Diagnostic Diferential in Artropatii
-
Upload
brandon-taylor -
Category
Documents
-
view
234 -
download
0
Transcript of Diagnostic Diferential in Artropatii
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 1/14
Diagnostic diferential in
artropatii la caine
Ghinies OanaCioroba Lorena
Grupa 3305
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 2/14
Metodalitate de prelevare
Pregatirea campului:
• e rade! se curata "ona de electie! se de"infectea"acu betadina
• e e#ecuta aneste"ia locala a articulatiei respective
• Cea mai buna metoda de prelevare este aceea candarticulatie de a$a in po"itie ma#ima de presiuneintraarticulara
• e introduce un ac steril prin piele pana patrunde in
artriculatie• Lichidul sinovial este e#tras intr%o seringa sterila si
este ulterior anali"at
&&& 'mportant este sa nu se efectue"e artrocente"e
prin "one infectate sau cu ulceratii
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 3/14
Lichidul sinovial normal:
• Lichid apro#imativ asemanator cu plasma
• (olumul varia"a in functie de afectiune)artropatii degenerative! in$amatii*
• 'n mod normal este limpede si transparent!culoarea +ind data de afectiune
• ,urbiditatea creste odata cu densitateacelulara
• -u sunt pre"ente hematii! dar se intalnescmononucleate )monocite! macrofage!sinovicite* si neutro+le in proportie de ./0
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 4/14
,ipuri de artropatii1. Artropatii neinfamatorii:
a* 1rtropatii degenerative
b* 1rtropatii hemoragice: post%traumatice sau iatrogene
c* Procese tumorale
2. Artropatii infamatorii:
d* 1septice
e* eptice cau"ate de : bacterii )taph2lococcus spp*! fungi)1spergillus spp*! proto"oare )Leishmania donovani*
f* 'munomediate )hipersensibilitate tip '''*
g* 1rtrita reumatoida )factor reumatoid este 'gM! oca"ional'g1 sau 'gG*
h* Guta
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 5/14
Macrofag in inflamatia produsa de protozoare
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 6/14
Artrita septica (purulenta) : majoritatea
celulara este reprezentata de neutrofile
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 7/14
Neutrofile cu nuclei picnotici
si neutrofile surprinse in fazade fagocitoza.
Pe fundal sunt prezente
numeroase neutrofile surprinde
in faza de degenerescenta
hidropica, precum si eritocite.
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 8/14
Modi+cari celulare cau"ate de traumatisme:
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 9/14
Celularitate mononuleara cu e#ceptie care esterepre"entativa pentru a sugera hiperpla"ia
celulelor care captusesc teaca sinoviala
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 10/14
Celula multinucleata(osteoclast) indica o eroziune
a cartilajului articular.
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 11/14
Metastaza de
carcinom bronhiolo
al!eolar
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 12/14
4oala Lupus eritematos
1nticorpiiantinucleari
secretati seatasea"a la
nucleii liberi care
vor + ulteriorfagocitati de
fagocite
)neutro+le*
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 13/14
Aspectul cristalelor de acid uric din guta
7/23/2019 Diagnostic Diferential in Artropatii
http://slidepdf.com/reader/full/diagnostic-diferential-in-artropatii 14/14
4ibliogra+e:
• http:vetugaeduivcvmcourses(P1,5600(P1,5600CP7-8C92n8Gross81n
al2sishtm• http:
m2medroartrocente"a%i%anali"a%lichid
ului%sinovialhtml• Diagnostic C2tolog2 and ematolog2
of the Dog and Cat! Co;ell and
,2ler<s