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INSPECTIA GENERALAINSPECTIA GENERALA
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FaciesulFaciesul
= aspect caracteristic al f etei capabil sa evoce o anumita = aspect caracteristic al f etei capabil sa evoce o anumita boalaboala
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F ACIESULF ACIESUL
- exof talmie
bilaterala (protuzia
globilor oculari);
- f anta palpebral
lr git (spasm
retractil al pleoapei
superioare);
- lagof talmie;
- conjunctive
congestionate;
- privirea tiroidian
(expresie de
spaima).
Boala Basedow
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F ACIESULF ACIESUL
Boala Basedow
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F ACIESULF ACIESUL
- f acies inf iltrat;
- mimica saraca;
- privire inexpresiva;
- f ante palpebrale
ingustate;
- nas si urechi
inf iltrate;
- tegument uscat,
ingrosat, palid;
- rarirea sprancenelor
in 1/3 externa;
- par aspru, albeste
precoce, cade.
Hipotiroidie
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F ACIESULF ACIESUL
Acromegalie
arcade sprancenoase roeminente;
piramida nazala
arita si lar gita la baza
portiunea
artilaginoasa a nasului arita;
buzele ingrosate;
macroglosie;
bosele f rontale marite
f runtea ingusta, cute
danci;
maxilar inf erior cu
rognatism (alungirea
mbelor ramuri)
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F ACIESULF ACIESUL
Acromegalie
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F ACIESULF ACIESUL
Sindrom Cushing
- f ata rotund (³in
lun plin´);
- hirsutism;- obraj de culoare
rosie-violacee;
- gât scurt si gros
(³ceaf a de bizon´);
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F ACIESULF ACIESUL
Boala Addison
- hiperpigmentarea
tegumentului;
- aspect caf eniu, bronzat;
- hiperpigmentarea
mameloanelor.
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F ACIESULF ACIESUL
Boala Addison
- pigmentare
gingivala
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F ACIESULF ACIESUL
Boala Addison
- hiperpigmentarea
teg. picioarelor la nivelul zonelor de
f rictiune
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F ACIESULF ACIESUL
Facies mitral- stenoza mitrala
- nas si obraji rosii cu tenta albastruie
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F ACIESULF ACIESUL
Sclerodermie
- tegument gros,
intins, lipsit de
elasticitate;
- mimica absenta;
- deschiderea gurii cu
dif icultate;
- f acies ³in icoana
bizantina´.
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F ACIESULF ACIESUL
Sclerodermie
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F ACIESULF ACIESUL
Lupus eritematos sistemic
- eruptie eritemato-
scuamoasa pe nas si pometi (³vespertilio´)
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F ACIESULF ACIESUL
Lupus eritematos sistemic
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F ACIESULF ACIESUL
Lupus discoid
- leziuni cu mar ginile
relief ate, eritematoase;
cu atrof ie dermica, cicatrici, scuame
aderente si telangiectazii.
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Lupus discoid
F ACIESULF ACIESUL
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F ACIESULF ACIESUL
Sindrom nef rotic
- aspect buhait (edem
f acial);
- f ante palpebrale mici datorita edemului
alb, moale, puf os.
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F ACIESULF ACIESUL
Facies adenoidian (hipertrof ia
amigdalei f aringiene)
- respiratie orala;
- gura deschisa;
- buza superioara
retractata;
- buza inf erioara inerta;
- privire inexpresiva
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F ACIESULF ACIESUL
Sindrom Claude Bernard Horner
-mioza;
- ptoza
palpebrala;
- enof talmie;
- absenta
sudoratiei
unilateral.
