si 05
TRANSCRIPT
![Page 1: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/1.jpg)
SEMIOLOGIE MEDICALA
CURS 5
SEMIOLOGIA EXTREMITATII CEFALICE
SEF LUCR. DR. CAMELIA SCARNECIU
![Page 2: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/2.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
FATA – FIZIONOMIE, FACIES TIPURI DE FACIES 1. boli endocrine - boala Basedow: “spaima inghetata” - mixedem: “boufle” - acromegalie: in galos - sd. Cushing: “luna plina” - diabet zaharat: rubeoza diabetica
![Page 3: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/3.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
2. boli neurologice - boala Parkinson: inexpresiv
- paralizia faciala
- facies miopatic
- tetanos: “risus sardonicus”
3. boli cardiace - stenoza mitrala: facies mitral
(papusa mitrala)
- HTA: facies pletoric
- cardiopatii cianogene
![Page 4: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/4.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
FATA – FIZIONOMIE, FACIESTIPURI DE FACIES 4. boli de sange - facies pletoric 5. boli digestive - peritonita: facies hipocratic 6. boli respiratorii - pneumonii: facies vultuos 7. boli renale - sd. Nefrotic: facies buhait 8. boli de colagen - sclerodermie: facies de icoana bizantina - LES: eruptie in fluture - dermatomiozita 9. alte afectiuni - facies mongoloid - vegetatii adenoide: facies adenoidian - facies melancolic - alcoolism
![Page 5: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/5.jpg)
BOLI DE COLAGEN
![Page 6: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/6.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
FATA – FIZIONOMIE, FACIES
- Hipertrofie glanda parotida
![Page 7: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/7.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
OCHII
1. modificari sprancene - inflamatii, micoze, alopecie 2. modificari pleoape - de culoare - de volum: edem, blefarite - de tonus: blefarospasm, ptoza, entropion,/ ectropion - depuneri: xantelasma 3. modificari ale conjunctivei - conjunctivite - hemoragie
![Page 8: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/8.jpg)
PTOZA-XANTELASMABLEFARITA-ORJELET
![Page 9: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/9.jpg)
CONJUNCTIVITA
![Page 10: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/10.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
OCHII
4. modificari globi oculari - de pozitie: exoftalmie
(unilaterala/bilaterala)
- de coordonare: strabism
(convergent/divergent)
- de presiune: glaucom
![Page 11: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/11.jpg)
STABISM
![Page 12: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/12.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
OCHII 5. modificari ale scleroticii – pterigion -de culoare 6. modificari ale corneei - gerontoxon (arc cornean) -opacifiere - ulceratie/cicatrice 7. modificarile irisului - irite - iridociclite 8. modificari ale pupilei - mioza/midriaza - anizocorie - hippus pupilar 9. modificarile cristalinului - cataracta
![Page 13: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/13.jpg)
SCLEROTICA
![Page 14: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/14.jpg)
PTERIGION,GERONTOXON,CATARACTA
![Page 15: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/15.jpg)
OPACIFIEREA CORNEEI
![Page 16: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/16.jpg)
ACUITATE VIZUALAOPTOTIP
-miopie-hipermetropie
![Page 17: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/17.jpg)
ANOPSII
![Page 18: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/18.jpg)
DISCROMII
– DALTONISM-rosu=verde
![Page 19: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/19.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
CRANIUL
- microcefalie
- macrocefalie
- hidrocefalie
-craniotabes
-forma
-cap de papagal S Apert
![Page 20: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/20.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
URECHILE - pavilioane - anotie - microotie - macrootie - tofi (noduli) - chiste -inflamatii-
- conduct auditiv extern - dop cerumen - inflamatii -otita externa - timpan – inflamatii- otita medie - perforat
![Page 21: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/21.jpg)
PAVILIOANELE URECHILOR
![Page 22: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/22.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
NASUL SI SINUSURILE PARANAZALE
NAS: inspectie, speculum - modificari de: - forma: deviatii nazale - marime: nas borcanat – rinofima - mucoasa: pata vasculara, furuncule, rinoree - lumen: secretii, sange(epistaxis), corpi straini
![Page 23: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/23.jpg)
SEMIOLOGIA EXTREMITATII CEFALICE
SINUSURI:
- frontale
- maxilare
inspectie (transiluminare)
palpare
![Page 24: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/24.jpg)
SEMIOLOGIA GATULUI
REPERE
GLANDA TIROIDA
NORMAL - nu se palpeaza
- nu se vede
- mobila cu deglutitia
![Page 25: SI 05](https://reader033.vdocuments.site/reader033/viewer/2022061508/553111b64a7959b5308b492a/html5/thumbnails/25.jpg)
SEMIOLOGIA GATULUI
GUSA - crestere de volum: difuza/nodulara - gusa endemica
FUNCTIA - eutiroidie - hipotiroidie - hipertiroidie