunt caracteristice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 diareea \uc1 \u238 ?ndelungat\uc1 \u259 ? refractar\uc1
\u259 ? la tratament}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dezvoltarea
malnutri\uc1 \u355 ?iei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 retardul
\uc1 \u238 ?n dezvoltare fizic\uc1 \u259 ? \uc1 \u351 ?i neuropsihic\uc1 \u259 ?}
\u355 ?i maladiile care evolueaz\uc1 \u259 ? cu sindrom de malabsorb\uc1 \u355 ?
ie:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a-\uc1 \u946 ?-
lipoproteinemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 acrodermatita
enteropatic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 CM. Ce produse alimentare au un con\uc1 \u355 ?inut sporit
de gluten?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 f\uc1 \u259 ?ina de
gr\uc1 \u226 ?u}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 f\uc1 \u259 ?
ina de secar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ov\uc1 \u259 ?
zul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Boala celiac\uc1
\u259 ? se manifest\uc1 \u259 ? clinic, \uc1 \u238 ?ncep\uc1 \u226 ?nd cu:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 v\uc1 \u226 ?rsta de
7\uc1 \u8211 ?8 luni c\uc1 \u226 ?nd are loc diversificarea dietei}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 introducerea \uc1 \u238 ?n
ra\uc1 \u355 ?ia copilului a produselor cerealiere}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Ce simptome sunt caracteristice pentru boala
celiac\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 diareea cu
cre\uc1 \u351 ?terea volumului maselor fecale}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 mirosul nepl\uc1 \u259 ?cut al maselor fecale}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 sc\uc1 \u259 ?derea poftei de
m\uc1 \u226 ?ncare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nervozitatea,
negativismul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pentru confirmarea
diagnosticului maladiei celiace se recomand\uc1 \u259 ? urm\uc1 \u259 ?toarele
investiga\uc1 \u355 ?ii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 coprograma}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 curbele glicemice}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Programul
explorativ \uc1 \u238 ?n boala celiac\uc1 \u259 ? prevede:}{\rtlch \fcs1 \af6
\aspnum \adjustright \lin1080 \rin0 \tql \tx720 \tql \tx1080 \itap0 \ls105
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 biopsia mucoasei
intestinale cu cercetarea }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 patomorfologic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 morfometria bioptatului intestinal}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 cercetarea activit\uc1 \u259 ?\uc1
\u355 ?ii fermen\uc1 \u355 ?ilor mucoasei intestinale}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Coprograma copiilor cu
boal\uc1 \u259 ? celiac\uc1 \u259 ? indic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 steatoree}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
predomin\uc1 \u259 ? acizii gra\uc1 \u351 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. Fibroza chistic\uc1 \u259 ? debuteaz\uc1 \u259 ?:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 la nou-n\uc1 \u259 ?
scut}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 \par }\pard \plain \fi720 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 din primele luni
de }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 via\uc1 \u355 ?\uc1 \u259 ? ale copilului}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Dereglarea cronic\uc1 \u259 ?
a nutri\uc1 \u355 ?iei include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\tx1080 \tql \tx1515 \itap0 \ls108 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
malnutri\uc1 \u355 ?ia }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
hipostatura}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
paratrofia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
etiologici principali ai malnutri\uc1 \u355 ?iei sunt:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. aport insuficient de
hran\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\u355 ?iile virus-bacteriene}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Malnutri\uc1
\u355 ?ia se dezvolt\uc1 \u259 ? dac\uc1 \u259 ? copilul prezint\uc1 \u259 ?:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
gastroenterocolit\uc1 \u259 ? cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 septicemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
La dezvoltarea malnutri\uc1 \u355 ?iei contribuie urm\uc1 \u259 ?torii factori
endogeni:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\ltrch \dbch \af2
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul
malabsorb\uc1 \u355 ?iei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dereglarea
metabolismului proteinelor, gr\uc1 \u259 ?similor, glucidelor}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 maladiile endocrine}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 maladiile cromozomiale}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. }{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotrofia gr II se
caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
esutul adipos lipse\uc1 \u351 ?te pe abdomen}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 \uc1 \u355 ?esutul adipos se p\uc1 \u259 ?streaz\uc1 \u259
? numai pe fa\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. La copiii cu malnutri\uc1
\u355 ?ie sever\uc1 \u259 ? se depisteaz\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A.}{\rtlch \fcs1 \af6
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 oligoanurie}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B.}{\rtlch \fcs1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 scaune
instabile}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
polihipovitaminoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E.}{\rtlch \fcs1 \af6
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 steatoree}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Conduita }
copilului cu malnutri\uc1 \u355 ?ie de gradele II\uc1 \u8211 ?III prevede:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 spitalizare}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 izolarea copilului}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 schimbarea
pozi\uc1 \u355 ?iei copilului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1080 \tql \tx1560 \itap0 \ls113 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
aflarea la aer curat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Dietoterapia la
copii cu malnutri\uc1 \u355 ?ie sever\uc1 \u259 ? se efectueaz\uc1 \u259 ?:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 pe etape}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 din primele zile, volumul hranei se limiteaz\uc1 \u259 ?
(determinarea toleran\uc1 \u355 ?ei digestive)}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Prima etap\uc1 \u259 ? a dietoterapiei copiilor cu
malnutri\uc1 \u355 ?ie sever\uc1 \u259 ? include:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 reducerea volumului alimentar}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 restabilirea metabolismului hidro-salin}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 corec\uc1 \u355 ?ia echilibrului acido-bazic}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. La I etap\uc1 \u259 ? a
dietoterapiei la copii cu malnutri\uc1 \u355 ?ie sever\uc1 \u259 ? volumul hranei
corespunde:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 masei reale}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 1/3}{\rtlch \fcs1
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 1/2
din 1/5 a masei reale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
dietoterapia copiilor cu malnutri\uc1 \u355 ?ie sever\uc1 \u259 ? la etapa
ini\uc1 \u355 ?ial\uc1 \u259 ? se recomand\uc1 \u259 ? produsele: }{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 lapte uman }{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 produse delactozate }{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 produse adaptate}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 produse degresate}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u206 ?n calitate de
alimenta\uc1 \u355 ?ie parenteral\uc1 \u259 ? la copiii cu malnutri\uc1 \u355 ?ie
sever\uc1 \u259 ?, \uc1 \u238 ?n primele zile, se recomand\uc1 \u259 ?:}{\rtlch
\langfenp1049 \alang1025 hidrolizat de aminoacizi}{\rtlch \fcs1 \af6 \afs24
\langnp1049 \langfe1033 \langfenp1033
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sol. Glucosae 10%}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Semnele de
bun\uc1 \u259 ? toleran\uc1 \u355 ?\uc1 \u259 ? digestiv\uc1 \u259 ? sunt: }{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 copilul m\uc1 \u259 ?n\uc1 \u226 ?
nc\uc1 \u259 ? hrana indicat\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 lipse\uc1 \u351 ?te voma \uc1 \u351 ?i regurgitarea }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tonusul emo\uc1
\u355 ?ional e bun }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pentru a spori
cantitatea de proteine \uc1 \u238 ?n ra\uc1 \u355 ?ie la etap\uc1 \u259 ? 2 a
dietoterapiei copiilor cu malnutri\uc1 \u355 ?ie sever\uc1 \u259 ? se indic\uc1
\u259 ?: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 br\uc1 \u226 ?nz\uc1
\u259 ? de vaci degresat\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 \uc1 \u8222 ?enpit\uc1 \u8221 ? proteic}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 chefir, biolact integral
degresate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Etapa
optim\uc1 \u259 ? a dietoterapiei copiilor cu malnutri\uc1 \u355 ?ie sever\uc1
\u259 ? include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 majorarea glucidelor
\uc1 \u238 ?n ra\uc1 \u355 ?ie p\uc1 \u226 ?n\uc1 \u259 ? la 15 \uc1 \u8211 ?20
g/kg }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 majorarea gr\uc1
\u259 ?similor \uc1 \u238 ?n ra\uc1 \u355 ?ie p\uc1 \u226 ?n\uc1 \u259 ? la 7
\uc1 \u8211 ?8,0kg }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\uc1 \u206 ?n terapia malnutri\uc1 \u355 ?iei severe se includ:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 vitamine per os }{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 fermen\uc1 \u355 ?i pancreatici }
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 eubiotice}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Copilul cu malnut}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ri\uc1 \u355 ?
ie se externeaz\uc1 \u259 ?, dac\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 copilul m\uc1 \u259 ?n\uc1 \u226 ?nc\uc1 \u259 ? bine }
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 scaunele-s normale }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 curba
ponderal\uc1 \u259 ? are cu tendin\uc1 \u355 ?\uc1 \u259 ? de cre\uc1 \u351 ?tere }
planul individual de supraveghere a copilului cu malnutri\uc1 \u355 ?ie se
reflect\uc1 \u259 ? \uc1 \u238 ?n dinamic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 datele antropometrice }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 nivelul Hb, eritrocitelor }{\rtlch \fcs1 \af6 \afs24
\dbch \af2 \hich \af0 \loch \af6 \lang1049 \langnp1049
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 coprograma }{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. M\uc1 \u259 ?surile de
recuperare a copiilor cu malnutri\uc1 \u355 ?ie includ:}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 polivitamine }{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 la necesitate, fermen\uc1 \u355 ?i
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. \uc1 \u206 ?n programul de
recuperare a copilului cu malnutri\uc1 \u355 ?ie se include \uc1 \u351 ?i
tratamentul sanatorial:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratamentul
\uc1 \u238 ?n sec\uc1 \u355 ?ie special\uc1 \u259 ? de }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament a copiilor
cu maladii \uc1 \u8222 ?limitrofe\uc1 \u8221 ?.}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 recuperare la domiciliu cu \uc1 \u238 ?ngrijirea p\uc1
\u259 ?rin\uc1 \u355 ?ilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Nanismul
hipofizar poate fi caracterizat prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1 \aspalpha \aspnum
\adjustright \lin1157 \rin0 \tql \tx1080 \tql \tx1157 \itap0 \outlinelevel0
\ls127 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hiperglicemie,
hipocolesterolemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 f\uc1 \u259 ?t
normoponderal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?nchidere
prematur\uc1 \u259 ? a zonelor de cre\uc1 \u351 ?tere}{\rtlch \fcs1 \af6 \afs24
437 \li1157 \ri0
\lin1157 \rin0 \tql \tx1080 \tql \tx1157 \itap0 \ls127 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 re\uc1 \u355 ?inere a cre\uc1 \u351 ?terii de la 2\uc1
\u8211 ?3 ani}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Acromegalia se
\tql \tx1080 \tql \tx1157 \itap0 \outlinelevel0 \ls128 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 pielea groas\uc1 \u259 ?, umed\uc1 \u259 ?,
hipertricoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 dispari\uc1
\u355 ?ia cutelor tegumentare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
p\uc1 \u259 ?rul gros, aspru, \uc1 \u238 ?ngro\uc1 \u351 ?area oaselor}{\rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 proeminen\uc1 \u355 ?a
arcadelor zigomatice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
acromegaliei include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 radioterapie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 estrogen}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
parlodel}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 gonadotropin\uc1
\u259 ? corionic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
predispozan\uc1 \u355 ?i \uc1 \u238 ?n obezitate pot fi:}{\rtlch \fcs1 \af6
\afs24 \ltrch
\langfenp1049 \alang1025 afectarea hipotalamusului}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 abuzul de edulcorante}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 sedentarismul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
hipercortizolemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Obezitatea
spore\uc1 \u351 ?te riscul instal\uc1 \u259 ?rii urm\uc1 \u259 ?toarelor boli:}
\widctlpar \aspalpha \aspnum \adjustright \lin1157 \rin0 \tql \tx1080 \tql
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 spondiloza
deformant\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 osteoporoza}
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hipocorticismul
primar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hiperaldosteronism
secundar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. La ce v\uc1
\u226 ?rst\uc1 \u259 ? a copilului se constat\uc1 \u259 ? mai frecvent refluxul
gastroesofagian?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 de }{\rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 sugar}
\langfenp1033 \alang1025 {\listtext
\langnp1048 \langfe1049 \langfenp1049 \alang1025 de }{\rtlch \fcs1 \af7 \afs24
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 \uc1 \u351 ?colar}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 de }{\rtlch \fcs1
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 adolescent}
\f9 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Factorii cauzali
\uc1 \u238 ?n producerea refluxului gastroesofagian la copil sunt:}{\rtlch \fcs1
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 supraalimentare}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a}
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 m\uc1 \u259 ?rirea
presiunii abdominale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
anticolinergice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 le}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Refluxul
gastroesofagian se prezint\uc1 \u259 ? clinic prin:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 pirozis}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
regurgit\uc1 \u259 ?ri \uc1 \u238 ?n pozi\uc1 \u355 ?ie orizontal\uc1 \u259 ?}
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 rumina\uc1 \u355 ?
ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6
\u355 ?i principiile terapeutice \uc1 \u238 ?n refluxul gastroesofagian:}{\rtlch
\langfenp1033
\langfenp1049 \alang1025 mese mai frecvente }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u351 ?i mai mici}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 somn postprandial}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ortostatism postprandial}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Refluxul
gastroesofagian la copilul sugar se manifest\uc1 \u259 ? prin:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 regurgita\uc1 \u355 ?ii}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 pirozis}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 durere toracic\uc1 \u259 ?
retrosternal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care sunt factorii
ce conduc la dezvoltarea gastritei acute la copil?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 ingestia }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 accidental\uc1 \u259 ? de substan\uc1 \u355 ?e
caustice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antiinflamatoarele
nonsteroide}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
intoxica\uc1 \u355 ?ia acut\uc1 \u259 ? cu ciuperci}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Enumera\uc1 \u355 ?i semnele
clinice caracteristice pentru gastrita cronic\uc1 \u259 ? \uc1 \u238 ?n perioada de
acutizare:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 durere
postprandial\uc1 \u259 ? \uc1 \u238 ?n regiunea epigastric\uc1 \u259 ?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 gre\uc1 \u355 ?uri \uc1 \u351 ?i
vom\uc1 \u259 ? repetat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Care sunt principiile dietoterapiei \uc1 \u238 ?n acutizarea gastroduodenitei
cronice?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cru\uc1 \u355 ?are
chimic\uc1 \u259 ? \uc1 \u351 ?i mecanic\uc1 \u259 ? timp de 2\uc1 \u8211 ?3
s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \s27 \fi720
\langfenp1049 \alang1025 excluderea alimentelor picante, produselor afumate,
condimentate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Indica\uc1 \u355
?i factorii ce cauzeaz\uc1 \u259 ? gastrita cronic\uc1 \u259 ? nespecific\uc1 \u259
? neeroziv\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6
Helicobacter pylori}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fungi}
direc\uc1 \u355 ?iile terapeutice \uc1 \u238 ?n gastroduodenita cronic\uc1 \u259 ?
a copilului?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dietoterapia}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antacidele}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Dispensarizarea
copilului cu gastroduodenit\uc1 \u259 ? cronic\uc1 \u259 ? prevede:}{\rtlch
\dbch \f0 \lang1048 \langnp1048
supravegherea medical\uc1 \u259 ? la fiecare 6 luni}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 terapie antirecidivant\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament balnear }{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tratamentul gastritei cronice
atrofice la adolescen\uc1 \u355 ?i include:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 terapia de substitu\uc1 \u355 ?ie \uc1 \u351 ?i
stimulatorii secre\uc1 \u355 ?iei gastrice}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 fermentoterapia cu panzinorm, festal, mezim forte}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Eviden\uc1 \u355
?a de dispensar a bolnavului cu gastroduodenit\uc1 \u259 ? cronic\uc1 \u259 ?
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 efectuarea
gastroscopiei o dat\uc1 \u259 ? la 3 luni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 consulta\uc1 \u355 ?ia gastroenterologului pediatru
\uc1 \u351 ?i terapia antirecidivant\uc1 \u259 ? o dat\uc1 \u259 ? la 6 luni}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Numi\uc1 \u355 ?
i maladiile ce pot agrava evolu\uc1 \u355 ?ia gastroduodenitei cronice la copii:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dischineziile
vezicii biliare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\fcs1
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 colecistita
cronic\uc1 \u259 ?, litiaza biliar\uc1 \u259 ? \uc1 \u351 ?i intrahepatic\uc1 \u259
factorii predispozan\uc1 \u355 ?i al ulcerului gastroduodenal la copil?}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 inciden\uc1
\u355 ?\uc1 \u259 ? familial\uc1 \u259 ? (prezen\uc1 \u355 ?a ulcerului la
mam\uc1 \u259 ? sau tat\uc1 \u259 ?).}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 st\uc1 \u259 ?ri de stres psiho-emo\uc1 \u355 ?ional}
criteriile pozitive pentru diagnosticul de ulcer duodenal?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 predoninan\uc1
\u355 ?\uc1 \u259 ? masculin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 acutiz\uc1 \u259 ?ri prim\uc1 \u259 ?vara \uc1 \u351 ?i
toamna}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 prezen\uc1
\u355 ?a ni\uc1 \u351 ?ei, deforma\uc1 \u355 ?iei bulbului duodenal la radiografia
baritat\uc1 \u259 ? a stomacului.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Enumera\uc1 \u355 ?i factorii implica\uc1 \u355 ?i \uc1 \u238 ?n survenirea recid}
ivelor ulcerului gastro-duodenal:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi720 \li1080 \ri0
\langfenp1049 \alang1025 anularea antisecretoarelor \uc1 \u238 ?nainte de termenul
prescris la ameliorarea st\uc1 \u259 ?rii generale}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi720
\langfenp1049 \alang1025 metaplazie intestinal\uc1 \u259 ? a mucoasei din jurul
ulcera\uc1 \u355 ?iei depistat\uc1 \u259 ? endoscopic }{\rtlch \fcs1 \af6 \afs24
\alang1025 \ltrch \dbch \af2 \hich
\af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025
alimentare condimentat\uc1 \u259 ?, sodat\uc1 \u259 ?, exces de cafea, tabagism}
\u355 ?i care sunt complica\uc1 \u355 ?iile bolii ulceroase la copil, ce implic\uc1
\u259 ? tratament chirurgical:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
hemoragia digestiv\uc1 \u259 ? major\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 perfora\uc1 \u355 ?ie a ulcerului gastric}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ulcer refractar}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care este tactica medicului
\uc1 \u238 ?n caz de hemoragie digestiv\uc1 \u259 ? superioar\uc1 \u259 ??}{\rtlch
\plain \fi720 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 perfuzii }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sanguine cu
scop de substitu\uc1 \u355 ?ie \uc1 \u351 ?i ale componentelor de s\uc1 \u226 ?
nge }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 restabilirea
hemodinamicii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 introducerea
sondei \uc1 \u238 ?nalte gastrice pentru aspira\uc1 \u355 ?ia din stomac}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt criteriile de
spitalizare a copilului cu clinica ulcerului gastroduodenal?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 persisten\uc1 \u355 ?a
sindromului dolor \uc1 \u238 ?n epigastru timp de 2 s\uc1 \u259 ?pt\uc1 \u259 ?
m\uc1 \u226 ?ni de tratament cu antiacide \uc1 \u351 ?i alimenta\uc1 \u355 ?ie
dietetic\uc1 \u259 ?.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \par }\pard \plain \fi720 \li1080 \ri0 \lisb0 \sa0
vom\uc1 \u259 ? repetat\uc1 \u259 ? pe fond de terapie cu antiacide \uc1 \u351 ?i
H}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \sub2 2}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 blocatori}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 iradierea durerilor
cu caracter nocturn din epigastru \uc1 \u238 ?n spate \uc1 \u351 ?i agravarea
durerii dup\uc1 \u259 ? pr\uc1 \u226 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 nzuri}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Enumera\uc1 \u355 ?i principiile de supraveghere
medical\uc1 \u259 ? \uc1 \u238 ?n boala ulceroas\uc1 \u259 ? la copil:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 supraveghere
anual\uc1 \u259 ? cu gastroscopie de control timp de 5 ani}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament antirecidivant
prim\uc1 \u259 ?vara \uc1 \u351 ?i toamna cu H}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \sub2 2}{\rtlch \fcs1 \af6
blocatori}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament
hidromineral cu bicarbonat de sodiu }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n afara perioadelor
dureroase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
semnele clinice ale bolii ulceroase duodenale la copii?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A. durere
nictemiral\uc1 \u259 ?, nocturn\uc1 \u259 ? pe nem\uc1 \u226 ?ncate \uc1 \u238 ?n
regiunea epigastral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 B. durere
abdominal\uc1 \u259 ? \uc1 \u238 ?n fosa iliac\uc1 \u259 ? dreapt\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C. senza\uc1
\u355 ?ie de foame}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D. defecte al m}
ucoasei duodenului acoperite cu fibrin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 {\rtlch \fcs1 \af7
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt criteriile
eficacit\uc1 \u259 ?\uc1 \u355 ?ii terapiei \uc1 \u238 ?n boala ulceroas\uc1
\u259 ? la copii?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 remisiune
clinic\uc1 \u259 ? cu cuparea sindromului dolor}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 epitelizarea ulcerului, determinat\uc1 \u259 ? endoscopic}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. No\uc1 \u355 ?
iunea de colon iritabil are urm\uc1 \u259 ?toarel}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e substrate de realizare:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul de
malabsorb\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?i criteriile ce exclud diagnosticul de colon iritabil:}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 istoric de hemoragii \uc1 \u238 ?n
scaune}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 constipa\uc1 \u355 ?
ii dureroase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care din testele
diagnostice se vor efectua pentru confirmarea diagnosticului de colon iritabil?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 testul dietetic
f\uc1 \u259 ?r\uc1 \u259 ? lactoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 examen coproparazitologic }{\rtlch \fcs1 \af6 \afs24
dietoterapiei \uc1 \u238 ?n sindromul de colon iritabil?}{\rtlch \fcs1 \af6
\aspnum \adjustright \lin1080 \rin0 \tql \tx1080 \itap0 \ls157 \ilvl2 \rtlch
\loch \af6 \lang1049 \langnp1049 \langfe1033
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ra\uc1 \u355 ?
ie alimentar\uc1 \u259 ? \uc1 \u238 ?mbog\uc1 \u259 ?\uc1 \u355 ?it\uc1 \u259 ? cu
fibre musculare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 solicitare de
nutriente acidofile}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 reducerea de
lipide nesaturate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Microflora
intestinal\uc1 \u259 ? normal\uc1 \u259 ? are urm\uc1 \u259 ?toarele func\uc1 \u355
?ii metabolice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
proteinosintetic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
vitaminosentizant\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
antibacteriam\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \par }\pard \plain \s27 \li720 \ri0 \lisb0 \sa0 \lisa0
\alang1025 D. }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 mic\uc1 \u351 ?oreaz\uc1 \u259 ? metabolismul
colesterolului, pigmen\uc1 \u355 ?ilor biliari}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Cauza instal\uc1 \u259 ?rii dismicrobismului
intestinal la copii se refer\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 la:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 antibioticoterapie masiv\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament glucocorticoid}
\f7 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 alimenta\uc1 \u355 ?ia unilateral\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 subalimenta\uc1
\u355 ?ire}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\u355 ?i factorii etiopatogenetici \uc1 \u238 ?n colita ulceroas\uc1 \u259 ? nespe}
cific\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\tql \tx1080 \tql \tx2028 \itap0 \ls160 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch
psiho}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 -}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 emo\uc1 \u355 ?ionali \uc1 \u351 ?i sociali}{\rtlch
\ls160 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 alimentar}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 i}{\rtlch
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 imuno}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 -}{\rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 genetici}
\u355 ?io\uc1 \u351 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
semnele }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 de laborator eviden\uc1 \u355 ?iate \uc1 \u238 ?n colita ulcero-
necrotic\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
eozinofilie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
hiperleucocitoz\uc1 \u259 ? \uc1 \u351 ?i neutrofilie }{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Enumera\uc1 \u355 ?i cele mai
frecvente maladii cu care se va face diagnosticul diferen\uc1 \u355 ?iat al colitei
ulcero-necrotice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 colitele
infec\uc1 \u355 ?ioase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cancerul
rectal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 colita }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cronic\uc1
\u259 ? banal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 celiachia}
\u355 ?i criteriile de spitalizare \uc1 \u238 ?n colita ulcero-necrotic\uc1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 absen\uc1 \u355 ?a
amelior\uc1 \u259 ?rii dup\uc1 \u259 ? 1 lun\uc1 \u259 ? de tratament ambulatoriu}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 formele severe de
CUN cu anorexie diaree necontrolat\uc1 \u259 ?, pierderi pon}{\rtlch \fcs1 \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 derale}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 heilit\uc1 \u259 ?}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Selecta\uc1 \u355 ?i semnele }
clinico-paraclinice caracteristice pentru maladia Crohn:}{\rtlch \fcs1 \af6
\f9 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 diaree, 2\uc1 \u8211
?3 ori \uc1 \u238 ?n 24 de ore}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lin1080 \rin0 \tql \tx1080 \tql \tx4005 \itap0 \ls164 \ilvl3 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 voma imediat dup\uc1 \u259 ? alimentare}{\rtlch \fcs1 \af6
\adjustright \lin0
\langfenp1049 \alang1025 CM. Evolu\uc1 \u355 ?ia cronic\uc1 \u259 ? a hepatitei
virale B apare \uc1 \u238 ?n caz de:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\adjustright \lin2685 \rin0 \tql \tx1080 \tql \tx2685 \itap0 \ls165 \ilvl2
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 toleran}{\rtlch \fcs1
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 \uc1 \u355 ?}{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 a}{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 imunologic}
imunodefici}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 en\uc1 \u355 ?e primare}{\rtlch \fcs1 \af6 \afs24
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Infec\uc1 \u355 ?ia cu virus
hepatic C este condiderat\uc1 \u259 ? un \uc1 \u8222 ?mecanism declan\uc1 \u351 ?
ator\uc1 \u8221 ? (trigger) \uc1 \u238 ?n dezvoltarea:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 hepatitei autoimune}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 colangitei sclerozante}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 cirozei biliare primare}{\rtlch \fcs1 \af6 \afs24
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt semnele
caracteristice ale sindromului de colestaz\uc1 \u259 ? icteric\uc1 \u259 ?:}{\rtlch
\langfenp1049 \alang1025 icter cutanat \uc1 \u351 ?i a}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 l}{\rtlch \fcs1 \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 mucoaselor}
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hiperbilirubinemie}
\alang1025
\langnp1049 \langfe1049 \langfenp1049 \alang1025 hiperamilazemie}{\rtlch \fcs1 \af6
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 D.}{\rtlch \fcs1 \af6
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hiper gama}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 -}
\hich \af0 \dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 GT}
clinice \uc1 \u351 ?i biochimice pentru hepatita acut\uc1 \u259 ? medicamentoas\uc1
\u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
administrarea captoprilului timp de 6 luni \uc1 \u238 ?n doze terapeutice}
majorarea gama }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfe1049 \langfenp1049 \alang1025 GT, ALAT, ASAT fosfoatazei alcaline.}
proces d}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 ifuz cu hiperecogenitate \uc1 \u238 ?n parenchimul ficatului la ECO
ficatului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Semnele clinice
ale insuficien\uc1 \u355 ?ei cronice hepatice sunt:}{\rtlch \fcs1 \af6 \afs24
\adjustright \lin1134 \rin0 \tql \tx1080 \tql \tx2552 \tql \tx2685 \itap0 \ls169
\ilvl2 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 flaping tremor
(asterixis)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\tx1080 \tql \tx2552 \tql \tx2685 \itap0 \ls169 \ilvl2 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 confuz}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 i}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 i \uc1 \u238 ?n comportament }{\rtlch \fcs1 \af6 \afs24
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 echimoze,
hemocolit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Indica\uc1 \u355 ?i criteriile paraclinice ale insuficien\uc1
\u355 ?ei }{\rtlch
\af0 \dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 cronice
hepatice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 h}
ipoproteinemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 indice protrombinic 50%}{\rtlch \fcs1 \af6 \afs24
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 teleangiectazii,
somnolen\uc1 \u355 ?\uc1 \u259 ?, labilitate emo\uc1 \u355 ?ional\uc1 \u259 ?}
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Pentru care din
maladiile enumerate este caracteristic sindromul de colestaz\uc1 \u259 ? la copilul
de v\uc1 \u226 ?rst\uc1 \u259 ? mic\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 deficit de alfa 1
antitripsin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 mucoviscidoz}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\aspnum \adjustright \lin1134 \rin0 \tql \tx1080 \tql \tx2552 \tql \tx2685
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 hepatit}
\langfenp1049 \alang1025 citomegalic\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Men\uc1 \u355 ?iona\uc1 \u355 ?i formele nosologice
din grupul colepatiilor la copil:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1080 \itap0 \ls172 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 dischinezia
vezicii biliare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 litiaza
biliar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \af6
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Dischinezia
biliar\uc1 \u259 ? hipermotorie este specificat\uc1 \u259 ? de urm\uc1 \u259 ?
toarele caracteristici ale sindromului dolor:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin1134 \rin0 \itap0 \ls173 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
dureri }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 cu caracter de colic\uc1 \u259 ? spastic\uc1 \u259 ?}{\rtlch \fcs1
\aspnum \adjustright \lin1134 \rin0 \itap0 \ls173 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 dureri induse de factori psihoemo\uc1 \u355 ?ionali}
\widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls173 \rtlch \fcs1
\langfenp1049 \alang1025 dureri condi\uc1 \u355 ?ionate de efort fizic}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Dischineziile biliare
hipotonice se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin1080 \rin0 \tql \tx1080 \itap0 \ls174 \ilvl1 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 sindrom dolor abdominal surd}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 senza\uc1 \u355 ?ia de ap\uc1 \u259 ?sare sub rebordul
costal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
constipa\uc1 \u355 ?ii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Car}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 e m\uc1
\u259 ?suri terapeutice se vor solicita \uc1 \u238 ?n dischineziile biliare
hipochinetice?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 fizioterapie
de tip tonizant}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
gimnastic\uc1 \u259 ? curativ\uc1 \u259 ? intensiv\uc1 \u259 ?}{\rtlch \fcs1
dietoterapiei \uc1 \u238 ?n dischinezia vezicii biliare de tip hipomotorie?}{\rtlch
\fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1080 \itap0 \ls176 \ilvl1 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 alimente
bogate \uc1 \u238 ?n celuloz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 suplimentarea alimentelor cu lipide polinesaturate}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 ritmicitatea \uc1 \u351 ?i
multiplicarea prizelor alimentare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Dischineziile biliare secundare pot fi condi\uc1 \u355 ?ionate de:}{\rtlch \fcs1
\langnp1049 \langfe1049 \langfenp1049 \alang1025 hepatite virale}{\rtlch \fcs1 \af6
\langnp1049 \langfe1049 \langfenp1049 \alang1025 disfunc\uc1 \u355 ?ii
neurovegetative}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Colecistita la
copil este favorizat\uc1 \u259 ? de urm\uc1 \u259 ?toarele st\uc1 \u259 ?ri:}
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 anomalii ale vezicii
biliare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 alergie
alimentar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 dismicrobism
intestinal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
balnear la copiii cu afec\uc1 \u355 ?iuni ale sistemului biliar se va efectua:}
\lang1033
\langnp1033 \langfe1049 \langfenp1049 \alang1025 la o lun\uc1 \u259 ? dup\uc1
\u259 ? acutizare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n
sta\uc1 \u355 ?iuni balneare cu izvoare de ap\uc1 \u259 ? mineral\uc1 \u259 ?}
i factorii etiopatogenici ce condi\uc1 \u355 ?ioneaz\uc1 \u259 ? formarea
calculilor \uc1 \u238 ?n c\uc1 \u259 ?ile biliare la copilul mare: }{\rtlch \fcs1
\aspnum \adjustright \lin0 \rin0 \tql \tx1080 \tql \tx1428 \itap0 \ls180 \ilvl1
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 contraceptivele}
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 obezitatea
\uc1 \u351 ?i hiperlipoproteinemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1080 \tql \tx1428 \itap0 \ls180 \ilvl1 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 mucoviscidoza}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Enumera\uc1 \u355 ?i semnele clinice \uc1 \u351 ?i paraclinice ale colecistitei
cronice la copii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
sindrom dol}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 oric}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n hipocondrul drept}{\rtlch \fcs1
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 subfebrilitate}
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 pere\uc1 \u355
?i \uc1 \u238 ?ngro\uc1 \u351 ?a\uc1 \u355 ?i ai v/biliare cu m\uc1 \u259 ?rirea
dimensiunilor v/biliare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
indica\uc1 \u355 ?iile absolute la colecistotomie?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 icterul mecanic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindromul de
colestaz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pancreatita
cronic\uc1 \u259 ? indurativ\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Care din maladiile enumerate
fac parte din hepatoze?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 B.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfenp1049 \alang1025 sindromul Rotor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 C.}{\rtlch \fcs1 \af6 \afs24
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 sindromul Gilbert}
Dubin-Jonhnson}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Sindromul Dubin-
Johnson se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 A. icter moderat tranzitoriu}
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 D. majorarea bilirubinei
serice directe}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Hepatoza
congenital}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \uc1 \u259 ? se datoreaz\uc1 \u259 ? urm\uc1 \u259 ?toarelor:}{\rtlch
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 A. produc\uc1 \u355 ?ie
majorat\uc1 \u259 ? a bilirubinei dep\uc1 \u259 ?\uc1 \u351 ?ind posibilit\uc1
\u259 ?\uc1 \u355 ?ile hepatocitului de captare \uc1 \u351 ?i metabolizare}
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 B. prezen\uc1 \u355 ?a
defectelor de glucoronoconjugare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\dbch \af2 \hich \af0 \loch \af6
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 C. prezen\uc1
\u355 ?a deregl\uc1 \u259 ?rilor motor-evacuatoare ale vezicii biliare}{\rtlch
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 E. procesului cronic
provocat de virusul hepatitei B}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Icterul cu
predominan\uc1 \u355 ?a bilirubinei neconjugate semnific\uc1 \u259 ?:}{\rtlch \fcs1
\lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 A. supraproduc\uc1 \u355
?ia bilirubinei \uc1 \u238 ?n }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 urma}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1031 \langfe1049 \langfenp1049 \alang1025 hemolizei}{\rtlch \fcs1 \af6
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 B. insuficien\uc1
\u355 ?a capt\uc1 \u259 ?rii bilirubinei de hepatocit}{\rtlch \fcs1 \af6 \afs24
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM Sindromul Dubin-Jonshon se
manifest\uc1 \u259 ? prin urm\uc1 \u259 ?toarel}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 e semne clinico-patologice:}
\widctlpar \aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \ls183 \rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 icter cronic}{\rtlch \fcs1 \af6
\aspalpha \aspnum \adjustright \lin993 \rin0 \itap0 \ls183 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 hiperbilirubinemie conjugat\uc1 \u259 ? moderat\uc1
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Icterul
medicamentos are urm\uc1 \u259 ?toarele caracteristici clinico-paraclinice:}{\rtlch
\langfenp1049 \alang1025 hiperbilirubinemie at\uc1 \u226 ?t direct\uc1 \u259 ?
c\uc1 \u226 ?t \uc1 \u351 ?i indirect\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
evolueaz\uc1 \u259 ? cu citoliz\uc1 \u259 ? \uc1 \u351 ?i semne de
insuficien\uc1 \u355 ?\uc1 \u259 ? hepatocelular\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Diagnosticul diferen\uc1 \u355
?ial \uc1 \u238 ?n hiperbilirubinemia neconjugat\uc1 \u259 ? se va face cu
urm\uc1 \u259 ?toarele maladii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1033
\langnp1033 \langfe1049 \langfenp1049 \alang1025 microsferocitoza Minkowski-
Chauffar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls185
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 anemia hemolitic\uc1
\u259 ? autoimun\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pancreatita
cronic\uc1 \u259 ? a copilului este condi\uc1 \u355 ?ionat\uc1 \u259 ? de
urm\uc1 \u259 ?toarele cauze:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1080 \itap0 \ls186 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pancreatita
acut\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 colecistocolangita
cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 alergia
alimentar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 intoxica\uc1 \u355 ?
ia alimentar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\u355 ?i semnele clinice ale pacreatitei cronice recidivante:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 sindrom dispeptic (gre\uc1 \u355 ?uri, vom\uc1 \u259 ?)}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom doloric
abdominal }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 polifecalie}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pancreatita
cronic\uc1 \u259 ? recidivant\uc1 \u259 ? se caracterizeaz\uc1 \u259 ? prin:}
\afs22 \ltrch \fcs0 \fs22
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 instabilitatea
scaunului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 intensificarea
sindromului doloric \uc1 \u238 ?n supraalimentare}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt testele specifice de
laborator pentru perioada de acutizare a pancreatitei cronice la copil?}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 majorarea
lipazei serice \uc1 \u351 ?i duoden}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 ale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hiperamilazemie \uc1
\u351 ?i hiperamilazurie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Cu care din
maladiile indicate mai jos este necesar s\uc1 \u259 ? fie fixat diagnosticul
diferen\uc1 \u355 ?ial al pancreatitei cronice la copil?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 colecistita cronic\uc1 \u259 ?
calculoas\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cancerul
infiltrativ al pancreasului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 boala
ulceroas\uc1 \u259 ? a}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 duodenului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. Principiile dietoterapiei \uc1 \u238 ?n pancreatita
cronic\uc1 \u259 ? se bazeaz\uc1 \u259 ? pe:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cru\uc1 \u355 ?are
chimic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1049 \langfenp1049 \alang1025 excluderea condimentelor alimentare}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 evitarea
supraaliment\uc1 \u259 ?rii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.
Caracteriza\uc1 \u355 ?i durerea abdominal\uc1 \u259 ? \uc1 \u238 ?n perioada
acutiz\uc1 \u259 ?rii pancreatitei cronice.}{\rtlch \fcs1 \af6 \afs24 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 durere localizat}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1
\u259 ? \uc1 \u238 ?n etajul superior al abdomenului}{\rtlch \fcs1 \af6 \afs24
1080 \li1800 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 durere abdominal\uc1
\u259 ? constant\uc1 \u259 ? cu iradiere \uc1 \u238 ?n spate}{\rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 durere abdominal\uc1
\u259 ? \uc1 \u238 ?n hipocondrul st\uc1 \u226 ?ng }{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt complica\uc1 \u355 ?
iile pancreatitei cronice?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
pseudochistul pancreatic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
tromboza venei splenice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
diabetul zaharat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\u355 ?i m\uc1 \u259 ?surile de reabilitare de dispensar a bolnavilor cu
pancreatit\uc1 \u259 ? cronic\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratament ambulatoriu
antirecidivant de dou\uc1 \u259 ? ori pe an}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 USG pancreasului o
dat\uc1 \u259 ? \uc1 \u238 ?n an}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1080 \tql \tx1620 \tql \tx1800 \itap0 \ls194 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 administrarea cerucalului, festalului, creonului}
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hidroterapia
cu ap\uc1 \u259 ? mineral\uc1 \u259 ? Jeleznovodsk, Borjomi, Essentuki de
dou\uc1 \u259 ? ori pe an}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Enum\uc1 \u259 ?
ra\uc1 \u355 ?i factorii favorizan\uc1 \u355 ?i ai rahitismului caren\uc1 \u355 ?
ial}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 V\uc1 \u226 ?
rsta \uc1 \u351 ?i prematuritatea}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Rejimul de \uc1 \u238 ?nsorire}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Atrezia biliar\uc1 \u259 ? extrahepatic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Sindromul de malabsorb\uc1 \u355 ?ie}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Enum\uc1 \u259 ?
ra\uc1 \u355 ?i cele mai frecvente complica\uc1 \u355 ?}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ii ale }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 rahitismului
caren\uc1 \u355 ?ial.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Spasmofilia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C.}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \tab
\alang1025 Afec\uc1 \u355 ?iuni pulmonare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 D.}{\rtlch \fcs1 \af6 \afs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Leziuni cardiace}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E.}{\rtlch \fcs1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Afectarea
rinichilor }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Urm\uc1 \u259 ?
toarele semne neuro-musculare (Spasmofilia) asociaz\uc1 \u259 ? rahitismul florid,
cu excep\uc1 \u355 ?ia:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\sl240 \slmult1 \widctlpar \nooverflow \faroman \lin0 \rin0 \tql \tx1080 \tql
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Dispnee
inspiratorie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Pentru
spasmofilie forma }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 latent\uc1 \u259 ? sunt caracteristice:}{\rtlch \fcs1 \af6
\nooverflow \faroman \lin0 \rin0 \tql \tx1080 \tql \tx1800 \itap0 \ls197 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Spasmul carpo-pedal}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Simptomul Hvostec pozitiv}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Simptomul Lust pozitiv}{\rtlch
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman
\langfenp1049 \alang1025 CM. Semnele de evolutivitate a rahitismului caren\uc1
\u355 ?ial sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\sl240 \slmult1 \widctlpar \nooverflow \faroman \lin1068 \rin0 \tql \tx1068
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hiperexcitabilitatea
neuromuscular\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Craniotabes la v\uc1
\u226 ?rsta peste 3 luni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\itap0 \ls198 \rtlch \fcs1 \af6 \afs22 \ltrch
Involu\uc1 \u355 ?ia dezvolt\uc1 \u259 ?rii psih}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 o-motorii}{\rtlch
\nooverflow \faroman \lin1068 \rin0 \tql \tx1068 \itap0 \ls198 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 Deform\uc1 \u259 ?ri osoase }{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Schimb\uc1 \u259 ?rile
radiologice principale ale oaselor \uc1 \u238 ?n rahitismul caren\uc1 \u355 ?ial
sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\slmult1 \widctlpar \nooverflow \faroman \lin0 \rin0 \tql \tx1080 \tql \tx1800
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Osteoporoza}
\widctlpar \nooverflow \faroman \lin0 \rin0 \tql \tx1080 \tql \tx1800 \itap0 \ls199
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Zonele de cartilaj a
metafizelor oaselor lungi sunt l\uc1 \u259 ?\uc1 \u355 ?ite}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Fracturi }{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 L\uc1 \u259 ?rgirea epifizei }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Profilaxia
specific\uc1 \u259 ? a rahitismului caren\uc1 \u355 ?ial \uc1 \u238 ?n perioada
antenatal\uc1 \u259 ? prevede:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 A.}{\rtlch \fcs1 \af7 \afs24
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Este obligatorie
\uc1 \u238 ?n ultimul trimestru}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Nu se administreaz\uc1 \u259 ? vit.D paranteral}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C.}{\rtlch \fcs1 \af7
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Administrarea
Vit.D 500 UI/zi po (anotimp \uc1 \u238 ?nsorit) sau 1000 UI/zi \uc1 \u238 ?n
alimentare carentat\uc1 \u259 ? sau iarna}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lin0 \rin0 \tql \tx1080 \itap0 \rtlch
\fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich
\af0 \loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.}
\alang1025 sau vit.D 4000\uc1 \u8211 ?5000 UI/s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1
\u226 ?n\uc1 \u259 ? po sau vit.D 200 000 doze stoss la \uc1 \u238 ?nceputul lunii
a 7-a (\uc1 \u238 ?n absen\uc1 \u355 ?a posibilit\uc1 \u259 ?\uc1 \u355 ?ii
variantelor AB)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \widctlpar \nooverflow \faroman \lin0 \rin0 \itap0 \rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM M\uc1 \u259 ?
surile nespecifice \uc1 \u238 ?n cazul spasofiliei prev\uc1 \u259 ?d urm\uc1
\u259 ?toarele cu excep\uc1 \u355 ?ia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman \lin1068
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Intubarea
imediat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tratamentul
medicamentos al spazmofiliei prevede:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Administrarea
diazepamului sau}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Administrarea
oxibutiratului de natriu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Corec\uc1 \u355 ?ia
hipocalcemiei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\widctlpar \nooverflow \faroman \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Enun\uc1 \u355 ?
a\uc1 \u355 ?i simptomele hipervitaminozei D:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Anorexie
sever\uc1 \u259 ? \uc1 \u351 ?i rebelp}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\sa0 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman \lin1068 \rin0 \tql
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 V\uc1 \u259 ?
rs\uc1 \u259 ?turi}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipotonie}{\rtlch
\nooverflow \faroman \lin1068 \rin0 \tql \tx1068 \itap0 \ls202 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 Poliurie \uc1 \u351 ?i polidepsie }{\rtlch \fcs1 \af6
\afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6
\nooverflow \faroman \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tratamentul hipervitaminozei D
impune :}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\slmult1 \widctlpar \nooverflow \faroman \lin1068 \rin0 \tql \tx1068 \itap0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Sc\uc1 \u259 ?derea }
aportului de calciu din alimente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Administrarea
preparatelor de calciu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Perfuzii diuretice }
\nooverflow \faroman \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Selecta\uc1 \u355 ?i
rahitismele vitamin D-rezistente ereditare:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Fosfatdiabetul
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Rahitismul Fanconi}
\widctlpar \nooverflow \faroman \lin1068 \rin0 \tql \tx1068 \itap0 \ls204 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipofosfatemia Harison }{\rtlch
\plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care semn paraclinic
diferen\uc1 \u355 ?iaz\uc1 \u259 ? fosfatdiabe}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tul familial de rahitismul Fanconi
\slmult1 \widctlpar \nooverflow \faroman \lin1788 \rin0 \tql \tx1080 \tql
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Valorile normale ale
calciului \uc1 \u238 ?n ser}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\slmult1 \widctlpar \nooverflow \faroman \lin0 \rin0 \tql \tx2160 \itap0 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Rolul vit. D
este constituit prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Vit. D contribuie la
reabsorb\uc1 \u355 ?ia tubular\uc1 \u259 ? a calciului \uc1 \u351 ?i fosforului}
{\rtlch
\widctlpar \nooverflow \faroman \lin1080 \rin0 \tql \tx851 \tql \tx1788 \itap0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Vit. D contribuie la
reglarea func\uc1 \u355 ?iei glandelor paratiroide}{\rtlch \fcs1 \af6 \afs24 \ltrch
Vit. D contribuie la modelarea \uc1 \u351 ?i mineralizarea oaselor }{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enum\uc1 \u259 ?ra\uc1 \u355 ?i
factorii de risc incrimina\uc1 \u355 ?i \uc1 \u238 ?n apari\uc1 \u355 ?ia
hipovitaminozelor la sugari \uc1 \u351 ?i copii de v\uc1 \u226 ?rst\uc1 \u259 ?
fraged\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Enzimopatii }
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Hipoxia cronic\uc1 \u259
\lang1031 \langnp1031 \langfe1049 \langfenp1049 \alang1025 Sindromul de maldigestie
\uc1 \u351 ?i/sau malabsorb\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Aport exogen insufficient }{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Eviden\uc1 \u355 ?ia\uc1
\u355 ?i semnele clinice principale caracteristice hipovitaminozei (avitaminoza)
B1:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Poliencefalita
hemoragic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Insuficien\uc1
\u355 ?a cardiac\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Dermatit\uc1 \u259 ? seboreic\uc1 \u259 ? a fe\uc1 \u355 ?ei, urechilor, g\uc1
\u226 ?tului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 \ltrch \dbch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Oligurie }{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 Decela\uc1 \u355 ?
i particularit\uc1 \u259 ?\uc1 \u355 ?ile clinico-evolutive ale bolii beri-beri la
copii sugari. La v\uc1 \u226 ?rsta de 2-4 luni apare:}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 \par }\pard
\aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx720 \itap0 \ls209 \rtlch \fcs1
\langfenp1049 \alang1025 \cf1 Afonia }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 \par }\pard \plain \fi-360
\langfenp1049 \alang1025 \cf1 Hiporeflexia \uc1 \u351 ?i/sau abolirea reflexelor
osteotendinoase profunde}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \cf1 \par }\pard \plain \fi-360 \li720 \ri0 \lisb0 \sa0
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1
Insuficien\uc1 \u355 ?a cardiac\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1 \par }\pard \plain \fi-360
\langfenp1049 \alang1025 \cf1 Meningism \uc1 \u351 ?i/sau convulsii }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Hipovitaminoza
(av}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 itaminoza) B1 juvelil\uc1 \u259 ? produce:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Tulbul\uc1 \u259 ?ri oculare}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Hipoacuzie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Depresie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lin840 \rin0 \tql \tx840 \itap0 \ls210 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tulbur\uc1
\u259 ?ri de personalitate
\alang1025
}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Care sunt cauzele
hipovitaminozei (avitaminoza) B2 la nou-n\uc1 \u259 ?scut?}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Antibioticoterapia }
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hiperbilirubinemia }
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Fototerapia }{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Sindromul de malabso}
rb\uc1 \u355 ?ie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enum\uc1 \u259 ?
ra\uc1 \u355 ?i semnele clinice principale caracteristice pelagrei:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Placarde ihtiozoforme}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Stomatite }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tulbur\uc1 \u259 ?ri
sensoriale simetrice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Abdomenalgii }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Care dintre indicii
explorativi paraclinici denot\uc1 \u259 ? caren\uc1 \u355 ?a vitaminic\uc1 \u259 ?
B?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6
\langnp1049 \langfe1033
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Anemia microcitar\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Reducerea
concentra\uc1 \u355 ?iei serice a Vit. B}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Activitate epileptic\uc1 \u259 ? la EEG}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Enum\uc1 \u259 ?ra\uc1 \u355 ?i
cauzele apari\uc1 \u355 ?iei hipofolatemiei la gravide}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Dieta cu aport neadecvat de acid folic \uc1 \u238 ?n
alimente }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Administrarea
metotrexatului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Enterocoliticele cronice }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Alimenta\uc1 \u355 ?ie cu producte}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 prelucrate termic}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Hipovitaminoza E este
caracterizat\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Atrofie
muscular\uc1 \u259 ? progresiv\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Sindrom de malabsorb\uc1 \u355 ?ie}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Icter fiziologic prelungit }{\rtlch \fcs1 \af6 \afs24
\li0 \ri0 \lisb0
\langfenp1049 \alang1025 CM. Care din fructe au un potential inalt alergic?}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 portocalele}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 merele ro\uc1 \u351 ?ii}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 mandarinele}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ananas}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Men\uc1 \u355 ?iona\uc1
\u355 ?i legumele cu propriet\uc1 \u259 ?\uc1 \u355 ?i alergice:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ardeiul}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 tomatele ro\uc1 \u351 ?ii}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sfecla}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Men\uc1 \u355 ?iona\uc1
\u355 ?i produsele alergice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 zmeura}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 agri\uc1 \u351 ?ul}{\rtlch
\fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 c\uc1 \u259 ?p\uc1 \u351 ?unele}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 portocale}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce alimente induc reac\uc1
\u355 ?ii alergice la copil?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pe\uc1 \u351 ?
tele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 racii}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 icrele de pe\uc1 \u351 ?te}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Selecta\uc1 \u355 ?i produsele
dulci cu efecte alergice \uc1 \u238 ?nalte:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 bomboanele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\uc1 \u238 ?nghe\uc1 \u355 ?ata}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 torta}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b\uc1 \u259 ?uturile
gazate colorate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce produse
alimentare intensific\uc1 \u259 ? absorb\uc1 \u355 ?ia alergenilor?}{\rtlch
\af0 \loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cofeina}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 alcoolul}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 piperul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
salicilatele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
predispozan\uc1 \u355 ?i \uc1 \u238 ?n alergia alimentar\uc1 \u259 ? sunt:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antecedente
ereditare de maladii atopice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antecedente
familiale de afec\uc1 \u355 ?iuni ale sistemului digestiv}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 hiperglobulinemie E familial\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Factorii favorizan\uc1 \u355 ?
i perinatali \uc1 \u238 ?n realizarea alergiei alimentare la copil sunt:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 utilizarea alimentelor alergizante
\uc1 \u238 ?n timpul sarcinii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
disgravidia la mam\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
sensibilizarea medicamentoas\uc1 \u259 ? a gravidei}{\rtlch \fcs1 \af6 \afs24
nocivit\uc1 \u259 ?\uc1 \u355 ?i profesionale pe parcursul sarcinii}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Factorii de risc cu caracter
endogen fovorizant \uc1 \u238 ?n alergia alimentar\uc1 \u259 ? sunt:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 disbioza intestinal\uc1 \u259 ? }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 imaturizarea
secretorie a sistemului digestiv \uc1 \u238 ?n v\uc1 \u226 ?rst\uc1 \u259 ?
fraged\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 . Care produse cu
efect histamino-liberator contribuie la declan\uc1 \u351 ?area pseudoalergiei la
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 salamurile}
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aditivii
alimentari}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
conservan\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Alergia
alimentar\uc1 \u259 ? la copil are urm\uc1 \u259 ?toarele variante clinice:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 eczem\uc1 \u259 ?}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 neurodermit\uc1 \u259 ?}{\rtlch
\langfenp1033
\langfenp1049 \alang1025 astm bron\uc1 \u351 ?ic}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 urticarie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.
Metodele de diagnostic clinic al alergiei alimentare sunt:}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 anamneza alergologic\uc1 \u259 ?}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 zilnicul alimentar}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 probe de eliminare}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 probe de provocare}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Principiile
terapeutice \uc1 \u238 ?n alergia alimentar\uc1 \u259 ? sunt :}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 dietoterapia hipoalergic\uc1 \u259
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 terapia cu cromoni}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 medica\uc1 \u355 ?ia
antihistaminic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Dietoterapia
\uc1 \u238 ?n alergia alimentar\uc1 \u259 ? a copilului sugar vizeaz\uc1 \u259 ?
urm\uc1 \u259 ?toarele principii:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \af6 \lang1049 \langnp1049
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 utilizarea formulelor
acidofile }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 utilizarea
formulelor adaptate cu hidrolizare inalta a proteinei}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 alimentarea natural\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Dieta}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf4 }{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nespecifica
hipoalergic}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 \uc1 \u259 ? \uc1 \u238 ?n alergia alimentar\uc1
\u259 ? \uc1 \u355 ?ine de excluderea:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
r\uc1 \u259 ?coritoarelor \uc1 \u8222 ?Fanta,\uc1 \u8221 ? \uc1 \u8222 ?Pepsi-
Cola\uc1 \u8221 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nucilor}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 mierii de albini}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. M\uc1 \u259 ?
surile profilactice \uc1 \u238 ?n alergia alimentar\uc1 \u259 ? a copilului constau
\uc1 \u238 ?n:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 reducerea
sensibiliz\uc1 \u259 ?rii alimentare \uc1 \u351 ?i medicamentoase \uc1 \u238 ?n
perioada sarcinii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 alimentarea
natural\uc1 \u259 ? a sugarului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 excluderea
alimentelor conservate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Indica\uc1
\u355 ?i produsele lactate pentru meniul copilului cu alergie alimentar\uc1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 laptele acru}
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sm\uc1 \u226 ?
nt\uc1 \u226 ?n\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\tx1080 \tql \tx1800 \tql \tx2118 \itap0 \ls232 \rtlch \fcs1 \af6 \afs22 \ltrch
br\uc1 \u226 ?nz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Conduita bolnavului \uc1 \u238 ?n socul anafilactic, prevede:}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 A.}{\rtlch \fcs1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 oprirea
expunerii la a}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 gentul declansat (\uc1 \u238 ?ntreru}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 perea injectiei sau
perfuziei) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 C.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfenp1049 \alang1025 monitorizarea culorii tegumentelor}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D.}{\rtlch \fcs1 \af6
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 administrare
peroral a lichidelor in volum marit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Programul terapeutic \uc1 \u238 ?n diareile alergice include administrarea
remediilor:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 enterosorben\uc1 \u355 ?i}{\rtlch \fcs1 \af7 \afs24 \ltrch
\plain \fi-283 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
\lin1134 \rin0 \itap0 \ls233 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 antihistaminice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Astmul bron\uc1 \u351 ?ic la
copil se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 inflama\uc1 \u355 ?ie cronic\uc1 \u259 ? a c\uc1 \u259 ?
ilor respiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom
bronhoobstructiv}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
predispozant \uc1 \u238 ?n astmul bron\uc1 \u351 ?ic al copilului sunt:}{\rtlch
\aspnum \adjustright \lin0 \rin0 \tql \tx720 \tql \tx900 \tql \tx1080 \itap0 \ls235
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antecedentele atopice
familiale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fumatul pasiv}
\widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx720 \tql
\tx1080 \itap0 \outlinelevel0 \ls235 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 reflux}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ul}{\rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 gastro-
esofagian}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
factorii favorizan\uc1 \u355 ?i implica\uc1 \u355 ?i \uc1 \u238 ?n realizarea
astmului bron\uc1 \u351 ?ic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antecedentele
perinatale }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 anomaliile de
constitu\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1049
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dermatitele atopice
la copil}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
factorii favorizan\uc1 \u355 ?i exogeni pentru realizarea astmului bron\uc1 \u351 ?
ic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 alergenii
alimentari}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 gazele de e\uc1
\u351 ?apament}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cosmeticele}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fumul de \uc1 \u355 ?
igar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Factorii cauzali
\uc1 \u238 ?n astm la copil sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 praful de
cas\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 alergenii
epidermali}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 penicilinele }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Men\uc1 \u355 ?
iona\uc1 \u355 ?i trigerii \uc1 \u238 ?n astmul bron\uc1 \u351 ?ic:}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 aditivi alimentari}{\rtlch
\langfenp1033 \alang1025 \f0 B.\tab }{\rtlch
\af0 \loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 infec\uc1
\u355 ?iile respiratorii virale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 polenurile}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aerul rece}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Fenomenul de
obstruc\uc1 \u355 ?ie bron\uc1 \u351 ?ic\uc1 \u259 ? \uc1 \u238 ?n astmul
bron\uc1 \u351 ?ic este determinat de:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
edemul mucoasei bron\uc1 \u351 ?ice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
bronhoconstric\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
hiperreactivitate bron\uc1 \u351 ?ic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 hipersecre\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Diagnosticul clinic al
exacerb\uc1 \u259 ?rilor de astm bron\uc1 \u351 ?ic se stabile\uc1 \u351 ?te prin
prezen\uc1 \u355 ?a urm\uc1 \u259 ?toarelor simptome:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 dispnee expiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 wheezing}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
tusea nocturn\uc1 \u259 ? sau matinal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\af6 \afs22 \ltrch \fcs0
raluri sibilante difuze}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Severitatea
crizei astmatice la copilul mic este determinat\uc1 \u259 ? de:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 comportament agitat}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 mole\uc1 \u351 ?eal\uc1 \u259 ?
\uc1 \u351 ?i inhibi\uc1 \u355 ?ia motorie}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 implicarea musculaturii accesorii}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 excesivitatea frecven\uc1 \u355 ?
ei respiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Semnele
distinctive radiologice ale astmului bron\uc1 \u351 ?ic sunt:}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 hiperinfla\uc1 \u355 ?ie
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 distensie
toracic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce
complica\uc1 \u355 ?ii radiologice se pot dezvolta \uc1 \u238 ?n astm?}{\rtlch
\langfenp1049 \alang1025 atelectazii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 bula de emfizem}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\adjustright \lin1065 \rin0 \tql \tx1065 \itap0 \ls244
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pneumotorax}{\rtlch
\langfenp1049 \alang1025 deplas\uc1 \u259 ?ri mediastinale}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt caracteristicile
astmului intermitent?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 exacerb\uc1 \u259 ?
ri de 30\uc1 \u8211 ?40 minute}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 simptome mai
rar de o dat\uc1 \u259 ? pe s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?n\uc1 \u259 ?}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 PEF>80%}{\rtlch \fcs1
\langfenp1049 \alang1025 CM. Care sunt caracteristicile astmului persistent
u\uc1 \u351 ?or?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 crize de astm o
dat\uc1 \u259 ? pe s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?n\uc1 \u259 ?}{\rtlch
\langfenp1049 \alang1025 exacerb\uc1 \u259 ?ri nocturne 2\uc1 \u8211 ?3 ori pe
lun\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
caracteristicile astmului persistent moderat?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 simptomele de astm zilnic}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025
\f2 B.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 simptomele nocturne s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226
?nal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 PEF 60}{\rtlch \fcs1
80%}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
caracteristicile astmului persistent sever?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 accese nocturne frecvente}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 r\uc1 \u259 ?u astm}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 atic}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 activitate fizic\uc1 \u259 ? limitat\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Starea de
r\uc1 \u259 ?u astmatic este indus\uc1 \u259 ? de factorii declan\uc1 \u351 ?
atori:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sevraj brutal de
corticosteroizi}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 abuz de }
{\field {\*\fldinst SYMBOL 98 \'5cf "Symbol" \'5cs 12}{\fldrslt \f8 \fs24 }}}
\sub2 2}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 adrenergic f\uc1 \u259 ?r\uc1 \u259 ? corticoterapie inhalatorie
asociat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 expunere
prelungit\uc1 \u259 ? la alergeni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
infec\uc1 \u355 ?ii bronhopulmonare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \par }\pard
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Tabloul clinic \uc1
\u238 ?n starea de r\uc1 \u259 ?u astmatic este specificat\uc1 \u259 ? prin:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cianoz\uc1 \u259 ?
important\uc1 \u259 ? perioronazal\uc1 \u259 ?, extremit\uc1 \u259 ?\uc1 \u355 ?i}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 oboseal\uc1 \u259 ?
muscular\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 murmur
vezicular atenuat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
paraclinic al st\uc1 \u259 ?rii de r\uc1 \u259 ?u astmatic se caracterizeaz\uc1
\u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipercapnie \uc1
\u238 ?n gazele sa}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 nguine}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 acidoz\uc1
\u259 ? metabolic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
distensie toracic\uc1 \u259 ? radiologic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Diagnosticul dermatitei
atopice se bazeaz\uc1 \u259 ? pe:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx993 \tql \tx1276 \tql \tx2490 \itap0 \ls252 \ilvl1 \rtlch \fcs1
\langfenp1049 \alang1025 testele cutanate pozitive cu alergeni incriminati}
nivelul IgE }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Selecta\uc1 \u355 ?i
principiile terapeutice \uc1 \u238 ?n exacerb\uc1 \u259 ?rile astmului bron\uc1
\u351 ?ic la domiciliu:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 evitarea
factorilor declan\uc1 \u351 ?atori}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\uc1 \u238 ?nl\uc1 \u259 ?turarea obstruc\uc1 \u355 ?iei c\uc1 \u259 ?ilor
respiratorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 inhalarea de }
\sub2 2}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 agonist de actiune scurta}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce metode reduc efectele
adverse ale corticoterapiei inhalatorii?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 folosirea camerei de inhalare (\uc1 \u8222 ?spaser\uc1
\u8221 ?)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cl\uc1 \u259 ?tirea
gurii cu ap\uc1 \u259 ? dup\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 inhalare}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt remediile
bronhodilatatoare utilizate \uc1 \u238 ?n astm?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 anticolinergice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 {\field {\*\fldinst SYMBOL 98 \'5cf "Symbol" \'5cs 12}
{\fldrslt \f8 \fs24 }}}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \sub2 2}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 agoni\uc1 \u351 ?ti}{\rtlch \fcs1 \af6 \afs24
\alang1025 \f0 C.\tab }{\rtlch \fcs1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 metilxantine}
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt metodele
optime de administrare a preparatelor antiastmatice \uc1 \u238 ?n criza de astm?}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 inhalator}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \cf3 }{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 prin speiser
(camera de inhalare)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 inhalator prin
nebulizare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Spitalizarea
copilului cu exacerbare de astm se impune \uc1 \u238 ?n caz de:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 r\uc1 \u259 ?spuns}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \strike1 }
insuficient dupa 3 prize de terapie in decurs de 1 ora cu }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 {\field {\*\fldinst
SYMBOL 98 \'5cf "Symbol" \'5cs 12}{\fldrslt \f8 \fs24 }}}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \sub2 2}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 agoni\uc1
\u351 ?ti de durata scurta }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 astm
persistent, necontrolat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 stare de r\uc1
\u259 ?u astmatic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 CM. Selectati afirmatiile referitor la}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \strike1 }{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 astmul bron\uc1
\u351 ?ic al copilului mic:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 medica\uc1
\u355 ?ia anticolinergic\uc1 \u259 ? se utilizeaza in terapia de urgenta}{\rtlch
\plain \fi720
\langfenp1049 \alang1025 este preferabil\uc1 \u259 ? administrarea inhalatorie a
remediilor }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tratamentul de
lunga durata \uc1 \u238 ?n astm se efectueaz\uc1 \u259 ? cu corticosteroizi
topici }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 M. Monitorizarea
\uc1 \u238 ?n astmul pediatric prevede:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 asisten\uc1 \u355 ?\uc1 \u259 ? supravegheat\uc1 \u259 ?
de lung\uc1 \u259 ? durat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 vizite medicale la intervalul de 1}{\rtlch \fcs1 \af6
luni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 notare zilnic\uc1
\u259 ? \uc1 \u238 ?n chestionarul de monitorizare a astmului}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 monitorizarea conduitei
terapeutice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 CM. Ce profiluri de \uc1 \u351 ?colarizare p}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 entru copilul cu
astm sunt recomandate?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 informatic\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 drept}{\rtlch
\langfenp1049 \alang1025 telecomunica\uc1 \u355 ?ii}{\rtlch \fcs1 \af6 \afs24
materialele metodico-instructive pentru activit\uc1 \u259 ?\uc1 \u355 ?ile
educa\uc1 \u355 ?ionale ale copilului cu astm:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin0 \rin0 \tql \tx1080 \tql \tx1428 \itap0 \ls260 \ilvl1 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ghidul copilului cu astm}
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 carnetul
copilului cu astm}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
etiologici \uc1 \u238 ?n }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 pneumoniile comunitare sunt:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Mycoplazma}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Pneumococ }
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 H.influenzae}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Boala serului are urm\uc1
\u259 ?toarele manifest\uc1 \u259 ?ri:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
febr\uc1 \u259 ? intermitent\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 edeme faciale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
erup\uc1 \u355 ?ii cutanate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 leucopenie cu limfocitoz\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Principiile terapeutice
\uc1 \u238 ?n sindromul Layel:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 glucocorticoterapie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 plasmaferez\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce criterii explorative
confirm\uc1 \u259 ? reac\uc1 \u355 ?iile alergice la copil?}{\rtlch \fcs1 \af6
\aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx720 \tql \tx1080 \itap0 \ls264
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hiperimunoglobulinemie
E}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 limfocitoz\uc1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 eozinofilie}
urticariei este detalizat prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 erup\uc1 \u355
?ii veziculo-papuloase ale pielii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
prurit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 reac\uc1 \u355 ?ii
imunopatologice imediate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
?i factorii cauzali \uc1 \u238 ?n urticarie:}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aspirina}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ciocolata}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 insola\uc1 \u355 ?ia}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?n\uc1
\u355 ?ep\uc1 \u259 ?turile de insecte}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Tratamentul de urgen\uc1 \u355 ?\uc1 \u259 ? \uc1 \u238 ?n urticarie prevede:}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 suprastin\uc1
\u259 ? i/m}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 prednisolon
parenteral}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Manifest\uc1
\u259 ?rile clinice \uc1 \u238 ?n edemul Quwinke:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 edemul tegumentelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 edemul }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \uc1 \u355 ?esutului adipos}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 edemul este \uc1 \u238 ?
n focare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfe1033 \langfenp1033 \alang1025 {\listtext \pard \plain
\langfenp1049 \alang1025 edemul afecteaz\uc1 \u259 ? regiunile fe\uc1 \u355 ?e}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Conduita \uc1
\u238 ?n sindromul Qwinke const\uc1 \u259 ? \uc1 \u238 ?n:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 excluderea
influen\uc1 \u355 ?elor factorului trigger}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 terapie cu antihistaminice}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 glucocorticoterapie (forma sever\uc1 \u259 ?)}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Care simptom nu este obligator
c}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 aracteristic pielonefritei la copiii de v\uc1 \u226 ?rst\uc1 \u259 ?
fraged\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Febr\uc1 \u259
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Diaree}{\rtlch \fcs1
\aspalpha \aspnum \adjustright \lin360 \rin0 \itap0 \ls270 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 Semne generale de intoxica\uc1 \u355 ?ie}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Factorii predispozan\uc1 \u355
?i antenatali \uc1 \u238 ?n dezvoltarea pielonefritei la copii sunt: }{\rtlch \fcs1
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Nefropatia \uc1 \u238 ?n
sarcin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Pielonefrita
cronc\uc1 \u259 ? la gravide}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f6 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Viroze
intercurente }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 frecvente la gravid\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Focare cornice de infec\uc1 \u355 ?ie la gravide}
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx180 \tql \tx360 \itap0 \rtlch
cazul pielonefritei, cu ce maladie este necear s\uc1 \u259 ? se efectuieze
diagnosticul diferen\uc1 \u355 ?iat?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Glomerulonefrita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Tuberculoza renal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Cistita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Bolile diareice acute}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 CM. Indica\uc1 \u355 ?i tratamentul pielonefritei acute,
forma u\uc1 \u351 ?oar\uc1 \u259 ?: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Repaus la pat \uc1 \u238 ?nc\uc1 \u259 ? 1-2 zile
dup\uc1 \u259 ? normalizarea temperaturii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Aport crescut de lichide}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Nitrofurane}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. Ce include clasificarea etiologic\uc1 \u259 ? a
cistitelor?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 A. Cistita infec\uc1 \u355 ?ioas\uc1 \u259 ? }{\rtlch
\langfenp1049 \alang1025 Cistita medicamentoas\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Cistita parazitar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Cistita al}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 ergic\uc1 \u259 ? sau neurogen\uc1 \u259 ?}
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Ce se
indic\uc1 \u259 ? \uc1 \u238 ?n tratamentul sindromul nefrotic?}{\rtlch \fcs1
\langfenp1049 \alang1025 Saluretice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Osmodiuretice}
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Inhibitori ai
aldosteronului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Diuretice de ans\uc1
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Ce include
tratamentul formei hematurice a glomerulonefritei?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Memrbanostabilizatori}{\rtlch \fcs1 \af6 \afs24 \ltrch
\alang1025
\langfenp1049 \alang1025 Vitaminoterapia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Dietoterapie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Investiga\uc1 \u355 ?iile
obligatorii \uc1 \u238 ?n cazul suspec\uc1 \u355 ?iei glomerulonefritei sunt:}
\par }\pard \plain \fi0 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Ureea, creatinina, beta-
lipoproteidele, proteina general\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Hemograma}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Sumarul
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Ultrasonografia
rinichilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f6 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt }
complica\uc1 \u355 ?iile terapiei cu glucocorticoizi \uc1 \u238 ?n
glomerulonefrit\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f6 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Osteoporoza}
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Hipertensiunea}{\rtlch \fcs1
\aspnum \adjustright \lin0 \rin0 \tql \tx360 \itap0 \ls278 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 Hipocalcemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Retardul fizic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\alang1025 \ltrch
\alang1025 CM. Ce simptome extrarenale predomin\uc1 \u259 ? \uc1 \u238 ?n GN
acut\uc1 \u259 ? poststreptococic\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Edeme}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Inapeten\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C.}
Febr\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 CM. Indica\uc1 \u355 ?iile pentru efectuarea cistografiei \uc1 \u238 ?n
cazul infec\uc1 \u355 ?iei tractului urinar sunt\uc1 \u160 ?:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Disuria}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Enureza}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Polachiuria}{\rtlch \fcs1 \af6
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Ce metode imagistice
confirm\uc1 \u259 ? diagnosticul de pielonefrit\uc1 \u259 ? la copii\uc1 \u160 ??}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Urografia}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Scintigrafia renal\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Ultrasonografia renal\uc1 \u259 ?}{\rtlch \fcs1 \af6
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Contraindica\uc1
\u355 ?iile pentru urografie\uc1
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 A. }{\rtlch \fcs1
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Sensibilitatea
crescut\uc1 \u259 ? la iod}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 B. \uc1 \u350 ?oc, colaps}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1040 \langfe1049 \langfenp1049 \alang1025 C. Oliguria, anuria, indicii ureei
majora\uc1 \u355 ?i }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 E. Proces activ de tuberculoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Suub ce forme
clinice, mai frecvent, decurge pielonefrita la nou-n\uc1 \u259 ?scu\uc1 \u355 ?i
\uc1 \u351 ?i sugari\uc1 \u160 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Forma acut\uc1
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Forma
asimptomatic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Forma oligosi}
mptomatic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Sub ce masc\uc1 \u259 ? mai frecvent decurge pielonefrita la copiii
nou.n\uc1 \u259 ?scu\uc1 \u355 ?i \uc1 \u351 ?i sugari\uc1 \u160 ??}{\rtlch
\langfenp1049 \alang1025 Sepsis}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Enterocolit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Care sunt indica\uc1 \u355 ?iile pentru urografie\uc1 \u160 ??}
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Colica renal\uc1
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Hipertensiune
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Traumatismul
abdominal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
?i tratamentul pielonefritei acute, forma grav\uc1 \u259 ?\uc1 \u160 ?:}{\rtlch
\langfenp1049 \alang1025 Biterapie antibacterian\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Perfuzii intravenoase}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Monitorizarea diurezei}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1044 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt indica\uc1 \u355 ?
iile pentru efectuarea cistografiei mic\uc1 \u355 ?ionale:}{\rtlch \fcs1 \af6
\loch \f6 \lang1044 \langnp1044 \langfe1049 \langfenp1049 \alang1025 Enureza}
\langnp1044 \langfe1049 \langfenp1049 \alang1025 Prezen\uc1 \u355 ?a la ecografia
rinichilor dup\uc1 \u259 ? mic\uc1 \u355 ?ie a urinei reziduale}{\rtlch \fcs1
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Care sunt cele mai frecvente
maniest\uc1 \u259 ?ri clinice ale pielonefritei acute la copiii mai mari de 3 ani?}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Dureri \uc1 \u238 ?n regiunea
lombar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f9 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Dureri \uc1
\u238 ?n abdomen}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Febr\uc1 \u259
? \uc1 \u238 ?nalt\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Enureza tip organic este determinat\uc1 \u259 ? de\uc1 \u160 ?:}{\rtlch \fcs1
\langfenp1049 \alang1025 Anomalii ale tractului urinar}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Reflux vezico-renal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Stenoza uretrei distale}{\rtlch \fcs1 \af6 \afs24
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Principalele simptome clinice
ale \uc1 \u8221 ?sindromului cistic\uc1 \u8221 ? sunt\uc1 \u160 ?:}{\rtlch \fcs1
\langfenp1049 \alang1025 Polachiuria}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
Care manifest\uc1 \u259 ?ri clinice sunt caracteristice cistite\uc1 \u160 ??}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Tenesme vezicale}{\rtlch \fcs1
\dbch \af2 \hich \af0 \loch \af6 \lang1049
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Urina tulbure cu
miros nepl\uc1 \u259 ?cut}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Sindromul cistic\uc1 \u8221 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Bacteriurie }
nesemnificativ\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
cauzele enurezei idiopatice la copii?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Predispozi\uc1 \u355 ?ie ereditar\uc1 \u259 ?}{\rtlch
\langfenp1049 \alang1025 Tulbur\uc1 \u259 ?ri psihoemo\uc1 \u355 ?ionale}{\rtlch
\langfenp1049 \alang1025 Trauma emo\uc1 \u355 ?ional\uc1 \u259 ? }{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Factorii de risc pentru
pielonefrit\uc1 \u259 ? \uc1 \u238 ?n perioada postnatal\uc1 \u259 ? la copii de
v\uc1 \u226 ?rst\uc1 \u259 ? fraged\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 A. Prematuritate}{\rtlch
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 B. }{\rtlch \fcs1
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Infec\uc1 \u355 ?ie
\alang1025 C. Maladii infec\uc1 \u355 ?ioase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1040 \langfe1049 \langfenp1049 \alang1025 D. Cistit\uc1 \u259 ?
cronic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Criteriile de
diagnostic ale glomerulonefritei cu sindromul nefritic sunt\uc1 \u160 ?:}{\rtlch
\plain \fi0 \li0 \ri0 \lisb0 \sa0
\loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Proteinuria
minor\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Hematuria}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Hipertensiunea arterial\uc1
diagnostice ale sindromului urinar izolat sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Leucociturie tip limfocitar}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Proteinurie mai pu\uc1 \u355 ?in de 2,5 g/24H}{\rtlch
\langfenp1049 \alang1025 Hematurie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Criteriile diagnostice ale formei mixte \uc1 \u238 ?n glomerulonefrit\uc1 \u259 ?
sunt\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Edeme,
hematurie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Proteinurie mai mult de
3.5g/24h}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Proteinurie
neselectiv\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Hipo- \uc1
\u351 ?i disproteinurie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. }{\rtlch
\loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Criteriile de
diagnostic ale formei hematurice \uc1 \u238 ?n glomerulonefrit\uc1 \u259 ? sunt\uc1
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Hematurie moderat\uc1
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Macrohematurie}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Proteinurie p\uc1 \u226 ?n\uc1
\u259 ? la 1.0g/24h}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Complica\uc1 \u355 ?iile care pot surveni \uc1 \u238 ?n rezultatul
tratamentului medicamentos al }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 glomerulonefritei cu
sindrom nefrotic, sunt\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Gonadotropism}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Retard fizic}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Hipercorticism}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Hemoragii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Care pot fi complica\uc1 \u355 ?iile terapiei cu diuretice \uc1 \u238 ?n caz de
glomerulonefrit\uc1 \u259 ?? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lin360 \rin0 \itap0 \ls297 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\loch \f6 \lang1044 \langnp1044 \langfe1049 \langfenp1049 \alang1025 Hipokaliemie}
\aspalpha \aspnum \adjustright
Diselectrolitemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 CM. Ce cuprinde profilaxia litiazei urinare\uc1 \u160 ??}{\rtlch
\langfenp1049 \alang1025 Respectarea ritmului urin\uc1 \u259 ?rii}{\rtlch \fcs1
\langfenp1049 \alang1025 Men\uc1 \u355 ?inerea unei diureze bune}{\rtlch \fcs1 \af6
\langnp1046 \langfe1049 \langfenp1049 \alang1025 CM. Sindromul nefrotic congenital
se caracterizeaz\uc1 \u259 ? prin\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Debutul bolii apare la v\uc1 \u226 ?rsta de 6-8 s\uc1
\u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Proteinurie majorat\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Edeme generalizate}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Hipolipidemie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 CM Tabloul clinic \uc1 \u351 ?i paraclinic \uc1 \u238 ?n
hematuria familial\uc1 \u259 ? benign\uc1 \u259 ?, se caracterizeaz\uc1 \u259 ?
prin\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 A. Patologia este persistent\uc1 \u259 ? la femei}{\rtlch \fcs1 \af6
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 B. Hematuria, mai
frecvent, se stabile\uc1 \u351 ?te la ni\uc1 \u351 ?te analize de urin\uc1 \u259 ?
de rutin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \af6 \hich \af7 \loch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 C. Proteinuria
lipse\uc1 \u351 ?te}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 E. Maladia nu progreseaz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM. Sindromul Alport se caracterizeaz\uc1 \u259 ? prin\uc1
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Afectarea rinichilor}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Afectarea ochilor}{\rtlch \fcs1
\langfenp1049 \alang1025 Hipoacuzia neurosenzorial\uc1 \u259 ?}{\rtlch \fcs1
\langnp1046 \langfe1049 \langfenp1049 \alang1025 CM. Sindromul Alport se
caracterizeaz\uc1 \u259 ? prin\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Predispunere ereditar\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Stigmele de disembriogenez\uc1 \u259 ?}{\rtlch \fcs1
\langfenp1049 \alang1025 Surditate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Hematurie}
\f9 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Dietoterapia
\uc1 \u238 ?n hiperoxalurie include\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Cartofi}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx360 \itap0 \ls302
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Varz\uc1 \u259 ?}{\rtlch
\langfenp1049 \alang1025 Fructe}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Administrarea
abundent\uc1 \u259 ? de }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 lichide}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 CM. Ce se include \uc1 \u238 ?n alimenta\uc1 \u355 ?ia
unui pacient cu hiperoxalurie?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 A. }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Ciocolat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1036 \langfe1049 \langfenp1049 \alang1025 B. Cacao}{\rtlch \fcs1 \af6 \afs24
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 C. Sfecl\uc1 \u259 ? de
mas\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 D. Sup\uc1 \u259 ? concentrat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Scopul tratamentului
sindromului Alport este\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 A. Sus\uc1 \u355 ?inerea vitalit\uc1 \u259 ?\uc1 \u355 ?ii
celulare cu piridoxin\uc1 \u259 ?, cocarboxilaz\uc1 \u259 ?, ATF}{\rtlch \fcs1 \af6
\langnp1040 \langfe1049 \langfenp1049 \alang1025 B. }{\rtlch \fcs1 \af6 \afs24
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Tratament simptomatic}
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 C. Stoparea
procesului de sclerozare a rinichilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. Particularit\uc1 \u259 ?\uc1 \u355 ?ile clinice ale
IRC \uc1 \u238 ?n perioada de debut sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Slabiciune}{\rtlch \fcs1
\langfenp1049 \alang1025 Polidipsie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f6 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Retard fizic}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Nicturie}{\rtlch \fcs1 \af6 \afs24
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Particularit\uc1
\u259 ?\uc1 \u355 ?ile paraclinice ale IRC \uc1 \u238 ?n perioada de debut sunt:}
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Normostenurie}{\rtlch \fcs1
\langfenp1049 \alang1025 Hipostenurie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Anemie normocrom\uc1 \u259 ?, grad mediu sau u\uc1 \u351 ?
or}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM. Particularit\uc1
\u259 ?\uc1 \u355 ?ile clinice ale IRC \uc1 \u238 ?n faza tubular sunt:}{\rtlch
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 A. Copilul obose\uc1
\u351 ?te repede}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 B. Pierde interesul pentru joac\uc1 \u259 ? \uc1 \u351 ?i \uc1 \u351 ?
coal\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 C. Poliurie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 D. Polidipsie }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \af2 \hich \af0 \loch \af6 \lang1049 \langnp1049 \langfe1033
\alang1025 CM. Pentru IRC gr.I sunt caracteristice:}{\rtlch \fcs1 \af6 \afs24
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 A. Tegumente de culoare
icteric\uc1 \u259 ? cu nuan\uc1 \u355 ?\uc1 \u259 ? p\uc1 \u259 ?m\uc1 \u226 ?ntie}
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 B. Prezen\uc1
\u355 ?a sindromului hemoragic }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 C. Hipertensiune arteriala}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 D. Osteoporoza}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Caracteristicele
paraclinice \uc1 \u238 ?n IRC total\uc1 \u259 ? gr.I includ:}{\rtlch \fcs1 \af6
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Hipocaliemia}{\rtlch
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Majorarea ureei}
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 E.\tab }{\rtlch
\loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Acidoza
metabolic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Particularit\uc1 \u259 ?\uc1 \u355 ?ile clinice \uc1 \u238 ?n IRC
total\uc1 \u259 ? gr.II sunt\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Pneumoniile banale sau \uc1 \u8221 ?pneumonia
uremic\uc1 \u259 ?\uc1 \u8221 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Starea asteno-
depresiv\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1049 \langnp1049 \langfe1033 \langfenp1033
\langfenp1049 \alang1025 Gatroenterocolita}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Particularit\uc1
\u259 ?\uc1 \u355 ?ile paraclinice \uc1 \u238 ?n IRC total\uc1 \u259 ? gr.II
sunt\uc1 \u160 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 B. Hipostenuria}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 C. Majorarea creatininei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 D. Hiperkaliemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1036 \langfe1049 \langfenp1049 \alang1025 E. Hiperfosfatemia}{\rtlch
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 CM. Particularit\uc1
\u259 ?\uc1 \u355 ?ile paraclinice \uc1 \u238 ?n IRC gr.III sunt\uc1 \u160 ?:}
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 A. Hiperkaliemia}
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 B. Hipernatriemia}
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 C. Hipocalciemia}
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 D. Hiperazotemia}
indica\uc1 \u355 ?iile pentru hemodializa la copii cu IRC\uc1 \u160 ??}{\rtlch
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 A. Filtra\uc1 \u355 ?ia
glomerular\uc1 \u259 ? mai mic\uc1 \u259 ? de 10ml/m}{\rtlch \fcs1 \af6 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 in 1,73 m}{\rtlch
\loch \f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 \super1 2}
\langnp1040 \langfe1049 \langfenp1049 \alang1025 Creatinina serului mai mare
0.7mmol/l}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
{\listtext \pard \plain \rtlch \fcs1 \af6 \afs22 \ltrch
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Hipercaliemia mai
mare 6.5mmol/l}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 HTA \uc1
\u8221 ?necontrolat\uc1 \u259 ?\uc1 \u8221 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Contraindica\uc1 \u355 ?
iile \uc1 \u238 ?n hemodializa la copii cu IRC sunt\uc1 \u160 ?:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Maladiile psihice}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Tumorile maligne}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Viciile congenitale multiple}{\rtlch \fcs1 \af6 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Ce investiga\uc1 \u355 ?
ii sunt necesare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 pentru argumentarea diagnosticului IRA la copii\uc1 \u160
?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af6
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Hemograma}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Echilibrul acido-bazic, ionograma}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Sumarul urinei, indicii azotici }{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 USG rinichilor \uc1 \u351 ?i vezicii urinare}{\rtlch \fcs1
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM. Principiile de
baz\uc1 \u259 ? \uc1 \u238 ?n tratamentul IRA sunt\uc1 \u160 ?: }{\rtlch \fcs1 \af6
\fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 A. Reastabilirea
circula\uc1 \u355 ?iei sanguine}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 B. Co}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 rec\uc1 \u355 ?ia hemostazei }{\rtlch \fcs1 \af6 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 D. Pre\uc1 \u238 ?nt\uc1
\u226 ?mpinarea complica\uc1 \u355 ?iilor }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \li-360 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin-
360 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\langfenp1049 \alang1025 E. Restabilirea deregl\uc1 \u259 ?rilor metabolice}
pacientului ce a suportat IRA include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af7 \loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 A.
Eviden\uc1 \u355 ?a la pediatru dureaz\uc1 \u259 ? 2 ani}{\rtlch \fcs1 \af6
\langnp1040 \langfe1049 \langfenp1049 \alang1025 B. \uc1 \u206 ?n primele 3 luni
bolnavul va fi examinat o dat\uc1 \u259 ? \uc1 \u238 ?n 14 }{\rtlch \fcs1 \af6
\f6 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 zile}{\rtlch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 D. De la 4-12 luni examinarea va
fi o dat\uc1 \u259 ? \uc1 \u238 ?n lun\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24
\langnp1040 \langfe1049 \langfenp1049 \alang1025 E. \uc1 \u206 ?n anul 2 de
eviden\uc1 \u355 ?\uc1 \u259 ? se prezint\uc1 \u259 ? o dat\uc1 \u259 ? \uc1
\u238 ?n 3 luni }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
particularit\uc1 \u259 ?\uc1 \u355 ?ile modific\uc1 \u259 ?rilor osoase la copii
\uc1 \u238 ?n IRC fa\uc1 \u355 ?\uc1 \u259 ? de adul\uc1 \u355 ?i?}{\rtlch \fcs1
\langnp1040 \langfe1049 \langfenp1049 \alang1025 A. Osteopatia uremic\uc1 \u259 ?
se instaleaz\uc1 \u259 ? mai rapid}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Sunt }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 prezente perturb\uc1 \u259 ?ri ale cre\uc1 \u351 ?terii oaselor lugi}
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 D. }{\rtlch \fcs1
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Int\uc1 \u226 ?rzie
maturitatea scheletic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \loch \f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 E.
Perturb\uc1 \u259 ?ri de cre\uc1 \u351 ?tere a oaselor de membran\uc1 \u259 ?
(maxilarul inferior)}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Alege\uc1
\u355 ?i simptomele ini\uc1 \u355 ?iale ale diabetului zaharat la copil:}{\rtlch
\plain \fi720 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1
\outlinelevel1 \ls310 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
poliurie/nicturie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 polidipsie}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 anorexie}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 sc}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u259 ?dere
ponderal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\u355 ?i problemele de diagnostic diferen\uc1 \u355 ?ial la debutul diabetului
zaharat la copil:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
intoxica\uc1 \u355 ?ii accidentale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 encefalit}
\langfenp1049 \alang1025 \par }\pard \plain \s27 \fi-360 \li360 \ri0 \lisb0 \sa0
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 acidoze
metabolice legate de anumite maladii ereditare de metabolism}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 sindromul De Toni}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 -}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Debre}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 -}{\rtlch \fcs1 \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Fanconi}{\rtlch
\rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 CM. }{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Tratamentul
diabetului zaharat insulinodependent \uc1 \u238 ?nsumeaz\uc1 \u259 ? urm\uc1
\u259 ?toarrele elemente importante:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\adjustright \lin0 \rin0 \tql \tx360 \tql \tx1068 \itap0 \outlinelevel1 \ls312
\ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 alimenta\uc1 \u355 ?ie
special\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 exerci\uc1
\u355 ?ii fizice efectuate regulat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
insulinoterapie cu adaptarea la domiciliu a dozelor de insulin\uc1 \u259 ? \uc1
\u351 ?i autocontrol glicemic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
educa\uc1 \u355 ?ia medical\uc1 \u259 ? specific\uc1 \u259 ? a familiei,
copilului \uc1 \u351 ?i celor apropia\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 CM. Alege\uc1 \u355 ?i principiile de baz\uc1 \u259 ? ale
alimenta\uc1 \u355 ?iei copilului diabetic:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin1080 \rin0 \tql \tx360 \tql \tx1068 \itap0 \outlinelevel1
\ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 planificarea
alimenta\uc1 \u355 ?iei (meal planinning-ul) \uc1 \u351 ?i respectarea orarului
meselor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 limitarea
aportului lipidic, evitarea aportului de sare, glucide}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 extinderea ra\uc1 \u355 ?iei cu glucide \uc1 \u238 ?n
raport cu sc\uc1 \u259 ?derea glicemiei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 individualizarea dietei fiec\uc1 \u259 ?rui copil \uc1
\u238 ?n parte \uc1 \u238 ?n raport cu v\uc1 \u226 ?rsta }{\rtlch \fcs1 \af6 \afs24
complica\uc1 \u355 ?iile insulinoterapiei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 :}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin0 \rin0
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 alergie la
insulin\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 lipodistrofi}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e}
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 fenomenul Somogy
(hiperglicemie }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 matinal\uc1 \u259 ? ca rezultat al scoaterii glucozei din
rezerve)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 insulinorezisten\uc1
\u355 ?\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
complica\uc1 \u355 ?iile cronice degenerative ale diabetului zaharat la copil?}
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 retinopatia
diabetic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
microangiopatia diabetic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 nefropatia diabetic\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1049 \langfe1049 \langfenp1049 \alang1025 macroangiopatia diabetic\uc1 \u259
diabetului insulinodependent la copil presupune:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 examinarea, analizarea \uc1 \u351 ?i discutarea fi\uc1
\u351 ?ei de tratament}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 examenul clinic general}
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 examin\uc1 \u259 ?ri
biologice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
investiga\uc1 \u355 ?ii paraclinice pentru evaluarea func\uc1 \u355 ?iei cardiace,
examenul oftalmologic, ecografia hepatic\uc1 \u259 ? \uc1 \u351 ?i renal\uc1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 CM. Profilaxia
primar\uc1 \u259 ? a diabetului zaharat are ca scop: }{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 interferarea susceptibilit\uc1 \u259 ?\uc1 \u355 ?ii
genetice a copilului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
eliminarea infec\uc1 \u355 ?iilor virale cu tropism pancreatic (evitabile prin
vaccinare)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 excluderea
alimenta\uc1 \u355 ?iei artificiale cu lapte de vac\uc1 \u259 ? la sugarul cu risc
genetic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 tratamentul
maladiilor cronice }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Evacuarea substan\uc1 \u355 ?elor toxice din tractul
gastrointestinal se efectueaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\adjustright \lin0 \rin0 \tql \tx495 \tql \tx990 \tql \tx1080 \tql \tx1260
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 v\uc1 \u259 ?
rs\uc1 \u259 ?turi}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\tx495 \tql \tx990 \tql \tx1080 \tql \tx1260 \itap0 \ls318 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 folosirea purgativelor}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sp\uc1 \u259 ?l\uc1
\u259 ?tur\uc1 \u259 ? gastric\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ingestie de ap\uc1
\u259 ? cald\uc1 \u259 ? cu bicarbonat de sodiu}{\rtlch \fcs1 \af6 \afs24 \ltrch
\lin0 \rin0 \tql \tx1080 \tql \tx1260 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. C\uc1 \u259 ?rbunele
activat este ineficient \uc1 \u238 ?mpotriva intoxica\uc1 \u355 ?iilor cu:}
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 acizi
caustici}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 alcool}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 metale grele}{\rtlch
\adjustright \lin0 \rin0 \tql \tx1080 \tql \tx1260 \itap0 \rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care din
drogurile de mai jos sunt absorbite de carbunele activat?}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 aspirina}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 diazepamul}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 atropina}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 penicilina}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care din urm\uc1
\u259 ?toarele situa\uc1 \u355 ?ii necesit\uc1 \u259 ? urgen\uc1 \u355 ?\uc1
\u259 ? imediat\uc1 \u259 ??}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1033
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 apneea}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 coma}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 convulsiile}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Alege\uc1
\u355 ?i substan\uc1 \u355 ?ele cu toxicitate sc\uc1 \u259 ?zut\uc1 \u259 ?:}
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deodorante}
ampon lichid}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 corticoizi}
Alege\uc1 \u355 ?i substan\uc1 \u355 ?ele cu toxicitate puternic\uc1 \u259 ?:}
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 paracetamol}
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 antidepresive
triciclice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
salicila\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Enumera\uc1 \u355 ?i contraindica\uc1 \u355 ?iile pentru sp\uc1
\u259 ?l\uc1 \u259 ?tur\uc1 \u259 ? gastric\uc1 \u259 ? la pacien\uc1 \u355 ?ii
intoxica\uc1 \u355 ?i:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tql \tx495 \tql \tx990 \tql \tx1080 \tql \tx1260 \itap0 \ls324 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 prezen\uc1 \u355 ?a comei}
prezen\uc1 \u355 ?a convulsiilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx495 \tql \tx990 \tql \tx1080 \tql \tx1260 \itap0 \ls324 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 absen\uc1 \u355 ?a reflexului
faringian}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
deregl\uc1 \u259 ?rile de con\uc1 \u351 ?tiin\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1
\alang1025 CM. Evacuarea substan\uc1 \u355 ?elor toxice din tractul
gastrointestinal se efectueaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 v\uc1 \u259 ?rs\uc1
\u259 ?turi}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 folosirea
purgativelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sp\uc1 \u259 ?
l\uc1 \u259 ?turi gastrice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 folosirea
c\uc1 \u259 ?rbunelui activat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\tql \tx1080 \tql \tx1260 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Dilatarea pupilar\uc1 \u259 ?
sugereaz\uc1 \u259 ? intoxica\uc1 \u355 ?ii cu:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 atropin\uc1 \u259 ?}{\rtlch
\dbch \af2
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 beladon\uc1 \u259 ?}
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx720 \tql \tx1080 \tql
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 efedrin\uc1 \u259 ?}
Cianoza tegumentelor sugereaz\uc1 \u259 ? intoxica\uc1 \u355 ?ii cu:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sulfanilamide}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 nitra\uc1 \u355 ?i}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 anestetice locale}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fenacetin\uc1
\alang1025 CM. Care sunt cauzele tipice \uc1 \u238 ?n intoxica\uc1 \u355 ?iile
acute la copiii de v\uc1 \u226 ?rst\uc1 \u259 ? mic\uc1 \u259 ??}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 intoxica\uc1 \u355 ?iile
cu medicamente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
intoxica\uc1 \u355 ?iile cu chimicale de uz casnic}{\rtlch \fcs1 \af6 \afs24 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 E. intoxica\uc1
\u355 ?iile cu produse petroliere}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\tql \tx1080 \tql \tx1260 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
principiile terapeutice \uc1 \u238 ?n intoxica\uc1 \u355 ?iile acute enterale:}
\tx1260 \itap0 \ls329 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 evaluarea con\uc1 \u355 ?inutului gastric}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 administrarea de
antidoturi nespecifice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
administrarea antidoturilor specifice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 evaluarea con\uc1 \u355 ?inutului
intestinal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
cauzele sindromului de febr\uc1 \u259 ? la copil?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 infec\uc1 \u355 ?iile respiratorii }{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 virale acute}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 traumele cranio-cerebrale}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 intoxica\uc1 \u355 ?
iile acute}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deshidratarea}
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care este caracterul febrei de
origine infec\uc1 \u355 ?ioas\uc1 \u259 ? la copil?}{\rtlch \fcs1 \af6 \afs24
\alang1025 \f2 A.\tab }{\rtlch \fcs1 \af7
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 este o reac\uc1 \u355 ?
ie neurovegetativ\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Men\uc1 \u355 ?iona\uc1 \u355 ?i semnele clinice \uc1 \u238 ?n sindromul de
febr\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 erup\uc1 \u355
?ii cutanate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
hiperexcitabilitate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tahicardie}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 tahipnee}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Sindromul de febr\uc1 \u259 ?
se poate complica cu:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sindrom de
vom\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deshidratare}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Metodele fizice
de combatere a sindromului de febr\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 se scot hainele de pe copil}{\rtlch \fcs1 \af6 \afs24
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7 \lang1048 \langnp1048
\langfe1049 \langfenp1049 \alang1025 rehidratare oral\uc1 \u259 ? cu ceaiuri
fierbin\uc1 \u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 administrarea
lichidelor oral}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ventilare
exogen\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Care din
antipireticile de mai jos se folosesc la sugarul mic?}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 eferalganul}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ceficonul}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 panadolul}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 paracetamolul}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Numi\uc1 \u355 ?i efectele
nefavorabile de cre\uc1 \u351 ?tere a T}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 {\field {\*\fldinst SYMBOL
176 \'5cf "Symbol" \'5cs 12}{\fldrslt \f8 \fs24 }}}{\rtlch \fcs1 \af9 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 peste 39\uc1 \u186 ?C:}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 apari\uc1 \u355 ?ia
convulsiilor }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u351 ?oc
endotoxic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cre\uc1
\u351 ?terea necesarului de lichide \uc1
\u351 ?i calorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 cre\uc1
\u351 ?terea metabolismului bazal cu 10\uc1 \u8211 ?20% pentru fiecare 1}{\rtlch
\loch \f9 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 \uc1 \u186 ?}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Medicamentele
antipiretice sunt necesare:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 c\uc1 \u226 ?nd temperatura central\uc1 \u259 ? este mai mare de
38,6\uc1 \u186 ?C}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 c\uc1 \u226 ?nd temperatura axilar\uc1 \u259 ? este de 39\uc1 \u186 ?C}
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c\uc1 \u226 ?
nd}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6
copilul este febril la culcare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Ce m\uc1 \u259 ?suri trebuie s\uc1 \u259 ? \uc1 \u238 ?nterprind\uc1 \u259 ? mama,
dac\uc1 \u259 ? febra se men\uc1 \u355 ?ine la sugar mai mult de 3 zile?}{\rtlch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 s\uc1 \u259 ? cheme
medicul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 s\uc1 \u259 ?
se prezinte cu copilul \uc1 \u238 ?n sta\uc1 \u355 ?ionar}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. \uc1 \u206 ?n convulsii sunt
perturbate urm\uc1 \u259 ?toarele func\uc1 \u355 ?ii:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 motorii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
senzoriale}{\rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 autonome}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 psihice}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Resuscitarea copilului cu
convulsii include:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 administrarea
de oxigen}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 rehidratarea
oral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 administrarea
medica\uc1 \u355 ?iei anticonvulsivante}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 imobilizarea bolnavului}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce infec\uc1 \u355 ?ii pot
evolua cu sindrom convulsiv?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 IRA cu
neurotoxicoz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 meningita}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 encefalita}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Ce tulbur\uc1
\u259 ?ri metabolice pot induce convulsii la copil?}{\rtlch \fcs1 \af6 \afs24
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipercalcemia}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 hipocalcemia}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 hipoglicemia}{\rtlch \fcs1 \af6
\langnp1048 \langfe1049 \langfenp1049 \alang1025 hipomagneziemia}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Investiga\uc1
\u355 ?iile obligatorii \uc1 \u238 ?n convulsii la copil sunt:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 dozarea electroli\uc1 \u355 ?ilor}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 EEG}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 C.ECO-Eg creierului}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.
Anticonvulsivantele }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 folosite \uc1 \u238 ?n practica pediatric\uc1 \u259 ? sunt
urm\uc1 \u259 ?toarele:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 diazepamul}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fenobarbitalul}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Programul de
supraveghere a copilului care a suportat pentru prima dat\uc1 \u259 ? convulsii
\loch \af6 \hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 supravegherea
medicului de familie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 supravegherea
neurologului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 fenobarbital +
Gluconat de calciu }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfe1049 \langfenp1049 \alang1025 3 luni}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Tactica medicului \uc1 \u238 ?
n cazul primului episod de convulsii la copil prevede:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 administrarea diazepamului }{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 se spitalizeaz\uc1 \u259 ? urgent pentru diagnostic
\uc1 \u351 ?i tratament}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 eviden\uc1
\u355 ?\uc1 \u259 ? de dispensar 1 dat\uc1 \u259 ? pe s\uc1 \u259 ?pt\uc1 \u259 ?
m\uc1 \u259 ?n\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 CM. Ce trebuie s\uc1 \u259 ? cunoasc\uc1 \u259 ? p\uc1 \u259 ?rin\uc1
\alang1025 ii unui copil cu sindrom convulsiv?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 s\uc1 \u259 ? previn\uc1 \u259 ? traumatismele copilului }
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 s\uc1 \u259 ?
administreze corect medicamentele anticonvulsivante}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 s\uc1 \u259 ? aduc\uc1 \u259
? de urgen\uc1 \u355 ?\uc1 \u259 ? copilul la spiutal}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Hemostaza primara
este asigurata de functia:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b) trombocitelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d) endoteliului vascular}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Manifistarile purpurii
trombocitopenice sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b) petesiile}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d) echimozele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Factorii cu
impact in evolutia deficientii de Fe sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 virsta de gestatie}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 anemia la mama}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 masa corporala la nastere}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 multiparitatea}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CMPrincipiile tratamentului anemiilor fieriprive includ:}
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 organizarea alimentatiei
rationale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\itap0 \ls349
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 administrarea remediilor
medicamentoase}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 utilizarea perorala
a medicamentelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 durata terapiei
medicamentoase depinde de gradul de anemizare}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CMEnumerati indicii eficientei terapiei anemiilor
carentiale:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 a)\tab }{\rtlch \fcs1 \af6
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 ameliorarea starii
pacientului }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 recuperarea
indicilor singelui periferic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 reconstituirea
rezervelor de fier}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 cresterea
hemoglobinei cu 10-20 g/l in primele 2-3 saptamini}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 CM Elementele cutanate in vasculita hemoragica poarta
caracter:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 maculo-papulos}
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 simetric}{\rtlch
\langfenp1049 \alang1025 monomorf}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 pruriginos}
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Masurile
terapeutice adecvate in vasculita hemoragica sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 terapia hormonala}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 plasmofereza}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 utilizarea desensibilizantelor}{\rtlch \fcs1 \af6
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Complicatiile grave ale
vasculitei hemoragice sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 invaginatia
intestinala}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 perforatia
intestinala}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 insuficienta renala}
\langfe1033 \langfenp1033 \alang1025 \f2 d)\tab }{\rtlch \fcs1 \af6 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 ictusul}{\rtlch \fcs1
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Remediile medicamentoase
utilizate in terapia vasculitei hemoragice:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 preparate antimicrobiene}{\rtlch \fcs1 \af6 \afs24
\adjustright \lin1800 \rin0 \tql \tx1800 \itap0
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 remedii antivirale (dupa
indicatii)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 glucocorticoizi}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Tipul hematom de
singerare se caracterizeaza prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 a) Hemoragii masive in cavitati}
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d) Formatiuni
dolore}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 e) Hemartroze}
\langfe1049 \langfenp1049 \alang1025 \tab }{\rtlch \fcs1 \af6 \afs24 \ltrch
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM Boala Willebrand se
caracterizeaza prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 c) Gingivoragii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d) Hemoragii moderate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 e) Metroragii}{\rtlch \fcs1
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \tab }
\langfe1049 \langfenp1049 \alang1025 \tab }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 CMCare parametrii biochimici
caracterizeaza boala Willebrand:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1033 \langfenp1033
\alang1025 {\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 a) Timpul de singerare Duke}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 b) Timpul de coagulare
Lee White}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c) Timpul de
coagulare Siticov}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Criteriile de
diagnostic \uc1 \u238 ?n anemia aplastic\uc1 \u259 ? sunt:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 num\uc1 \u259 ?r de leucocite}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 num\uc1 \u259 ?r de granulocite}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 num\uc1 \u259 ?r de eritrocite}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 num\uc1 \u259 ?r de trombocite}{\rtlch \fcs1 \af6
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Selecta\uc1 \u355 ?i programele
contemporane de terapie a anemiei aplastice\uc1 \u160 ?:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 administrarea de Ciclosporina A}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 transplantul de maduva osoas\uc1 \u259 ?}{\rtlch \fcs1
\langfenp1049 \alang1025 utilizarea preparatelor antitimocitare \uc1 \u351 ?i
antilimfocitare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Numi\uc1 \u355 ?i
metodele de terapie corecte \uc1 \u238 ?n tratamentul anemiei aplastice:}{\rtlch
\langfenp1033 \alang1025 \f2 a)\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1040 \langfe1049 \langfenp1049 \alang1025 terapia de substitu\uc1 \u355 ?ie}
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 terepia cu GCS}
\langfe1033 \langfenp1033 \alang1025 \f2 c)\tab }{\rtlch \fcs1 \af7 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 terapia
antibacterian\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Care sunt
parametrii de suspec\uc1 \u355 ?ie a anemiei aplastice\uc1 \u160 ?:}{\rtlch
\langfenp1049 \alang1025 hemoglobina mai mic de 100 g/l}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 trombocitele mai mic de 100*10 }{\rtlch \fcs1 \af6
\f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 \super1 9}{\rtlch
\dbch \f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 /l}{\rtlch
\langfenp1049 \alang1025 leucocitele mai mici de 1*10 }{\rtlch \fcs1 \af6 \afs24
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 \super1 9}{\rtlch
\dbch \f0 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 /l}{\rtlch
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM Ce afirma\uc1 \u355 ?ie nu este
corect\uc1 \u259 ? pentru anemiile hemolitice dob\uc1 \u226 ?ndite\uc1 \u160 ?:}
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 a) au caracter
imun}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 b) pot fi heteroimune}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\rin0 \tql \tx1800 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 d) pot purta caracter autoimun}
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 e)
splenectomia este una din metodele terapeutice de baz\uc1 \u259 ?}{\rtlch
\langnp1040 \langfe1049 \langfenp1049 \alang1025 CM sindromul hemolitic se
\alang1025 a) hepatomegalie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b) icter}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 d) culoarea intunecat\uc1 \u259 ? a urinii}{\rtlch \fcs1 \af6 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 e) splenomegalie}
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 CMCe afirma\uc1
\u355 ?ii sunt corecte }{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 pentru \uc1 \u223 ?-talasemie:}{\rtlch \fcs1 \af6
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 a) este
blocat\uc1 \u259 ? sinteza ansei \uc1 \u223 ? a globinei}{\rtlch \fcs1 \af6
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 b) hemoglobina
redus\uc1 \u259 ? \uc1 \u238 ?n eritrocit}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 d) \uc1 \u238 ?n
eritrocite apar corpusculii Fessas}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Enumera\uc1 \u355 ?i modific\uc1 \u259 ?rile osoase \uc1 \u238 ?n talasemie:}
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 b) facies
mongoloid}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 c) craniul p\uc1 \u259 ?trat}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 d) craniul \uc1 \u238 ?
n perie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM Met}{\rtlch \fcs1
\f9 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 odele de terapie
\uc1 \u238 ?n talasemie:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 transplant
medular}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 terapia de
substitu\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 splenectomia}{\rtlch
\langfenp1049 \alang1025 utilizarea desforalului}{\rtlch \fcs1 \af6 \afs24
\langnp1036 \langfe1049 \langfenp1049 \alang1025 CM Ce afirma\uc1 \u355 ?ii sunt
corecte pentru anemiile hemolitice dob\uc1 \u238 ?ndite:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 pot ap\uc1 \u259 ?rea la ori \uc1 \u351 ?i care v\uc1
\u238 ?rst\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 au la baz\uc1
\u259 ? reac\uc1 \u355 ?ii imunopatologice}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 sunt }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 caracterizate de limfocitoz\uc1 \u259 ?
relativ\uc1 \u259 ? \uc1 \u351 ?i absolut\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 terapia imunosupresiv\uc1 \u259 ? este tratamentul de
baz\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Anemia
feripriv\uc1 \u259 ? la sugari este determinat\uc1 \u259 ? de:}{\rtlch \fcs1
\nooverflow \faroman \lin1080 \rin0 \tql \tx1080 \tql \tx1350 \itap0 \ls361
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deregl\uc1 \u259 ?ri
\uc1 \u238 ?n alimenta\uc1 \u355 ?ia gravidei }{\rtlch \fcs1 \af6 \afs24 \ltrch
\rin0 \tql \tx1080 \tql \tx1350 \itap0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 insuficien\uc1
\u355 ?\uc1 \u259 ? placentar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
prematuritate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\slmult1 \widctlpar \nooverflow \faroman \lin1080 \rin0 \tql \tx1080 \tql
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 sarcin\uc1 \u259 ?
multipl\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM. Cauzele }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 anemiei
caren\uc1 \u355 ?iale la copii pot fi:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 dieta
incorect\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?
ngrijirele insuficiente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 unele maladii
cronice }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\u355 ?i factorii de risc la femeile gravide, care implic\uc1 \u259 ? anemia
caren\uc1 \u355 ?ial\uc1 \u259 ? la copil:}{\rtlch \fcs1 \af6 \afs24 \ltrch
patologia cronic\uc1 \u259 ? renal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
patologia aparatului gastrointestinal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a}
nemia caren\uc1 \u355 ?ial\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 statutul socio-economice
nefavorabile}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
i manifest\uc1 \u259 ?rile clinice ale anemiei feriprive la copii:}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 sl\uc1 \u259 ?biciuni}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 paloarea tegumentelor}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 modific\uc1 \u259 ?ri trofice ale
tegumentelor \uc1 \u351 ?i mucoaselor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 CM. Semnele clinice caracteristice anemiilor feriprive la
copii sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 modific\uc1 \u259 ?
ri de structur\uc1 \u259 ? \uc1 \u351 ?i cre\uc1 \u351 ?terea p\uc1 \u259 ?rului
\uc1 \u351 ?i a unghiilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 stomatita
angular\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 suflu sistolic
func\uc1 \u355 ?ional}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 pica clorotic\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 799 }{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 CM.
Selecta\uc1 \u355 ?i simptomele clinice caracteristice pentru anemia
ferodificitar\uc1 \u259 ? grav\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch
adinamie, hipotonie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\tx1080 \itap0 \ls366 \rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 sch}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 imb\uc1 \u259 ?ri
trofice ale tegumentelor \uc1 \u351 ?i mucoaselor}{\rtlch \fcs1 \af6 \afs24
\fi0 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman
\langfenp1049 \alang1025 pasiune pentru mirosuri strigente (aceton\uc1 \u259 ?,
benzin\uc1 \u259 ?)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 924.CM Bolnavul cu difterie
faringian\uc1 \u259 ? toxic\uc1 \u259 ? prezint\uc1 \u259 ?:}{\rtlch \fcs1 \af6
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Apatie, adinamie,
paliditate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \f2 B.\tab }{\rtlch \fcs1
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Respira\uc1
\u355 ?i}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 e}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 nazal\uc1 \u259 ? \uc1 \u238 ?ngreunat\uc1 \u259 ?}
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Edem cervical}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 925.}{\rtlch \fcs1 \af6 \afs24
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch \fcs1 \af7
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Imunitatea
specific\uc1 \u259 ? \uc1 \u238 ?n difterie este:}{\rtlch \fcs1 \af6 \afs24
\fi207 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Durabil\uc1 \u259 ?}{\rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Antitoxic\uc1 \u259 ?}
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Antimicrobian\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 926.}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM
Importan\uc1 \u355 ?a anginelor \uc1 \u238 ?n patologia uman\uc1 \u259 ? se
datoreaz\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Inciden\uc1
\u355 ?ei mari la copii \uc1 \u351 ?i adolescen\uc1 \u355 ?i}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Caracterului epidemic (anginele virale, streptococice,
difterice)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Complica\uc1 \u355 ?
iilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 severe frecvente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 927.CM Indica\uc1
\u355 ?i complica\uc1 \u355 ?iile tardive \uc1 \u238 ?n angine}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 le}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 streptococice:}
\hich \af0 \dbch \f0 \lang1033 \langnp1033
Reumatism}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 ul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Glomerulonefrita
difuz\uc1 \u259 ? acut\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Eritem}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 ul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 polimorf sau nodos}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
928.CM Complica\uc1 \u355 ?iile scarlatinei sunt:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Otita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Adenoflegmonul}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Encefalita}
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 929.CM Declan\uc1
\u351 ?area glomerulonefritei la bolnavul de scarlatin\uc1 \u259 ? atest\uc1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Oliguria}{\rtlch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Edemul palpebral}{\rtlch \fcs1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 Hematuria}{\rtlch \fcs1 \af6
\langfe1033
\langfenp1049 \alang1025 930.CM Indica\uc1 \u355 ?i semnele comune \uc1 \u238 ?n
rujeol\uc1 \u259 ? \uc1 \u351 ?i erup\uc1 \u355 ?iile alergice:}{\rtlch \fcs1
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Febra}{\rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Erup\uc1 \u355 ?ii
maculopapuloase frecvente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Stomatita,
gingivita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 CM}{\rtlch
\loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Semnul
Filatov-Koplik \uc1 \u238 ?n rujeol\uc1 \u259 ? se distinge prin:}{\rtlch \fcs1
\f9 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Apare \uc1 \u238 ?
n }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch \af6
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 1}
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 -}
\hich \af0 \dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a
2-a }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 zi de boal\uc1 \u259 ? \uc1 \u351 ?i persist\uc1 \u259 ? 2}{\rtlch \fcs1
zile}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1046 \langnp1046 \langfe1049 \langfenp1049 \alang1025 Este de culoare
alb\uc1 \u259 ? pe mucoasa obrajilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1046 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi207
\langfenp1049 \alang1025 Petele nu sunt confluente}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 932.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 CM Artrita \uc1 \u238 ?n rubeol\uc1 \u259 ? se
\alang1025 \f2 A.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\langfenp1049 \alang1025 Afectarea articula\uc1 \u355 ?iilor mici}{\rtlch \fcs1
\af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \loch \af6 \hich
\ltrch \dbch \af2 \hich \af0 \loch \af6 \lang1049
Dureri, tumefac\uc1 \u355 ?ii articulare \uc1 \u351 ?i periar}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 t}{\rtlch \fcs1 \af6
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 iculare}{\rtlch
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Apari\uc1 \u355 ?ia
concomitent cu erup\uc1 \u355 ?ia sau imediat dup\uc1 \u259 ?}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ea}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 933.CM Diagnosticul diferen\uc1
\u355 ?ial al rubeolei se face cu:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Mononucleoza infec\uc1 \u355 ?ioas\uc1 \u259 ?}{\rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Varicela}{\rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Rujeola}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 934.CM \uc1 \u206 ?n tratamentul
meningoencefalitei herpetice se vor }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 utiliza:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Tratament de dezintoxicare \uc1 \u351 ?i deshidratare}
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Acyclovir}{\rtlch
\plain \fi-397 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Virolex}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 935.CM Tabloul clinic al
herpesului simplu cutanat se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1 \af6
{\listtext \pard \plain \rtlch \fcs1
Prurit, durere, }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfe1049 \langfenp1049 \alang1025 arsur\uc1 \u259 ?\uc1 \u8221 ? \uc1 \u238 ?n
regiunea pielii afectate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Erup\uc1 \u355
?ii veziculoase \uc1 \u238 ?n grupuri}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Eroziuni superficiale dup\uc1 \u259 ? }{\rtlch \fcs1
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 spargerea
veziculelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 936.CM Indica\uc1
\u355 ?i complica\uc1 \u355 ?iile specifice ale varicelei (prin virusul
varicelozosterian):}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Pneumonia
primar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Encefalita
(cerebelita)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Erizipel}{\rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ul }
Indica\uc1 \u355 ?i complica\uc1 \u355 ?iile neurologice \uc1 \u238 ?n
varicel\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 \f2 A.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\langfenp1049 \alang1025 Meningoencefalita seroas\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Poliradiculone}{\rtlch \fcs1
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 uropatia}{\rtlch
\fs24 \rtlch \alang1025 \ltrch
\alang1025 Mielita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 938.CM
Tumefac\uc1 \u355 ?ia parotidelor \uc1 \u238 ?n oreion are urm\uc1 \u259 ?toarele
caracteristici:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Produce dureri
la mastica\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Are
consisten\uc1 \u355 ?\uc1 \u259 ? p\uc1 \u259 ?stoas\uc1 \u259 ?}{\rtlch \fcs1 \af6
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Dureroas\uc1 \u259 ?
la }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 ap\uc1 \u259 ?sare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
939.CM Orhita \uc1 \u238 ?n oreion trebuie diferen\uc1 \u355 ?iat\uc1 \u259 ? de:}
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Orhoepididimita
gonococic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Varicocel}
\widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx907 \tql
\tx1080 \itap0 \outlinelevel2 \ls382 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Orhita cu
virusuri Coxsackie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Diagnosticul diferen\uc1 \u355 ?ial \uc1 \u238 ?n pertussis se va face cu:}
\dbch \f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 IRA}{\rtlch
\f0 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Parapertussis}
\widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx360
\loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Mucoviscidoza
\f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 941.CM \uc1 \u206 ?n
care perioade ale bolii, \uc1 \u238 ?n secre\uc1 \u355 ?iile orofaringiene se
identific\uc1 \u259 ? cocobacilul pertussis?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1 \aspalpha \aspnum
\lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 Ultimele zile }
\hich \af0 \loch \f7 \lang1040 \langnp1040 \langfe1049 \langfenp1049 \alang1025 ale
perioadei de incuba\uc1 \u355 ?ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Perioada cataral\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Perioada spasmodic\uc1 \u259 ? (primele zile)}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 942.CM \uc1 \u206 ?n
meningococemie la copii nu pot fi erup\uc1 \u355 ?ii de tip}{\rtlch \fcs1 \af6
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 ul}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 :}{\rtlch \fcs1 \af6
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Eritem nodos}{\rtlch \fcs1 \af6
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Vezicule}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Pustule}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
943.}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\alang1025 \caps1 CM e}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 rup\uc1 \u355 ?ia cutanat\uc1 \u259 ? \uc1 \u238 ?n
meningococemie la copii este:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Hemoragic\uc1 \u259 ? stelat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1049 \langfenp1049 \alang1025 ,}{\rtlch \fcs1 \af6 \afs24 \ltrch
\fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 cu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 necroze centrale}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 Localizat\uc1 \u259 ? pe membrele
inferioare \uc1 \u351 ?i coapse}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Hemoragic\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 f\uc1 \u259 ?r\uc1 \u259 ? necroze centrale}{\rtlch \fcs1
\langnp1033 \langfe1049 \langfenp1049 \alang1025 944.CM Diagnosticul gripei la
copii poate fi confirmat prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Datele epidemiologice}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Manifest\uc1 \u259 ?rile clinice}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Examenul serologic}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 945.CM \uc1 \u206 ?n grip\uc1 \u259 ? la copii nu se
\uc1 \u238 ?nregistreaz\uc1 \u259 ?:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Exantem}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Semnul Filatov-Koplik}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Limfoadenopatie generalizat\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langnp1033 \langfe1049 \langfenp1049 \alang1025 946.CM Paragripa trebuie
diferen\uc1 \u355 ?iat\uc1 \u259 ? de:}{\rtlch \fcs1 \af6
453 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1 \aspalpha
\aspnum \adjustright \lin720 \rin0 \tql \tx964 \tql \tx1080 \itap0
\afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Difteria
laringian\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Corp
str\uc1 \u259 ?in \uc1 \u238 ?n laringe}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Oreion }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\cf13 947.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 CM Sindroamele posibile \uc1 \u238 ?n paragrip\uc1 \u259 ? la copii sunt
urm\uc1 \u259 ?toarele:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Bronhoobstructiv}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 De crup}
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Eruptiv}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 948.CM Indica\uc1 \u355 ?i
particularit\uc1 \u259 ?\uc1 \u355 ?ile adenovirozei la sugari:}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Obstruc\uc1 \u355 ?ie nazal\uc1 \u259 ?}{\rtlch \fcs1 \af6
\langfenp1049 \alang1025 Conjunctivit\uc1 \u259 ? cataral\uc1 \u259 ?}{\rtlch \fcs1
\langfenp1049 \alang1025 Diaree}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 949.CM Semne de reper \uc1 \u238 ?n adenoviroze la copii:}
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Debut subacut cu catar
respirator progresiv}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Semne toxice
generale moderate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Caracterul exudativ}
\hich \af0 \loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 al
inflama\uc1 \u355 ?iei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 950.CM Care simptome
sunt caracteristice bron\uc1 \u351 ?iolitei \uc1 \u238 ?n infec\uc1 \u355 ?ia cu
RS-virus la copii?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Dispnee
pronun\uc1 \u355 ?at\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Raluri crepitante}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Cianoz\uc1 \u259 ?, acrocianoz\uc1 \u259 ?}{\rtlch
\langnp1033 \langfe1049 \langfenp1049 \alang1025 951.CM}{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Terapia de
urgen\uc1 \u355 ?\uc1 \u259 ? la etapa prespitaliceasc\uc1 \u259 ?, \uc1 \u238 ?n
formele grave ale infec\uc1 \u355 ?iei cu RS-virus, include:}{\rtlch \fcs1 \af6
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Oxigen umectat}
\dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Bronholitice
(salbutamol)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Antibiotice i/m}{\rtlch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 952.CM
Preciza\uc1 \u355 ?i afirma\uc1 \u355 ?iile corecte privind enteroviroza la nou-
n\uc1 \u259 ?scu\uc1 \u355 ?i:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Complica\uc1 \u355 ?ii bacteriene frecvente }{\rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Evolu\uc1 \u355 ?ie
trenant\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Disfunc\uc1
\u355 ?ie intestinal\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 953.CM Sindroamele clinice de baz\uc1 \u259 ? \uc1 \u238 ?
n enteroviroze la copii sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\lin720 \rin0 \tql \tx-1418 \tql \tx927 \tql \tx1080 \itap0 \ls396 \rtlch \fcs1
\langfenp1049 \alang1025 Angina herpetic\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24
\fi207 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1
\aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx-1418 \tql \tx927 \tql \tx1080
\itap0 \outlinelevel6 \ls396 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\dbch \f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Diareea}
\aspalpha \aspnum \adjustright \lin720 \rin0 \tql \tx-1418 \tql \tx927 \tql \tx1080
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Meningita }
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 954.CM \uc1 \u206 ?n
poliomielit\uc1 \u259 ? se dezvolt\uc1 \u259 ? paralizii flasce ale:}{\rtlch
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Membrelor }
inferioare \uc1 \u351 ?i superioare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \dbch \f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 N.
facial}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\langfenp1033 \alang1025 {\listtext
\langnp1049 \langfe1049 \langfenp1049 \alang1025 Nervilor intercostali \uc1 \u351 ?
i a diafragmei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 955.CM Care teste de
laborator confirm\uc1 \u259 ? diagnosticul de poliomielit\uc1 \u259 ??}{\rtlch
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Analiza genomica a
tulpinilor viralepolio}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Reac\uc1 \u355
?ia de neutralizare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Reac\uc1 \u355
?ia de fixare a complementului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
956.CM}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 Shigeloza la copii poate realiza urm\uc1 \u259 ?toarele forme clinice
atipice:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Dispeptic\uc1
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Inaparent\uc1
\u259 ? (asimptomatic\uc1 \u259 ?) }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Hipertoxic\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 CM Salmoneloza la sugari
trebuie diferen\uc1 \u355 ?iat\uc1 \u259 ? cu:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 Escherichioze cu Esch. coli enteroinvaziv\uc1 \u259 ? }
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 Klebsieloz\uc1 \u259
? }{\rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 Invagina\uc1 \u355 ?
ia intestinal\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM Diareea
secretorie este caracteristic\uc1 \u259 ? pentru:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Escherichioza cu Esch. enteropatogen\uc1 \u259 ? }
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Escherichioza cu
Esch. enterotoxigen\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1049 \alang1025 Holer\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 959.CM Pentru escherichioza cu }{\rtlch \fcs1 \af6
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \caps1 e}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 sch. coli
enteropatogen\uc1 \u259 ? sunt caracteristice:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Vome repetate, insistente }{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Sindrom de deshidratare pronun\uc1 \u355 ?at\uc1 \u259 ? }
\f0 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Anus beant sau
rezilent}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 960.CM Rolul
germenilor condi\uc1 \u355 ?ionat patogeni \uc1 \u238 ?n apari\uc1 \u355 ?ia bolii
diareice acute la copii poate fi determinat prin:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Izolarea lor din materiile fecale \uc1 \u238 ?n peste 40%
din cazuri}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \par
}\pard \plain \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Colonizarea masiv\uc1
\u259 ? a intestinului cu unul \uc1 \u351 ?i acela\uc1 \u351 ?i germene}{\rtlch
\langfenp1049 \alang1025 Apari\uc1 \u355 ?ia anticorpilor specifici \uc1 \u238 ?n
titre mari}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 961.CM Por\uc1 \u355
?ile de intrare \uc1 \u238 ?n BDA la copii, provocat\uc1 \u259 ? de Proteus
mirabilis, sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 Tractul gastrointestinal}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 C\uc1 \u259 ?ile urinare}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Leziunile tegumentare}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 962.CM}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 Diagnosticul de laborator al infec\uc1 \u355 ?iei
rotavirale la copii include metode orientate spre depistarea:}{\rtlch \fcs1 \af6
\plain \fi720 \li-380 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin-380 \rin0 \tql \tx340 \tql \tx1080 \itap0
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Antigenului rotaviral
\uc1 \u238 ?n materiile fecale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \fi720 \li-380 \ri0
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin-
380 \rin0 \tql \tx340 \tql \tx1080 \itap0 \ls405 \rtlch \fcs1 \af6 \afs22 \ltrch
Anticorpilor antirotavirali \uc1 \u238 ?n s\uc1 \u226 ?nge}{\rtlch \fcs1 \af6
\plain \fi720 \li-380 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin-380 \rin0 \tql \tx340 \tql \tx1080 \itap0
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Virionilor \uc1 \u351 ?i
ARN-ului rotaviral \uc1 \u238 ?n materiile fecale}{\rtlch \fcs1 \af6 \afs24
\langnp1033 \langfe1049 \langfenp1049 \alang1025 963.CM Criteriile de g}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ravitate
ale infec\uc1 \u355 ?iei rotavirale la copii sunt:}{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Gradul de deshidratare }{\rtlch \fcs1 \af6 \afs24
\langfenp1049 \alang1025 Frecven\uc1 \u355 ?a \uc1 \u351 ?i caracterul scaunelor }
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Febra, deregl\uc1
\u259 ?rile neurovegetative \uc1 \u351 ?i circulatorii }{\rtlch \fcs1 \af6
\langnp1033 \langfe1049 \langfenp1049 \alang1025 964.CM Indica\uc1 \u355 ?ii de
spitalizare a copiilor cu boli diareice vor fi:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Diareea acut\uc1 \u259 ? cu semne de deshidratare
sever\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Diareea
acut\uc1 \u259 ? cu semne de deshidratare moderat\uc1 \u259 ? la copii cu
malnutri\uc1 \u355 ?ie sever\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Diareea sangvinolent\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \caps1 CM r}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 ehidratarea
oral\uc1 \u259 ? \uc1 \u238 ?n tratamentul diareii acute la copii nu va contribui
la:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\slmult1 \widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin720 \rin0 \tql
\tx907 \tql \tx1080 \itap0 \outlinelevel2 \ls408 \rtlch \fcs1 \af6 \afs22 \ltrch
Stoparea diareii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lisa0 \sl240 \slmult1 \widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin720
\rin0 \tql \tx907 \tql \tx1080 \itap0 \outlinelevel2 \ls408 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 Mic\uc1 \u351 ?orarea duratei diareii}{\rtlch \fcs1
Reducer}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 ea frecven\uc1 \u355 ?ei scaunelor}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 966.CM Diagnosticul dismicrobismului intestinal se
bazeaz\uc1 \u259 ? pe:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lisa0 \sl240 \slmult1 \widctlpar \keepn1 \aspalpha \aspnum \adjustright
\lin1440 \rin0 \tql \tx709 \itap0 \outlinelevel0 \ls409 \rtlch \fcs1 \af6 \afs22
\langfenp1049 \alang1025 Anamneza bolii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Tabloul clinic \uc1 \u351 ?i evolu\uc1 \u355 ?ia bolii}
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Corpoculturi }
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 CM Factorii
predispozan\uc1 \u355 ?i la dismicrobismul intestinal al nou-n\uc1 \u259 ?scutului
\slmult1 \widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0
\f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Acutizarea
maladiilor }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 cronice \uc1 \u238 ?n timpul sarcinii la gravid\uc1
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Alimenta\uc1 \u355 ?ia
artificial\uc1 \u259 ? precoce}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
Prematuritatea}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 968.CM Care dintre
parametrii clinici \uc1 \u351 ?i paraclinici enumera\uc1 \u355 ?i mai jos sunt
indici de pronostic sever imediat \uc1 \u238 ?n evolu\uc1 \u355 ?ia hepatitei
virale acute?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Mic\uc1
\u351 ?orarea progresiv\uc1 \u259 ? a f}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1049 \langfe1049 \langfenp1049 \alang1025 icatului}{\rtlch \fcs1 \af6 \afs24
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Prezen\uc1 \u355 ?a
sindromului hemoragic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Sc\uc1 \u259 ?
derea rapid\uc1 \u259 ? a titrului de AgHBs}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 969.CM Terapia cu corticosteroizi nu este indicat\uc1
\u259 ? copiilor cu hepatit\uc1 \u259 ? viral\uc1 \u259 ? acut\uc1 \u259 ? \uc1
\u238 ?n:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Forma sever\uc1
\u259 ? a HVE}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Forma sever\uc1
\u259 ? a HVA}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Hepatita
viral\uc1 \u259 ? B forma medie+varicela}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfe1049 \langfenp1049 \alang1025 CM}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Afectarea sistemului reticulo-
endotelial \uc1 \u238 ?n }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 mononucleoza infec\uc1 \u355 ?ioas\uc1 \u259 ? la copii se
\loch \f9 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Mononucleare
atipice \uc1 \u238 ?n s\uc1 \u226 ?ngele periferic}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 Hepatosplenomegalie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1049 \alang1025 Poliadenopatie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfe1049 \langfenp1049 \alang1025 CM Morbiditate maxim\uc1 \u259 ? prin
mononucleoza infec\uc1 \u355 ?ioas\uc1 \u259 ? se \uc1 \u238 ?nregistreaz\uc1 \u259
? la:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\fcs1 \af7 \afs24 \ltrch
\langnp1036 \langfe1049 \langfenp1049 \alang1025 Pre\uc1 \u351 ?colari}{\rtlch
\lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Adolescen\uc1 \u355 ?i}
\f7 \lang1036 \langnp1036 \langfe1049 \langfenp1049 \alang1025 Adultul t\uc1
\u226 ?n\uc1 \u259 ?r}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \caps1 CM d}
iagnosticul diferen\uc1 \u355 ?ial \uc1 \u238 ?n neurotoxicoz\uc1 \u259 ? se va
face cu urm\uc1 \u259 ?toarele boli grave:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\li720 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1 \aspalpha \aspnum
\lang1049 \langnp1049 \langfe1048 \langfenp1048 \alang1025 Encefalita}{\rtlch \fcs1
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Meningita,
meningoencefalita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Spasmofilia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\dbch \f0 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \caps1 CM n}
umi\uc1 \u355 ?i elementele de pronostic nefavorabil \uc1 \u238 ?n neurotoxicoz\uc1
\lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 Diagnostic }{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \uc1 \u351 ?i
tratament tardiv (fazele a 2-a \uc1 \u351 ?i a 3-a)}{\rtlch \fcs1 \af6 \afs24
Prezen\uc1 \u355 ?a sindromului de coagulare intravascular\uc1 \u259 ?
diseminat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 Coma profund\uc1
\langnp1048 \langfe1049 \langfenp1049 \alang1025 998.CM Care din urm\uc1 \u259 ?
toarele investiga\uc1 \u355 ?ii confirm\uc1 \u259 ? diagnosticul TB?}{\rtlch
\langfenp1049 \alang1025 Detectarea bacililor cu propriet\uc1 \u259 ?\uc1 \u355 ?i
acide \uc1 \u238 ?n frotiu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 Cultura
pozitiv\uc1 \u259 ? }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1049 \alang1025 de M. Tuberculosis}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1049 \alang1025 999.CM Care sunt v\uc1 \u226 ?rstele ftiziogene pentru
\slmult1 \widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin1080 \rin0 \tql
\tx720 \tql \tx765 \tql \tx1155 \itap0 \outlinelevel0 \ls418 \rtlch \fcs1 \af6
\langfenp1049 \alang1025 0 - 1 ani}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\adjustright \lin1080 \rin0 \tql \tx720 \tql \tx765 \tql \tx1155 \itap0
\f0 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 12 }{\rtlch \fcs1
ani }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \loch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 1000.CM Formele
clinice ale tuberculozei diseminate miliare sunt urm\uc1 \u259 ?toarele:}
\par }\pard \plain \li720 \ri0 \sb240 \lisb0 \sa60 \lisa0 \sl240 \slmult1
\widctlpar \keepn1 \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0
\outlinelevel3 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
\alang1025 A. tifoid\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1048 \langfe1049 \langfenp1049 \alang1025 C. pulmonar\uc1 \u259 ?}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 D. meningeal\uc1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 801.CM. La copiii cu
anemie caren\uc1 \u355 ?ial\uc1 \u259 ? grav\uc1 \u259 ? se determin\uc1 \u259 ?:}
\nooverflow \faroman \lin720 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a.}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 tahicardie}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.tahipnee}
{\rtlch \fcs1 \af6
\li720 \ri0 \lisb0 \sa200 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman
\langnp1048 \langfe1033 \langfenp1033 \alang1025 c.suflu sistolic}{\rtlch \fcs1
\plain \li720 \ri0 \lisb0 \sa200 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow
\faroman \lin720 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.s}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 plenomegalie
moderat\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 802.CM. Numi\uc1
\u355 ?i semnele caracteristice pentru frotiul de s\uc1 \u226 ?nge periferic
\uc1 \u238 ?n anemiile ferodeficitare la copil:}{\rtlch \fcs1 \af7 \afs24 \ltrch
\lisb0 \sa200 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman \lin720
\rin0 \tql \tx1080 \tql \tx1418 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.hipocromie}{\rtlch
\faroman \lin720 \rin0 \tql \tx1080 \tql \tx1418 \itap0 \rtlch \fcs1 \af6 \afs22
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 microcitoz\uc1 \u259
?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.}
poichilocitoz\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d.anizocromie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 803.CM. Ce
schimb\uc1 \u259 ?ri ale s\uc1 \u226 ?ngelui periferic se constat\uc1 \u259 ? la
copiii cu anemie ferodeficitar\uc1 \u259 ??}{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 a.}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 microcitoz\uc1 \u259 ?}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 e.}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 hipocromie
eritrocitar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 805.CM. Ce produse alimentare cu con\uc1 \u355 ?inut optim de fier se
vor folosi \uc1 \u238 ?n dietoterapia anemiilor caren\uc1 \u355 ?iale?}{\rtlch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.carne de iepure}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 limb\uc1 \u259 ? de
vit\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 806.CM. Tratamentul
formelor u\uc1 \u351 ?oare de anemie caren\uc1 \u355 ?ial\uc1 \u259 ? (gr.I)
prevede:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.}
corec\uc1 \u355 ?ia alimenta\uc1 \u355 ?iei, cu includerea produselor cu con\uc1
\u355 ?inut bogat de fier}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
b.administrarea preparatelor de fier per os}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 807.CM. La care contigente de copii se indic\uc1 \u259 ?
preparate de fier cu scop profilactic?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\alang1025 c.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 copiii cu malnutri\uc1 \u355 ?ie congenital\uc1 \u259 ?}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.copiii prematuri}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 e.gemeni}{\rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 811.CM. Copilul prezint\uc1
\u259 ? riscul de a se \uc1 \u238 ?mboln\uc1 \u259 ?vi de anemie caren\uc1 \u355 ?
ial\uc1 \u259 ?, dac\uc1 \u259 ?:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\alang1025 a.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 provine dintr-o sarcin\uc1 \u259 ? multipl\uc1 \u259 ?}{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 suport\uc1 \u259 ?
m}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 aladii diareice persistente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 c.are helmintoze}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 812.CM. Copiii cu
anemii caren\uc1 \u355 ?iale grave prezint\uc1 \u259 ?:}{\rtlch \fcs1 \af7
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 imunitate sc\uc1
\u259 ?zut\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\rtlch \fcs1 \af6 \afs22
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 retard \uc1 \u238 ?n
dezvoltarea fizic\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\alang1025 c.ret}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1033 \alang1025 ard \uc1 \u238 ?n dezvoltarea neuropsihic\uc1 \u259 ?}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 813.CM. Numi\uc1
\u355 ?i alimentele bogate \uc1 \u238 ?n fier:}{\rtlch \fcs1 \af7 \afs24 \ltrch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.ficat de porc}
\nooverflow \faroman \lin720 \rin0 \tql \tx1080 \tql \tx1418 \itap0 \rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 g\uc1 \u259 ?
lbenu\uc1 \u351 ? de ou}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d.carne de iepure}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 814.CM.
Selecta\uc1 \u355 ?i alimentele vegetale bogate \uc1 \u238 ?n fier?}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 f\uc1 \u259 ?
in\uc1 \u259 ? de ov\uc1 \u259 ?z}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\alang1025 c.ciuperci uscate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.}
m\uc1 \u259 ?ce\uc1 \u351 ?e proaspete}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
815.CM. In}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 dica\uc1 \u355 ?i produsele alimentare care inhib\uc1 \u259 ? absorb\uc1
\u355 ?ia fierului:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
pastele f\uc1 \u259 ?inoase}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
d.polifenolii (ceai)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
{\rtlch
e.preparatele de calciu}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 816.CM.
Indica\uc1 \u355 ?i produsele alimentare care stimuleaz\uc1 \u259 ? absorb\uc1
\u355 ?ia fierului:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
c.fructele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\widctlpar \nooverflow \faroman \lin720 \rin0 \tql \tx1080 \itap0 \rtlch \fcs1 \af6
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 e.vitamina C}{\rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 818.CM. Care pot fi efectele
adverse ale fieroterapiei orale?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 a.culoar}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 ea brun-negricioas\uc1 \u259 ? a scaunului}{\rtlch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 colora\uc1 \u355 ?ia
negricioas\uc1 \u259 ? a din\uc1 \u355 ?ilor (temporar\uc1 \u259 ?)}{\rtlch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 grea\uc1 \u355 ?a}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 e.diareea}{\rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 820.CM. Preparatele de fier cu
scop pr}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 ofilactic se indic\uc1 \u259 ?:}{\rtlch \fcs1 \af7 \afs24 \ltrch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 copiilor n\uc1 \u259
?scu\uc1 \u355 ?i prematur}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 copiilor n\uc1 \u259 ?scu\uc1 \u355 ?i din gemeni}{\rtlch \fcs1 \af7
\faroman \lin720 \rin0 \tql \tx900 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 e.}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 copiilor cu
hipotrofie congenital\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1033
\langfenp1033 \alang1025 821.CM. Selecta\uc1 \u355 ?i afirma\uc1 \u355 ?iile
corecte referitoare la dispensarizarea copiilor cu anemie feripriv\uc1 \u259 ?:}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 medicul de familie
viziteaz\uc1 \u259 ? copilul de 1\uc1 \u8211 ?2 ori pe lun\uc1 \u259 ? \uc1 \u238 ?
n perioada acut\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.}
medicul de familie viziteaz\uc1 \u259 ? copilul o dat\uc1 \u259 ? la 3 luni \uc1
\u238 ?n perioada de remisie}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
analiza de s\uc1 \u226 ?nge se efectueaz\uc1 \u259 ? 1 dat\uc1 \u259 ? la 2
s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?ni \uc1 \u238 ?n perioada acut\uc1
\u259 ? \uc1 \u351 ?i o dat\uc1 \u259 ? la 3 luni \uc1 \u238 ?n perioada de
remisie}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 copilul se scoate de
la eviden\uc1 \u355 ?\uc1 \u259 ? dup\uc1 \u259 ? un 1 an \uc1 \u238 ?n caz de
indici normal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 i hemogramei (Hb, eritrocitele)}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 822. CM. Pe parcu}{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 rsul supravegherii medicale a
copilului cu anemie feripriv\uc1 \u259 ? se observ\uc1 \u259 ? \uc1 \u238 ?n
dinamic\uc1 \u259 ? urm\uc1 \u259 ?toarele manifest\uc1 \u259 ?ri clinice:}
\nooverflow \faroman \lin720 \rin0 \tql \tx900 \tql \tx1080 \itap0 \rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.culoarea
tegumentelor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 c.datele antropometirce}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\tx900 \tql \tx1080 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 e.caracteristica zgomotelor
cardiace}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 823. CM. Care
examin\uc1 \u259 ?ri paraclinice se efecctueaz\uc1 \u259 ? \uc1 \u238 ?n
dinamic\uc1 \u259 ? copiilor cu anemie feripriv\uc1 \u259 ? pe parcursul
dispensariz\uc1 \u259 ?rii?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
a.hemograma (Hb, eritrocitele)}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 b.nivelul fierului seric}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
824. CM. Selecta\uc1 \u355 ?i afirma\uc1 \u355 ?iile corecte:}{\rtlch \fcs1 \af7
\langnp1048 \langfe1033 \langfenp1033 \alang1025 a.leucemiile sunt boli maligne}
leucemii procesul patologic intereseaz\uc1 \u259 ? ini\uc1 \u355 ?ial m\uc1 \u259 ?
duva osoas\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 e.}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 se remarc\uc1 \u259 ? o
inciden\uc1 \u355 ?\uc1 \u259 ? crescut\uc1 \u259 ? a leucemiilor acute \uc1
\u238 ?n multe boli genetice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 825. CM. Sindr}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1033 \langfenp1033 \alang1025 omul de insuficien\uc1 \u355 ?\uc1
\u259 ? medular\uc1 \u259 ? se caracterizeaz\uc1 \u259 ? prin:}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.anemie}{\rtlch
\aspnum \adjustright \lin720 \rin0 \tql \tx900 \tql \tx1080 \itap0 \rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 infec\uc1 \u355 ?ii}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 manifest\uc1
\alang1025 ri hemoragice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 826. CM. Sindromul tumoral se caracterizeaz\uc1 \u259 ?
prin:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
a.limfadenopatie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langnp1048 \langfe1033 \langfenp1033 \alang1025 b.hepatomegalie}{\rtlch \fcs1 \af6
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.splenomegalie}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.atingeri osoase}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 827. CM. \uc1
\u206 ?n leucemii hemograma eviden\uc1 \u355 ?iaz\uc1 \u259 ?:}{\rtlch \fcs1
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 \par
}\pard \plain \li720 \ri0 \lisb0 \sa200 \lisa0 \sl240 \slmult1 \widctlpar
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.anemie}{\rtlch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.trombocitopenie}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.mo}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 dific\uc1
\u259 ?ri ale seriei leucocitare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1033 \alang1025 828. CM. Tratamentul leucemiilor acute const\uc1
\u259 ? \uc1 \u238 ?n:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 a.tratame}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1033 \alang1025 ntul infec\uc1 \u355 ?iilor supraad\uc1 \u259 ?ugate}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 corectarea anemiei
cu transfuzii de mas\uc1 \u259 ? eritrocitar\uc1 \u259 ?}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 tratamentul de
sus\uc1 \u355 ?inere psihologic}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 e.tratamentul specific}{\rtlch
\aspnum \adjustright \lin0 \rin0 \tql \tx900 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 829. CM. Selecta\uc1
\u355 ?i afirma\uc1 \u355 ?iile corecte:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 \uc1 \u238 ?n
func\uc1 \u355 ?ie de prognostic, leucemiile acute limfoblastice pot avea un risc
mic, risc intermediar sau risc mare de rec\uc1 \u259 ?dere}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 r\uc1 \u259 ?spund
bine la tratamentul leucemiilor pacien\uc1 \u355 ?ii cu rec\uc1 \u259 ?deri tardive
(dup\uc1 \u259 ? 18 luni de la debut)}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1033 \langfenp1033 \alang1025 d.}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 pacientul
supravie\uc1 \u355 ?uitor al leucemiilor acute mieloide este mai mic dec\uc1
\u226 ?t \uc1 \u238 ?n leucemiile limfoblastice acute}{\rtlch \fcs1 \af7 \afs24
\fs24 \rtlch \alang1025 \ltrch \dbch \af2
e.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 cu
tratamentul actual supravie\uc1 \u355 ?uirea a ajuns la 10 ani de la debut}
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 830. CM. Selecta\uc1
\u355 ?i caracteristicile limfomului Ho}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1033 \langfenp1033 \alang1025 djkin?}{\rtlch \fcs1 \af6
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 este mai frecvent la
b\uc1 \u259 ?ie\uc1 \u355 ?i}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 mai frecvent sunt afecta\uc1 \u355 ?i ganglionii cervicali}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 e.diagnosticul este
st}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2
abilit prin biopsie ganglionar\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 831. CM. Reac\uc1 \u355 ?iile
leucemoide de origine macrocitar-macrofagal\uc1 \u259 ? (monocitare) se
depisteaz\uc1 \u259 ? \uc1 \u238 ?n urm\uc1 \u259 ?toarele maladii:}{\rtlch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.vasculite sistemice}
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.reumatism}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 colita
ulceroas\uc1 \u259 ? nespecific\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 d.sarcoidoza}{\rtlch \fcs1 \af6
\aspnum \adjustright \lin0 \rin0 \tql \tx900 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 832. CM. Care sunt
cauzele ce provoac\uc1 \u259 ? reac\uc1 \u355 ?ii leucemoide de origine
limfocitar\uc1 \u259 ??}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 a.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 infec\uc1 \u355 ?iile virale}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1033 \langfenp1033 \alang1025 b.pertusisul}{\rtlch \fcs1 \af6
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1
\loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.}{\rtlch
\loch \f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 insuficien\uc1
\u355 ?a cardiac\uc1 \u259 ? acut\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 833. CM. Care sunt caracteristicile limfogranulomatozei la
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 constituie 13\uc1
\u8211 ?15% din toate tumorile maligne \uc1 \u238 ?nregistrate la copii}{\rtlch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.mai frecvent se }
depisteaz\uc1 \u259 ? la v\uc1 \u226 ?rsta de 5\uc1 \u8211 ?8 ani}{\rtlch \fcs1
\langnp1048 \langfe1033 \langfenp1033 \alang1025 835. CM. Care sunt cauzele
apari\uc1 \u355 ?iei enurezi}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 sului organic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 a.uretrita}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\sa200 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman \lin720 \rin0
\alang1025 b.refluxul vezico-renal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\sa200 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman \lin720 \rin0
\alang1025 maladii endocrine \uc1 \u351 ?i metabolice}{\rtlch \fcs1 \af6 \afs24
\langnp1048 \langfe1033 \langfenp1033 \alang1025 836. CM. Selecta\uc1 \u355 ?i
afirma\uc1 \u355 ?iile corecte:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.enurezisul poate
fi primar }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.enurezisul poate
fi secundar }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 mic\uc1 \u355 ?
iunile involuntare apar m}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 ai frecvent noaptea}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 837. CM. \uc1 \u206 ?n anamnesticul pacientului cu
enurezis sunt importante:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\dbch \af2 \hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033
\langfenp1033 \alang1025 a.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 momentul debutului \uc1 \u238 ?n raport cu instalarea
controlului sfincterian}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.}
ambian\uc1 \u355 ?a familial\uc1 \u259 ? \uc1 \u351 ?i social\uc1 \u259 ?}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.tipul
enurezisului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.}
existen\uc1 \u355 ?a unui is}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 toric familial pozitiv al bolii}{\rtlch \fcs1 \af6
\langnp1048 \langfe1033 \langfenp1033 \alang1025 838. CM. Selecta\uc1 \u355 ?i
elementele anamnestice sugestive pentru enurezis:}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.poliurie}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.polidipsie}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 constipa\uc1 \u355 ?
ie sau encoprezis}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 839. CM. Examenul
paraclinic la copii cu enurezis va include obligatoriu:}{\rtlch \fcs1 \af6
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.examenul sumar al
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.examenul biochimic
al urinei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.examenul
bacteriologic al urinei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 840. CM. Examenul
clinic \uc1 \u238 ?n abordarea diagnosticului de}{\rtlch \fcs1 \af6 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 enurezis la copil va
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 examenul abdominal
minu\uc1 \u355 ?ios}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 b.examenul genital extern}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 c.}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 inspec\uc1 \u355 ?ia regiunii sacrale}{\rtlch \fcs1
\faroman \lin720 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0 \fs22 \rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 d.evaluarea tonusului sfincterului
anal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 841. CM.
Diagnosticul diferen\uc1 \u355 ?ial al enurezisului se face cu urm\uc1 \u259 ?
toarele boli:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.diabetul insipid}
\nooverflow \faroman \lin720 \rin0 \itap0 \rtlch \fcs1 \af6 \afs22 \ltrch \fcs0
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.vulvovaginite}
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 c.diabetul zaharat}
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 d.anomalii de dezvoltare
a tractului urinar}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
Supravegherea copiilor cu enurezis include urm\uc1 \u259 ?toarele m\uc1 \u259 ?
suri:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 a.}
sfaturi educative pentru copil \uc1 \u351 ?i familie}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.excluderea altor
patologii concomitente}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
formarea unui reflex condi\uc1 \u355 ?ionat la timpul mic\uc1 \u355 ?iunii
probabile}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 sus\uc1 \u355 ?
inerea moral\uc1 \u259 ? a familiei \uc1 \u351 ?i copilului}{\rtlch \fcs1 \af6
\langnp1048 \langfe1033 \langfenp1033 \alang1025 844. CM. Terapia motiva\uc1
\u355 ?ional\uc1 \u259 ? include o serie de \uc1 \u8222 ?\uc1
\u351 ?edin\uc1 \u355 ?e de sfaturi\uc1 \u8221 ?. Selecta\uc1 \u355 ?i-le pe cele
corecte:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 A. urineaz\uc1
\u259 ? sistematic \uc1 \u238 ?nainte de culcare}{\rtlch \fcs1 \af7 \afs24
540 \li1260 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \nooverflow \faroman
\lin1260 \rin0 \tql \tx900 \tql \tx1080 \tql \tx1260 \itap0 \ls419 \rtlch \fcs1
\langfenp1033 \alang1025 \uc1 \u355 ?ine calendar cu nop\uc1 \u355 ?ile uscate \uc1
\u351 ?i umede}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 \uc1
\u238 ?\uc1 \u351 ?i schimb\uc1 \u259 ? patul \uc1 \u351 ?i hainele ude}{\rtlch
\nooverflow \faroman \lin1260 \rin0 \tql \tx900 \tql \tx1080 \tql \tx1260 \itap0
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 nu i se vor adresa
repro\uc1 \u351 ?uri}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 845. CM. Ce
investiga\uc1 \u355 ?ii se efectueaz\uc1 \u259 ? \uc1 \u238 ?n cadrul
asisten\uc1 \u355 ?ei medicale primare de c\uc1 \u259 ?tre medicul de familie pe
parcursul dispanseriz\uc1 \u259 ?rii copiilor cu enurezis?}{\rtlch \fcs1 \af7
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 analiza
general\uc1 \u259 ? a s\uc1 \u226 ?ngelui}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048 \langfe1033 \langfenp1033 \alang1025 b.}{\rtlch \fcs1 \af7 \afs24
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 analiza general\uc1
\u259 ? a urinei}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\hich \af0 \loch \f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 USG
abdominal\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 846. CM. Enurezisul
secundar tip organic este determinat de: }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1048 \langfe1033 \langfenp1033 \alang1025 a.anomalii ale tractului urinar}
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 b.reflux RVU}{\rtlch
\f7 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 stenoza
distal\uc1 \u259 ? a uretrei}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\fcs1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 854.CM. Tratamentul
pubert\uc1 \u259 ?\uc1 \u355 ?ii tardive prevede:}{\rtlch \fcs1 \af7 \afs24
\langnp1033 \langfe1033 \langfenp1033 \alang1025 a.terapia leziunilor responsabile}
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 prevenirea
tulbur\uc1 \u259 ?rilor emo\uc1 \u355 ?ionale}{\rtlch \fcs1 \af7 \afs24 \ltrch
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 administrarea terapiei
orientate spre normalizarea func\uc1 \u355 ?iei diencefalice}{\rtlch \fcs1 \af7
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 e.}{\rtlch \fcs1 \af6
\f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 administrarea
estrogenilor}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1033 \alang1025 \par }\pard \plain \s22 \li0 \ri0 \lisb0 \lisa0 \widctlpar
\rtlch \fcs1 \af0 \afs20 \ltrch \fcs0 \fs20 \rtlch \alang1025 \ltrch \lang1033
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 855.CM. Examenul
profilactic trebuie efectuat \uc1 \u238 ?n mod obligatoriu:}{\rtlch \fcs1 \af7
\plain \s22 \fi-528 \li1248 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 {\listtext
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2 A.\tab }
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 la
1 an}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 \par }\pard \plain \s22 \fi-528 \li1248 \ri0 \lisb0 \lisa0 \widctlpar
\aspalpha \aspnum \adjustright \lin1248 \rin0 \tql \tx851 \tql \tx1080 \tql \tx1248
\alang1025 \ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025
\alang1025 \ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2
B.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 c\uc1 \u226 ?nd feti\uc1 \u355 ?a este dus\uc1 \u259 ? la gr\uc1 \u259 ?
dini\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1049 \alang1025 \par }\pard \plain \s22 \fi-528 \li1248 \ri0 \lisb0 \lisa0
\fcs0 \fs20 \rtlch \alang1025 \ltrch \lang1033 \langnp1033 \langfe1049
\langnp1048 \langfe1049 \langfenp1049 \alang1025 la 14\uc1 \u8211 ?15 ani}
\par }\pard \plain \s22 \fi-528 \li1248 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha
\aspnum \adjustright \lin1248 \rin0 \tql \tx851 \tql \tx1080 \tql \tx1248 \tql
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2 D.\tab }
\hich \af0 \loch \f6 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 la
18 ani}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \par }\pard \plain \s22 \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha
\ltrch \fcs0 \fs20 \rtlch \alang1025 \ltrch \lang1033 \langnp1033 \langfe1049
\langfenp1049 \alang1025 860. CM. Care sunt cauzele hipotiroidismului congenital? }
\par }\pard \plain \s22 \fi-360 \li1080 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha
\fcs1 \af0 \afs20 \ltrch \fcs0 \fs20 \rtlch \alang1025 \ltrch \lang1033 \langnp1033
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 deficit izolat de TSH cu
transmitere autosomal dominant\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1048 \langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \s22 \fi-360
\li1080 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\rtlch \alang1025 \ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025
\alang1025 aginezie hipofizar\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1048
\langfe1049 \langfenp1049 \alang1025 \par }\pard \plain \s22 \fi-360 \li1080
\ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \tql
C.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 absen\uc1 \u355 ?a \uc1 \u351 ?eii turce\uc1 \u351 ?ti}{\rtlch \fcs1
\af0 \afs20 \ltrch \fcs0 \fs20 \rtlch \alang1025 \ltrch \lang1033 \langnp1033
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 malforma\uc1 \u355 ?iuni
de dezvoltare a tiroidei}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 861. CM. Hipot}
iroidismul congenital se caracterizeaz\uc1 \u259 ? prin urm\uc1 \u259 ?toarele
semne:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \par }\pard \plain \s2 \fi-437 \li1157 \ri0 \sb0 \lisb0 \sa0 \lisa0
\tql \tx1080 \itap0 \outlinelevel1 \ls422 \rtlch \fcs1 \af5 \afs28 \ltrch \fcs0 \b1
\i1 \fs28 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af5 \lang1049
\fcs1 \af5 \afs28 \ltrch \fcs0 \b1 \i1 \fs28 \rtlch \alang1025 \ltrch \dbch \af2
\f2 A.\tab }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b0 \i1 \fs24 \rtlch
\langfenp1049 \alang1025 cretinism}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b0
\i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f6 \lang1049
\langfenp1033 \alang1025 nanism dismorfic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\li1157 \ri0 \sb0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \keepn1
\outlinelevel2 \ls422 \rtlch \fcs1 \af5 \afs26 \ltrch \fcs0 \b1 \fs26 \rtlch
{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 tegumente uscate, infiltrate}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\b0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f6 \lang1049
\langfenp1033 \alang1025 E.}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0
\f7 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 nt\uc1 \u226 ?
rzierea dezvolt\uc1 \u259 ?rii sexuale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s22 \li0 \ri0 \lisb0
\lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx5103 \itap0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 862. CM. Nota\uc1
\u355 ?i semnele precoce ale hipotiroidismului congenital la copii de v\uc1 \u226 ?
rst\uc1 \u259 ? mai mare. }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
convulsii repetate }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2 B.\tab }
hipotonie muscular\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \tql
C.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 constipa\uc1 \u355 ?ii}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
E.macroglosie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \af2 \hich \af0 \loch \f6 \lang1048 \langnp1048
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 863. CM. C\uc1 \u259 ?
rei cauze se datoreaz\uc1 \u259 ? apari\uc1 \u355 ?ia hipotiroidismului dob\uc1
\u226 ?ndit?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
proceselor autoimune}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
traumelului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2 C.\tab }
proceselor tumorale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2 D.\tab }
medica\uc1 \u355 ?iei antitireoidiene de sintez\uc1 \u259 ?}{\rtlch \fcs1 \af6
\plain \s22 \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0
864. CM. Tratamentul hipotiroidismului implic\uc1 \u259 ?:}{\rtlch \fcs1 \af7
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 \uc1 \u238 ?nceperea lui
c\uc1 \u226 ?t mai devreme}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
preparatele se vor administra \uc1 \u238 ?n doze progresive}{\rtlch \fcs1 \af7
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 preparatele se vor
administra de 2 ori pe s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?n\uc1 \u259 ?}
\par }\pard \plain \s22 \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum
\langfenp1049 \alang1025 E tratamentul va fi incontinuu}{\rtlch
\plain \s22 \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0
865. CM. Clasificarea gu\uc1 \u351 ?ei. Nota\uc1 \u355 ?i afirma\uc1 \u355 ?iile
corecte:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \par }\pard \plain \s22 \fi-360 \li1080 \ri0 \lisb0 \lisa0 \widctlpar
\loch \f7 \lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 gu\uc1
\u351 ?\uc1 \u259 ? congenital\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch
\li1080 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0
\alang1025 gu\uc1 \u351 ?\uc1 \u259 ? endemic\uc1 \u259 ? sau sporadic\uc1 \u259 ?}
{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\ltrch \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 \f2 C.\tab }
gu\uc1 \u351 ?\uc1 \u259 ? dob\uc1 \u226 ?ndit\uc1 \u259 ?}{\rtlch \fcs1 \af6
\plain \s26 \li0 \ri0 \lisb0 \sa120 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\langnp1049 \langfe1033 \langfenp1033 \alang1025 866. CM. Tratamentul gu\uc1
\u351 ?ei presupune: }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s22 \li720 \ri0 \lisb0 \lisa0
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 a.corectarea
hipotiroidismului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 c.administrarea
preparatelor de iod }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\lang1048 \langnp1048 \langfe1049 \langfenp1049 \alang1025 d.tratamentul
chirurgical}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
Clasificarea maladiilor ereditare include:}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s24 \li720
\ri0 \lisb0 \sa120 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 maladii cauzate de
muta\uc1 \u355 ?ii}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s24 \li720 \ri0 \lisb0 \sa120
\alang1025 d.maladii genice}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 e.maladii polifactoriale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 868. CM. Clasificarea clinic\uc1 \u259 ? a maladiilor monogene denot\uc1
\alang1025 \par }\pard \plain \s24 \li720 \ri0 \lisb0 \sa120 \lisa0 \sl240 \slmult1
a.maladii ale sistemului osos}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1033 \langfe1033 \langfenp1033 \alang1025 c.maladii ale metabolismului
mineral}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
d.maladii ale metabolismului glucidic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1033 \langfenp1033 \alang1025 e.maladii ale metabolismului
lipidic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\alang1025 \par }\pard \plain \s24 \li0 \ri0 \lisb0 \sa120 \lisa0 \sl240
\langfenp1033 \alang1025 869. CM. Exist\uc1 \u259 ? urm\uc1 \u259 ?toarele
mecanisme de transmitere a maladiilor ereditare:}{\rtlch \fcs1 \af7 \afs24
\s24 \fi360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\langfenp1033 \alang1025 \ul1 autozomal dominant}{\rtlch \fcs1 \af6 \afs24
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \ul1 \par }\pard
\plain \s24 \fi360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\langnp1049 \langfe1033 \langfenp1033 \alang1025 \ul1 recisiv dominant}{\rtlch
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \ul1
\par }\pard \plain \s24 \fi360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \ul1 X linkat}{\rtlch
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \ul1
\par }\pard \plain \s24 \li0 \ri0 \lisb0 \sa120 \lisa0 \sl240 \slmult1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 870. CM. Care
maladii au transmitere autozomal dominant\uc1 \u259 ??}{\rtlch \fcs1 \af7
\plain \s24 \li720 \ri0 \lisb0 \sa120 \lisa0 \sl240 \slmult1 \widctlpar
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a.maladia Marfan}
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 b.sindromul Crigler
tip II}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
d.sindromul Jilber}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 e.sindromul Alport}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 871. CM. Selecta\uc1 \u355 ?i caracterele generale ale maladiilor
transmise autozomal dominante: }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af6
\plain \rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch
\alang1025 \f2 A.\tab }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \b0 \fs24 \rtlch
\langfenp1049 \alang1025 genul mutant se manifest\uc1 \u259 ? incontestabil}{\rtlch
\par }\pard \plain \s23 \fi-468 \li1188 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2
{\listtext \pard \plain \rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch
\ltrch \fcs0 \b0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f7
\lang1049 \langnp1049 \langfe1049 \langfenp1049 \alang1025 b\uc1 \u259 ?ie\uc1
\u355 ?ii \uc1 \u351 ?i feti\uc1 \u355 ?ele se \uc1 \u238 ?mboln\uc1 \u259 ?vesc cu
aceea\uc1 \u351 ?i frecven\uc1 \u355 ?\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch
\s23 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b1 \fs24
\langfe1049 \langfenp1049 \alang1025 {\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \b0
\langnp1033 \langfe1049 \langfenp1049 \alang1025 E.unul dint}{\rtlch
\hich \af0 \loch \f7 \lang1033 \langnp1033 \langfe1049 \langfenp1049 \alang1025 re
p\uc1 \u259 ?rin\uc1 \u355 ?i este neap\uc1 \u259 ?rat bolnav}{\rtlch \fcs1 \af6
\aspnum \adjustright \lin0 \rin0 \itap0
872. CM. Care maladii au transmitere autozomal recisiv\uc1 \u259 ??}{\rtlch
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A.}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 fibroza
chistic\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 B.galactozemia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 D.fenilcetonuria}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 E.sindromul Elers Danlos}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 873. CM. Care sunt semnele precoce ale fenilcetonuriei?}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 diareea
trenant\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 v\uc1 \u259 ?rs\uc1 \u259 ?turile nemotivate}{\rtlch \fcs1 \af7
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 d.convulsiile}{\rtlch
\langnp1033 \langfe1033 \langfenp1033 \alang1025 874. CM. Care sunt semnele
fenilcetonuriei \uc1 \u238 ?n perioada manifest\uc1 \u259 ?rilor clinice complete?}
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 retard}{\rtlch \fcs1
\f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 ul}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 psihic \uc1 \u351 ?
i fizico}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 -}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1033 \alang1025 statural}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1033 \alang1025 reac\uc1 \u355 ?ia Feling pozitiv\uc1 \u259 ?}{\rtlch
\plain \s24 \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\langnp1049 \langfe1033 \langfenp1033 \alang1025 hipertensiun}{\rtlch \fcs1 \af7
\f7 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 ea arterial\uc1
\alang1025 \par }\pard \plain \s24 \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 fenotipul
specific}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 875. CM. Obiectivele
de tratament al fenilchetonuriei sunt:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfenp1033 \alang1025 limitarea produselor bogate \uc1 \u238 ?n proteine}{\rtlch
\langnp1033 \langfe1033 \langfenp1033 \alang1025 administrarea suplimentar\uc1
\u259 ? a vitaminelor \uc1 \u351 ?i a mineralelor}{\rtlch \fcs1 \af7 \afs24
\langnp1033 \langfe1033 \langfenp1033 \alang1025 D.folosirea
preparatelor adaptate }{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 cu con\uc1 \u355 ?inut redus de a}{\rtlch \fcs1 \af6
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 minoacizi}{\rtlch
\loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }
Manifest\uc1 \u259 ?rile clinice principale \uc1 \u238 ?n galactozemie la sugari
\loch \f7 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 v\uc1 \u259 ?
rs\uc1 \u259 ?turile}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\langfenp1033 \alang1025 \par }\pard \plain \s24 \fi-360 \li1080 \ri0 \lisb0
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 diareea}
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 hepatomegalia}{\rtlch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 icterul}{\rtlch \fcs1 \af6
\langnp1033 \langfe1033 \langfenp1033 \alang1025 877. CM. }{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Galactozemia la
copii
mai mari se manifest\uc1 \u259 ? \uc1 \u238 ?n special prin:}{\rtlch \fcs1 \af7
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a.retard staturo-
ponderal}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 cataract\uc1
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 d.tetrapareze}
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ciroz\uc1 \u259 ?
hepatic\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 878. CM. Semnele
precoce ale distrofiei musculare Duchenne sunt urm\uc1 \u259 ?toarele:}{\rtlch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 mers \uc1 \u8222 ?
leg\uc1 \u259 ?nat\uc1 \u8221 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 dificult\uc1 \u259 ?\uc1 \u355 ?i progresive la ridicarea sc\uc1 \u259 ?
rilor}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
pseudohipertofie muscular\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 cardiomegalie
dilatativ\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 879. CM. Sunt
definite ca maladii cromozomiale:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langnp1033 \langfe1033 \langfenp1033 \alang1025 a.maladia Down}{\rtlch \fcs1
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 b.sindromul Turner}
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 d.sindromul
Klainfelter}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\sl240 \slmult1
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 880. CM. Trisomia 21
este un sindrom clinic caracterizat prin:}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 uneori, lipsa gonadelor}{\rtlch \fcs1 \af6 \afs24
\s24 \fi360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 \uc1 \u238 ?nt\uc1 \u226
?rziere mental\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s24 \fi360 \li360 \ri0 \lisb0 \sa0
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 dismorfii
particulare }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 cariotip 47,
XX+21}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
Fenotipul \uc1 \u238 ?n trisomia 21 este sugestiv pentru diagnostic prin:}
\par }\pard \plain \s24 \fi360 \li360 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 aspect
mongoloid}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
bolnavii seam\uc1 \u259 ?n\uc1 \u259 ? mai mult \uc1 \u238 ?ntr}{\rtlch \fcs1
\f9 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 e ei dec\uc1 \u226 ?
t cu propriile rude}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24 \rtlch
\hich \af0 \loch \f7 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 nas
mic, l\uc1 \u259 ?rgit la baz\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 E.facies
lunar inexpresiv}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\alang1025 882. CM. Care semne generale sunt caracteristice sindromului Down?}
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich
\af0 \loch \f7 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 gura
\uc1 \u238 ?ntredeschis\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfenp1033 \alang1025 protruzia limbii}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 hiperreflecxibilitatea membrelor}{\rtlch \fcs1 \af6 \afs24
\langnp1033 \langfe1033 \langfenp1033 \alang1025 883}{\rtlch \fcs1 \af7 \afs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 . CM. Sindromul \uc1
\u350 ?ere\uc1 \u351 ?evski-Turner la nou-n\uc1 \u259 ?scut se caracterizeaz\uc1
\u259 ? prin:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 edeme
posterioare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f9 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 g\uc1 \u226 ?t
scurt, hipermobilitatea pielii pe g\uc1 \u226 ?t}{\rtlch \fcs1 \af9 \afs24
\s24 \fi-360 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\langnp1049 \langfe1033 \langfenp1033 \alang1025 cardiopatii congenital}{\rtlch
\langnp1048 \langfe1033 \langfenp1033 \alang1025 884. CM. \uc1 \u206 ?n sindromul
Turner se administreaz\uc1 \u259 ? urm\uc1 \u259 ?toarele medicamente:}{\rtlch
\langfenp1033 \alang1025 gonadotropin\uc1 \u259 ? corionic\uc1 \u259 ?}{\rtlch
\langfenp1033 \alang1025 hormon de cre\uc1 \u351 ?tere}{\rtlch \fcs1 \af7 \afs24
\langfenp1033 \alang1025 anabolice steroidiene}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 E.estrogeni la pubertate}{\rtlch \fcs1 \af6
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 885. CM. Care sunt
caracteristicile sindromului Turner masculin?}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 hipostatur}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1033 \langfenp1033 \alang1025 a mai accentuat\uc1 \u259 ? }{\rtlch \fcs1
\lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 organele genitale
externe sunt \uc1 \u238 ?ntodeauna masculine }{\rtlch \fcs1 \af7 \afs24 \ltrch
\langfenp1033 \alang1025 uneori evolueaz\uc1 \u259 ? cu hipospadie}{\rtlch \fcs1
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 E.}
gonadele exist\uc1 \u259 ?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 886. CM. Care sunt
obiectivele consultului medico-genetic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 stabilirea diagnosticului}{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 aprecierea riscul}{\rtlch \fcs1 \af7 \afs24 \ltrch
\langnp1033 \langfe1033 \langfenp1033 \alang1025 ui na\uc1 \u351 ?terii unui copil
bolnav}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 selectarea
recomand\uc1 \u259 ?rilor privind pre\uc1 \u238 ?nt\uc1 \u226 ?mpinarea na\uc1
\u351 ?terii unui copil bolnav}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langnp1033 \langfe1033 \langfenp1033 \alang1025 E.consult privind
tratamentul maladiilor ereditare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\alang1025 887. CM. Care sun}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 t indica\uc1 \u355 ?iile pentru un consult medico}
-genetic?}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\afs22
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 familii cu maladii
ereditare \uc1 \u351 ?i anomalii congenitale}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1033 \langfe1033 \langfenp1033 \alang1025 c.}{\rtlch \fcs1 \af9 \afs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 folosirea preparatelor
teratogene \uc1 \u238 ?n I trimestru de graviditate}{\rtlch \fcs1 \af9 \afs24
\s24 \li720 \ri0 \lisb0 \sa120 \lisa0 \sl240 \slmult1 \widctlpar \aspalpha
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 d.}{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 amenoreea \uc1 \u351
?i sterilitatea primar\uc1 \u259 ?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfenp1033 \alang1025 e.consanguinitate }{\rtlch \fcs1 \af6 \afs24 \ltrch
\langfenp1033 \alang1025 888. CM. Care}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24
\langfe1033 \langfenp1033 \alang1025 sunt indica\uc1 \u355 ?iile pentru examenul
prenatal?}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 maladii ereditare
\uc1 \u238 ?n familie \uc1 \u351 ?i la rudele apropiate}{\rtlch \fcs1 \af7
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 f\uc1 \u259 ?t cu
anomalii congenitale \uc1 \u238 ?n antecedente}{\rtlch \fcs1 \af7 \afs24 \ltrch
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 anamneza matern\uc1
\u259 ? (diabet, epilepsie, distrofie miotonic\uc1 \u259 ?, administrare}{\rtlch
\loch \f9 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a preparatelor
teratogene \uc1 \u238 ?n I trimestru de graviditate)}{\rtlch \fcs1 \af9 \afs24
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 contrac\uc1 \u355 ?
ii uterine}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
Distinge\uc1 \u355 ?i termenele optime pentru diagnosticul prenatal:}{\rtlch
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 b.trimestrul II }
amniocintez\uc1 \u259 ? (16\uc1 \u8211 ?18 s\uc1 \u259 ?pt\uc1 \u259 ?m\uc1 \u226 ?
ni)}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 c.trimestrul III }
\hich \af0 \loch \f6 \lang1049 \langnp1049
\langfe1033 \langfenp1033 \alang1025 {\field {\*\fldinst SYMBOL 45 \'5cf
"Symbol" \'5cs 12}{\fldrslt \f8 \fs24 }}}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0
\langnp1033 \langfe1033 \langfenp1033 \alang1025 cordocintez\uc1 \u259 ?}
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 d.trimestrul I }
biopsia corionului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 890. CM. Nota\uc1
\u355 ?i metodele de diagnostic prenatal al maladiilor ereditare practicate \uc1
\u238 ?n Republica Moldova:}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 fetoscopia}
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 biopsia corionului}
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 amniocinteza}{\rtlch
\langnp1049 \langfe1033 \langfenp1033 \alang1025 ultrasonografia }{\rtlch \fcs1
\langnp1049 \langfe1033 \langfenp1033 \alang1025 891. CM. Diagnosticul citogenetic
\f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 examenul biochimic
al lichidului amniotic}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 analiza
cariotipului}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 examenul ADN-
lui}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 E.studiul cromatinei
sexuale}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\loch \af6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025
\alang1025 892. CM Ultrasonografia f\uc1 \u259 ?tului permit}{\rtlch \fcs1 \af6
\f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 e:}{\rtlch \fcs1
\langnp1049 \langfe1033 \langfenp1033 \alang1025 stabilirea termenului sarcinii}
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 localizarea placentei}
\lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 existen\uc1 \u355 ?a
poliploidiei}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\loch \f6 \lang1049 \langnp1049 \langfe1033 \langfenp1033 \alang1025 depistarea
anomaliilor de dezvoltare}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f9 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 893. CM. \uc1
\u206 ?n care maladii se fac studii la nivel de ADN \uc1 \u238 ?n Republica
Moldova?}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 mucoviscidoz\uc1
\u259 ? \uc1 \u351 ?i fenilcetonur}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24
\langfe1033 \langfenp1033 \alang1025 ie}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langnp1033 \langfe1033 \langfenp1033 \alang1025 c.}{\rtlch \fcs1 \af7 \afs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 distrofia
muscular\uc1 \u259 ? progresiv\uc1 \u259 ? (Duchenne)}{\rtlch \fcs1 \af7 \afs24
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 d.hemofilie}{\rtlch
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 e.amio}{\rtlch \fcs1
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 trofia spinal\uc1
\u259 ? Verding-Goffman}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 894. CM. Pentru
profilaxia maladiilor ereditare sunt folosite urm\uc1 \u259 ?toarele metode:}
\lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1025 ameliorarea bazelor social-biologice ale eredit\uc1 \u259 ?\uc1 \u355 ?
ii}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ameliorarea bazelor
medico-gen}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\alang1025 etice ale eredit\uc1 \u259 ?\uc1 \u355 ?ii}{\rtlch \fcs1 \af7 \afs24
\s24 \fi-828 \li1548 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \widctlpar
\langnp1033 \langfe1033 \langfenp1033 \alang1025 depistarea \uc1 \u351 ?i
spitalizarea femeilor gravide cu antecedente obstetricale patologice }{\rtlch \fcs1
\langnp1033 \langfe1033 \langfenp1033 \alang1025 895. CM. Criteriile dup\uc1
\u259 ? care se va selecta grupul de risc la maladii cromozomiale }{\rtlch
\loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 sunt:}
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 membrii familiei \uc1
\u238 ?n care sunt \uc1 \u238 ?nregistrate cazuri de schizofrenie}{\rtlch \fcs1
\langnp1033 \langfe1033 \langfenp1033 \alang1025 mama are un anamnestic obstetrical
complicat (mort-n\uc1 \u259 ?scu\uc1 \u355 ?i, avorturi spontane)}{\rtlch \fcs1
\langnp1033 \langfe1033 \langfenp1033 \alang1025 \uc1 \u238 ?n familie sunt copii
cu maladii cromozomiale}{\rtlch \fcs1 \af9 \afs24 \ltrch \fcs0 \fs24 \rtlch
\loch \f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 mama are
diferite anomalii cromozomiale sau mozaicism}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\langfenp1033 \alang1025 896. CM. Care sunt agen\uc1 \u355 ?ii teratogeni?}
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a.alcoolul}
c.anticonvulsivantele}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 d.talidomida }{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 e.citostaticele}{\rtlch
\f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 897. CM. Selecta\uc1
\u355 ?i cele mai importante metode de tratament al maladiilor ereditare}
\f6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a.rat}{\rtlch
\loch \f7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 amentul de
substitu\uc1 \u355 ?ie}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 b.dietoterapia}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 c.tratamentul chirurgical}{\rtlch \fcs1 \af6 \afs24 \ltrch \fcs0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 vitaminoterapia
(cofermen\uc1 \u355 ?i)}{\rtlch \fcs1 \af7 \afs24 \ltrch \fcs0 \fs24 \rtlch
\f6 \lang1048 \langnp1048 \langfe1033 \langfenp1033 \alang1025 \par }}

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