propedêutica dermatológica
TRANSCRIPT
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Propedêutica Dermatológica
&
Lesões ElementaresVanessa Lys Boeira
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Exame físico
• Inspeção
• Palpação
• Digitopressão
• Compressão
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Anamnese
• Fatores desencadeantes
• Exposição Solar
• Uso de medicações
• Prurido /Ardor /Dor
• Sinais flogísticos
• AF
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Lesões Elementares
1. Alterações de cor
2. Elevações edematosas
3. Formações sólidas
4. Coleções líquidas
5. Alterações de espessura
6. Perdas e reparações
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1.Alterações de Cor
• Máculas Vásculo-Sanguíneas
▫ Eritema: vasodilatação- esmaece c/ pressão
▫ Púrpura/ Petéquia/Equimose: extravasamento
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Manchas pigmentares
• Leucodermia/ Hipocromia/ Acromia/ Hipercromia
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2. Elevações Edematosas
• Edema na derme ou hipoderme
▫ Urtica/ Angioedema
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3. Formações Sólidas
• Pápula
• Nódulo (3)
• Tumor
• Placa
• Goma- liquefação central
• Vegetação
• Verrucosidade - hiperceratose
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4.Coleções Líquidas
• Vesícula/ Bolha / Pústula
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4. Coleções Líquidas
• Abscesso / Hematoma
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5. Alterações de Espessura
• Queratose
• Edema
• Liquenificação
• Esclerose
• Atrofia
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5. Alterações de Espessura
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6. Perdas e Reparações
• Escama /Fissura /Crosta
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6. Perdas e Reparações
• Exulceração
• Ulceração
• Cicatriz
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Escabiose
• Etiologia: Sarcoptes scabier
• Clínica: Prurido – noite- MM, abdome...
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Esacabiose
• Tratamento:
▫ Ivermectina VO – 6mg- dose única de 200 mcg/kg
▫ Enxofre a 6% em vaselina- 3 noites
▫ Creme de Permetrina 5% - 1 noite (8-12h)
▫ Alívio do prurido com anti-histamínicos
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Ptiríase Versicolor
• Etiologia: fungo- Malassezia fufur
• Sintomas: hipocromia, pode ocorrer prurido leve
• Lesão: placa hipocrômica com descamação furfurácea, tronco e dorso
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Ptriríase Versicolor
• Tratamento:
• Tópicos:
▫ Cetoconazol xampu (1-2%)- 1 aplicação, rem 5min
▫ Creme de imidazol/ ciclopirox- 2x/dia, 2 sem
• Sistêmicos:
▫ Cetoconazol 200mg/ Itraconazol 100mg
▫ 5 dias, repetir 3 dias 1 e 2 meses depois
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Lupus
• Critérios Dermatológicos
1. Erupção malar: eritema malar
2. Erupção discóide
3. Fotossensibilidade
4. Úlceras orais
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TU-DI-VI
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