Hematologie Curs 1

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Hematologie

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  SEMNE SI SIMPTOME FUNCTIONALE SI GENERALE IN HEMATOLOGIE1.Simptome neuropsihicesecun! re s!r. nemic#ce$ %ee&'erti(& stenie&ir sci)i%it te& t *ie+in .,iermer-somno%ent &tu%)ur ri !e 'e!ere+c prin ce t /- p reste0ii&sen0 tie !e $ri si !e reut te in m).in$erio re2.Simptome !iesti'e nore*ie&re t &' rs turi!ureri )!.+uneori se'ere-&!is$ ietu%)ur ri !e tr n0it+in .,iermer si $eripri' -3.Simptome c r!io' scu% re si respir torii#!ispnee&p %pit tii!ureri precor!i %e !e tip ninos+in nemii-4.S!r. hemor ic p %o re& hemor ii teument re+petesii&echimo0e-hemor ii % ni'e%u% muco se%or+ini'or ii&epist *is&me%en -in purpur ' scu% r si trom)openic hem to me cu !i'erse %oc %i0 ri+in hemo$i%ie-5.6ureri oso se si rticu% rein mie%om mu%tip%u&%eucemii cute si cronice7.Prurit cut n tin ).Ho!8in&%euc.cr.9.Fe)r in %euc. c.&).Ho!8inE:. O,IECTI;1. Tegumentele,mucoasele si fanerele -P %o re !e !i$erite nu nte este c r cteristic nemii%or#   %)en c p iu%/in .,iermer   'er0uiein c%oro0   )run mur! r in . !in en!oc r!it ) ct. c.  c /' ru%/in . posthem c. )-Su)icteru% s u icteru% sc%er %in .hemo%iticec-Pruritu%in ).Ho!8in&%eucemii cr.&cu e*cori tii secun! re r t (u%ui c re se supr in$ecte 0 !-Leucemi!e%etumorete !e cu%o re 'io% ceurosu)run&!ure&sensi)i%e&%oc %i0 te in speci % pe $ t si tor ce+in %eucemii%e cr.-e-F nere%epre0int mo!i$ic ri tro$ice in speci % in .$eripri' un!e unhii%e !e'in su)tiri&$ri )i%e&stri te&cu spect p% t+p% tonichie-s u conc ' &in $orm /!e %inur /+8oi%onichie-<p ru% este %ipsit !e %uciu&$ri )i%&c !e usor 2. Cavitatea bucala -r  !e% ni'e%u% comisuri%orin .$eripri'  )-%osit Hunter %im) %ucio s &nete! &rosie&!urero s in .,iermer c-ini'it hemor ic si u%cer tii pro$un!ein %eucemi c.3. Sistemul ganglionar Ap. este pre0ent in %im$o%euco0 cr.+semn m (or-&).Ho!8in&%euc. c.4 .Splenomegalia 1   p re in LMC&).H.& .,iermer& n.hemo%iticehipersp%enismu%+pre0ent si in )sent sp%enome %iei-este o e* er re $c. norm %e %e sp%inei c re !etermin &sep r t s u in sociere& nemie&%eucopenie si trom)openie prin 3 mec nisme# -crestere !istruerii e%emente%or $iur te in sp%in <)-pro!ucere !e nticorpi+ ntieritrocit ri& nti%eucocit ri& ntitrom)ocit ri-<c-inhi)itie me!u% r +pe c %e hormon % -5. Ap.respirator !ispnee !e tip t hipneein n. se'erep%eure0iein ).Ho!8in7. Ap.cardiovascular t hic r!ie& e*tr sisto%e si su$%uri sisto%ice $unction %e in nemii2
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