GLANDA TIROIDA - curs

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    13-Nov-2014

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<p>GUA ENDEMIC/SPORADICPRODUCIE INSUFICIENT (IOD) Consum prea rapid Eutiroidian</p> <p>COMPLICAII compresia</p> <p> infecia hemoragia hipo/hipersecreia</p> <p>SEMNE CLINICE tiroidiene</p> <p> cardiovasculare metabolice nervoase oculare</p> <p>PARACLINIC iodemie colesterol metabolism bazal reflexogram radioiodocaptare T3 T4 </p> <p>TRATAMENT ATS : tiouracil/carbimazol iod radioactiv chirurgical: - pregtire operatorie - moment operator TIROIDECTOMIE SUBTOTAL</p> <p>COMPLICAII hemoragie paralizie nerv recurent tetanie mixedem cuiza tireotoxic persistena exoftalmiei</p> <p>-</p> <p>GUA HIPERTIROIDIZAT</p> <p>- ADENOM TOXIC Tratament chirurgical</p> <p> DIFERENIAT</p> <p>- papilar 85% - folicular 15% ANAPLAZIC MEDULAR (din celule parafoliculare) SARCOM (din esutul conjunctiv)</p> <p> AMAMNEZ</p> <p>(iradiere ?)</p> <p> CLINIC: intra/extracapsular PUNCIE BIOPSIE ECOGRAFIE SCINTIGRAM EXAMEN ORL</p> <p>RISK AGE META EXTENT SIZE</p> <p>LOW &lt; 50 intracapsular &lt; 5 cm</p> <p>HIGH &gt; 50 + extracapsular &gt; 5 cm</p> <p>DIFERENIAT tiroidectomia (sub) total disecia ganglionar iod radioactiv</p> <p>ANAPLAZIC tiroidectomie total radio/chimioterapie fr efect prognostic foarte negativ</p> <p>MEDULAR tiroidectomie total disecie ganglionar urmrire postoperatorie</p>