Caz Clinic (2) New
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Transcript of Caz Clinic (2) New
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Caz clinic
Cristiana Cimpu, Vlad
Ghimpu, Andreea Tnasegr. 27
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Anamneza
HG, 73 ani
-HTA esentiala st.II ma!."#$%""$ mmHg &
-'( tip II in tratament cu A')&
-*+ de 3" ani ,minim actia clinicilgic,in trat.
- /ettre!at 2,0mg
-Hidr!iclrchina
*la1uenil&
/)TIV I4T+4A+II
- durerea 5 retrsternal, caracter de arsur si senzatiade nd in gat, repaus% e6rt mic, durat 2$ min.,cedeaz la 4TG, 6r iradieri8
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9A/4 ):ICTIV
)rientat tempr-spatial, I/C ;24
Gg.super6.>nepalp.
T.adips>4 distriuit
T.muscular>nrmtn,nrm?inetic
Ap.cardiasc.>-trace nrmal cn6rmat
-6ara pulsatii eidente ale aselr de la aza
gatului
-sc ape!ian sp V ic stg
-puls peri6eric transmis
- matitate cardiaca-limite nrmale
- zgmte cardiace echidistante,echiptente ,usr diminuate ,
6ara su@uri
AV;70-#$ pm TA;"2$-#$ mmH
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2#.$".2$"
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2
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Adm.:etal? " mg , i.
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ccardigraBe
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G 5 test de e6rt
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G 5 test de e6rt
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HG , ichimic +! 4rmale
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/ecanism T+I4 > T+I4 tipic de tip slD-6ast& :-cnducere
antergrada pe cale lenta si retrgrad pe cale rapida8 T+I4atipic de tip 6ast-slD&.
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Alatie cu radi6recenta E
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C)CA+'I)G+A=I
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'upa alatie
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E Alatia cu radi6recenta E
Tratament > 4eill 4eilet 0 mg& "cp%zi ercanidipinum eridip "$ mg& "cp%zi
Atrastatina Frtis "$ mg & "cp %zi
Telmisartanum Tlura $ mg& "cp%zi
Aspenter 70 mg "cp%zi pranz smeprazl $ mg "cp %zi
/ettre!at "0 mg sc%sapt
Hidr!iclrchina *la1uenil& !2%zi
Fi6r "$$$mg cp 2!%zi
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CrnargraBe
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'iagnstic di6.> - angina instaila
- tahic.atriala6car ectpic %cale accesrie&
- tahic.sinusala+**+
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*articularitati >
-asenta palpitatiilr
-alungirea *+ datrita :AV I - T+I4 tipica J cale lentaprelungita anatmic in sinusul crnar
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Cncluzii >
T*FV reintranta intrandal >
G- 6recenta"$-22$ pm&
- ritm regulat
- K+F ingust-* retrgrade cu*++*,+*LM$msec
aspect pseud NOsOOin'II,'III, aV= si pseud rO in V"&
-deut si Bnalitate rusca
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VA/PTP/I/ E
