1. semiologie respirator 1. handout bfk 2015-2016 (1)

7/21/2019 1. Semiologie Respirator 1. Handout BFK 2015-2016 (1)

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SEMIOLOGIA SISTEMULUI RESPIRATOR

Conf. Dr. Sorin CRIŞAN, Clinica Medicală V

.........................................................................................................................................CUPRINSSi!"oe, #ene $$ Sindroae $$ %oli

...........................................................................................................................................SIMPTOMELEDi#!neeaD&rerea "oracicăT&#eaS!&"a'eo!"i(ia

........................................................................................................................................DISPNEEA INSPIRATORIEC& "a)i!nee*!oli!nee+ cre "erea frecen ei i cărilor re#!ira"oriiș ț ș

-ore clinice+

Ac&"ăCronicăSindroae+

Conden#are !&lonarăPle&ralMedia#"inal

......................................................................................................................................DISPNEEA EPIRATORIEC& /radi!nee+ #căderea frecen ei i cărilor re#!ira"oriiț ș

-ore clinice+Ac&"ă 0!aro1i#"ică2

CronicăSindroae+'i!erinfla3ie%ron4ic o/#"r&c"i

...................................................................................................................................DISPNEEA

• Di#!neea c& "a)i!nee+ #i!"o de e/olie !&lonară• Di#!neea5cri"eri& de dia6no#"ic al %POC 0ală"&ri de "&#e, #!&"ă, e1!&nere la fac"ori de ri#c

7 f&a", edi& de &ncă, !ol&are, #!iroe"rie2. Di#!neea a!are n&ai 8n #"adiile II, III,IV ale %POC

• Di#!neea 8n a#" #e a6raea(ă 8n c&r#&l no! ii #a& diinea a deree #a& d&!ă efor"ț ț

• Di#!neea+ #i!"o al cancer&l&i !&lonar http://www.medscape.org/viewarticle/544406

http://www.medscape.org/viewarticle/499735_3

http://www.dundeechest.com/blog/wordpress/tag!guidelines

http://www.thepcr".org/"ourn/view_article.phparticle_id!97#

http:// www$.li%ewithlungcancer.in%o/e&perts/'bout_(ung_)ancer/*hat_are_the_most_common_lung_cancer_s+mptoms/$6/inde&.html

.......................................................................................................DUREREA TORACIC9-ore clinice+

Re"ro#"ernală+Tra)eo/ron4i"ă ac&"ăS. edia#"inal

Ple&rală 0:&n6)i2+S. conden#are !&lonară

1

http://www.thepcrj.org/journ/view_article.php?article_id=971

http://www2.lifewithlungcancer.info/experts/About_Lung_Cancer/What_are_the_most_common_lung_cancer_symptoms/26/index.html






S. !le&ralParie"ală 0neral6ie in"erco#"ală2

...............................................................................................................................................TUSEADefini3ieTră#ă"&ri+

D&ra"ăIn"en#i"a"eCarac"er Orar Condi3ii de a!ari3ie * in"en#ificareCondi3ii de di#!ari3ie * aeliorare-enoene 8n#o3i"oare

• T&#ea5cri"eri& de dia6no#"ic al %POC 0ală"&ri de di#!nee, #!&"ă, e1!&nere la fac"ori de ri#c 7 f&a", edi& de &ncă, !ol&are, #!iroe"rie2. T&#ea a!are 8n #"adiile ;, I, II, III, IV ale%POC

• T&#ea 8n a#"&l /ron ic #e a6raea(ă 8n c&r#&l no! ii #a& diinea a deree #a& d&!ăș ț ț

efor"• T&#ea !er#i#"en"ă+ #i!"o al cancer&l&i !&lonar

)""!+**<<<.ed#ca!e.or6*ie<ar"icle*=>>>;? )""!+**<<<.ed#ca!e.or6*ie<ar"icle*>@@B=B)""!+**<<<.d&ndeec)e#".co*/lo6*<ord!re##*"a66&ideline#)""!+**<<<.")e!cr:.or6*:o&rn*ie<ar"icle.!)!ar"icleid@F http:// www$.li%ewithlungcancer.in%o/e&perts/'bout_(ung_)ancer/*hat_are_the_most_common_lung_cancer_s+mptoms/$6/inde&.html

......................................................................................................................................................SPUTADefini3ieTră#ă"&ri+

Vol&A#!ec"C&loareMiro#G&#"

A#!ec"+Seroa#ăM&coa#ăM&co!&r&len"ăP&r&len"ăSero&co!&r&len"ă #"ra"ifica"ă 08n ca( de /ron iec"a(ie #&!&ra"ăș 2

C&loare+al/ăH+

Seroa#ă

M&coa#ăcolora"ăH'eo!"oicăP&r&len"ă

• S!&"a5cri"eri& de dia6no#"ic al %POC 0ală"&ri de "&#e, #!&"ă, e1!&nere la fac"ori de ri#c 7f&a", edi& de &ncă, !ol&are, #!iroe"rie2. S!&"a a!are 8n #"adiile ;, I, II, III, IV ale%POC

)""!+**<<<.ed#ca!e.or6*ie<ar"icle*=>>>;? )""!+**<<<.ed#ca!e.or6*ie<ar"icle*>@@B=B

..............................................................................................................................................................'EMOPTIIADefini3ieCri"erii de #eeri"a"e+

-ără ca&(ă a!aren"ă2

http://www.medscape.org/viewarticle/544406











Sindro de i!re6nareRe!e"areVol& JVKr#"ă J-enoene 8n#o3i"oare J

• 'eo!"i(ia face !ar"e din "a/lo&l clinic al e/oliei !&lonare, cancer&l&i !&lonar

SEMNELEE1aen o/iec"i+

GeneralLocal

..............................................................................................................................................................SEMNELE GENERALE

• S"are 6enerală• Ti! con#"i"&3ional• Te!era"&ră• A"i"&dine• Te6&en"e * &coa#e• e#&" cel&lar #&/c&"ana"• Adeno!a"ie• Si#"e &#c&lar • Si#"e o#"eoar"ic&lar • Si#"e cardioa#c&lar • Si#"e di6e#"i• Si#"e nero# * #"are !#i)ică

..............................................................................................................................................................EAMENUL O%IECTIV LOCAL

• In#!ec3ie 0#"a"ică * dinaică2•

Pal!are• Perc&3ie• A&#c&l"a3ie

..........................................................................................................................................................INSPECIA STATIC9

Ti! con#"i"&3ionalDeforări+

Cifo(ăCifo#colio(ăRa)i"i# 8n /&"oiH+ S. )i!erinfla3ie

.........................................................................................................................................INSPECIA DINAMIC9

• Ti! re#!ira"or • -recen3ă• Ri"• A!li"&dine• Mi4cări anorale+ Tira: 08n ca( de di#!nee in#!ira"orie accen"&a"ă2

................................................................................................................................PALPAREASen#i/ili"a"e

Vi/ra3ii ocale 0freaă" !ec"oral2 -recă"&ră !le&rală

3



...................................................................................................................PERCUIATe)nicăS&ne"e norale+

Sonori"a"e !&lonarăMa"i"a"eTi!ani#

S&ne"e !a"olo6ice+'i!er#onori"a"e !&lonară 0S.)i!erinfla ie2ț

Ma"i"a"e 0S.conden#are !&lonară, !le&ral2Ti!ani# 0!ne&o"orace2

............................................................................................................................AUSCULTAIA 0F2Te)nică+

-ără #"e"o#co!C& #"e"o#co!

S&ne"e+ Norale 0re#!ira3ie f&ndaen"ală2Pa"olo6ice+

S&ne"e norale odifica"e6oo"e #&!raadă&6a"eRe#!ira3ia f&ndaen"ală+

M&r&r e(ic&lar Carac"er Locali(areIn"en#i"a"eRa!or" in#!ir*e1!ir

S&fl& "&/ar ......................................................................................................................................................AUSCULTAIA 02

S&ne"e norale odifica"e+M&r&r e(ic&lar+In"en#i"a"e+

J+ S. conden#are !&lonarăQ+ S. !le&ral * S. )i!erinfla3ie

E1!ir J+ S. )i!erinfla3ieS. /ron4ic o/#"r&c"i

6oo"e #&!raadă&6a"e+-recă"&ră !le&rală 0S. !le&ral2Ral&ri+

Aleolare 0cre!i"an"e2+

S. conden#are !&lonară%ron4ice+ S. /ron4ic

Uede 0#&/cre!i"an"e2U#ca"e 0#i/ilan"e * ronflan"e2

..................................................................................................................................SINDROAMELE

• Conden#are !&lonară• Ple&ral• Media#"inal• 'i!erinfla3ie

• %ron4ic o/#"r&c"i• In#&ficien3ă re#!ira"orie

4



................................................................................................................................S. CONDENSARE PULMONAR9Defini ie+ 8nloc&irea aer&l&i aleolar c& lic)id 0"ran#&da", e1#&da"2ț

E"iolo6ie+Pne&onie 0e1#&da"2In#&ficien3ă en"ric&lară #"6 0"ran#&da"2

Si!"oe+Di#!nee in#!ira"orie&n6)iT&#eS!&"ă * )eo!"i(ie

Sene+Tira:Ma"i"a"eM&r&r e(ic&lar JRal&ri cre!i"an"e *

S&/cre!i"an"ePro/e f&nc3ionale en"ila"orii+

Di#f&nc3ie en"ila"orie re#"ric"iă

Radio6rafie+O!aci"a"e lo/ară.

S. PLEURALTi!&ri+

C& a"i"a"e+Lic)id 0!le&re(ie2Sec)elăT&oră

C& "i!ani#+Pne&o"orace

Si!"oe+ Di#!nee in#!ira"orie&n6)i T&#e #eacă

Sene+Tira:Ma"i"a"eM&r&r e(ic&lar Q -recă"&ră !le&rală

Pro/e f&nc3ionale en"ila"orii+Di#f&nc3ie en"ila"orie re#"ric"iă

Radio6rafie+O!aci"a"e !le&rală * Tran#!aren3ă

..............................................................................................................................................S. MEDIASTINALE"iolo6ie+

G&4ă re"ro#"ernală ............Si!"oa"olo6ie+

Di#!nee in#!ira"orieD&rere re"ro#"ernalăT&#e #eacă Di#fonie

Di#fa6ie ..........Pro/e f&nc3ionale en"ila"orii+

5



Di#f&nc3ie en"ila"orie re#"ric"iăRadio6rafie+

O!aci"a"e edia#"inală...........................................................................................................................................

S. 'IPERIN-LAIEE"iolo6ie+

A#" /ron4icEfi(e !&lonar

Si!"o+Di#!nee e1!ira"orie. )ee(in6

Sene+ Torace 8n /&"oiHA!li"&dine Q'i!er#onori"a"eM&r&r e(ic&lar+

In"en#i"a"e QE1!ir J

Pro/e f&nc3ionale en"ila"orii+Di#f&nc3ie en"ila"orie o/#"r&c"iă

Radio6rafie+'i!er"ran#!aren3ă !&lonară........................................................................................................................................

S. %RONŞIC O%STRUCTIVE"iolo6ie+ /oli+

Ac&"e 0/ron4i"ă, /ron4ioli"ă2Cronice 0/ron4i"ă, cancer !&l2

Si!"oe+Di#!nee e1!ira"orie * )ee(in6T&#e #eacă * !rod&c"iă

Sene+ 'i!er#onori"a"eM&r&r e(ic&lar+

E1!ir JRal&ri /ron4ice+

U#ca"eUede

Pro/e f&nc3ionale en"ila"orii+Di#f&nc3ie en"ila"orie o/#"r&c"iă

Radio6rafie+De#en /ron4ic J

'i!er"ran#!aren3ă !&lonară..............................................................................................................................................

INSU-ICIENA RESPIRATORIE 0F2E"iolo6ie+ /oli+

Căi re#!ira"oriiP&lonarePle&raleMedia#"inaleDiafra6a"iceA/doinaleCere/rale

-ore clinice+Ac&"ă

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CronicăCronică ac&"i(a"ă

Si!"oa"olo6ie+'i!o1eie'i!erca!nie

............................................................................................................................................INSU-ICIENA RESPIRATORIE 02Si!"oa"olo6ia )i!o1eiei+

Ta)icardieT&l/&rări de ri"Va#ocon#"ric3ie !&lonară 0'i!er"en#i&ne !&lonară2Ciano(ăPoli6lo/&lie #ec&ndarăDe6e"e )i!ocra"ice

Si!"oa"olo6ia )i!erca!niei+Va#odila"a3ie c&"ana"ă 0ro4ea3ă2'i!er#ecre3ie /ron4ică'i!er#ecre3ie 6a#"ricăCefalee

In#onie noc"&rnăSonolen3ă di&rnăO/n&/ilare * coă

..........................................................................................................................................................................................................

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1. semiologie respirator 1. handout bfk 2015-2016 (1)

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