Seminário de Integração: Relatório de Caso - Doenças Parasitárias (Grupo A)

Slides da apresentação.

Truques Médicos

Roubado do nosso amigo Fabão. Vale a pena dar uma olhada.

PAAB: Palestra sobre violência à mulher

Palestra sobre violência à mulher.

Fisiologia: Contração Muscular

Aulas do prof. Paulo sobre Contração Muscular.

Fisiologia da Contração

Contração do Músculo Liso

FESTA DA TURMA

Genética Humana: Herança Multifatorial

Aula sobre herança Multifatorial

BLOG FUNCIONANDO NORMALMENTE

Conseguimos reorganizar o blog. Todos os links já estão disponíveis. Caso achem algum erro, favor comunicar, pois a mudança foi feita manualmente em todos os arquivos.

Biologia Molecular: Tradução

Aula sobre Tradução

Farmacologia: Biotransformação

Últimas duas aulas sobre biotransformação dos fármacos.

Seminário de Integração: Caso Clínico - Parasitoses

Para ver o arquivo com imagens, baixe o mesmo no link do final da página, ou clique sobre o link relacionado a cada imagem.

Case Report - Parasitic Infection. Hyperinfection in a patient with Rheumatoid Arthritis and Bronchial Asthma.

A 68 years old woman was admitted to hospital with weakness, dyspepsia and cough in Samsun, Turkey. Her previous medical history was indicating that she has had bronchial asthma for 55 years and received short interval prednisolone therapy for exacerbations. She had also diagnosed RA 7 years ago and received immunusupressive agents including methotrexate and steroids at different doses for disease control. On admission to the hospital, she was on deflazacort 5 mg/day and methotrexate 15 mg/week. She had also recurrent inpatient clinic follow-up history because of resistant hyponatremia with unknown origin and moderate anemia. On her physical examination, she was afebrile, had rhonchi and mild epigastric tenderness. She had continuous nausea and she was sometimes vomiting. She had joint deformities at metacarpophalengeal joints and phalanges; but no active arthritis finding. Laboratory data revealed normochrom normocytic anemia, mild hyponatremia (Na:128 mEq). Abdomen and chest radiography were normal.

In our patient, oesophagogastroduodenoscopy performed and showed hemorrhagic focus at bulbus (Figure 1). Gastric biopsy obtained and showed evidence of infection (Figures 2 and 3). Microscopically, chronic gastritis and scattered eosinophils were observed. Also, histological examination showed numerous larvae in gastric glands and duodenal crypts.

Figure 1. Hemorrhagic focus at bulbus Gastroduodenoscopic view.

Figure 2. Larvae are shown in gastric gland and duodenal crypts.

Figure 3.  Larvae are shown in gastric gland and duodenal crypts.

Stool and sputum parasitological examination were taken. They were also all positive for larvae. The samples' microscopic features are shown at Figures 4 and 5, respectively.

Figure 4. Direct microscopic examination of sputum.

Figure 5. Lugol strained gaita sample, the parasite larvae feature.

Chest radiography had no pathologic finding. Blood microscopic examination was negative for larvae. HIV test was negative. Albendazole 400 mg/day was started. The steroid therapy ceased by decreasing the dose. At the 6th day of therapy, sputum and stool samples were negative for alive larvae. The therapy stopped at 15th day. 2 days after cessation of therapy, sputum sample became positive again for larvae. Ivermectin planned; but, as it was not found in our country, albendazole therapy continued till the drug was provided. At the 23 th day of albendazole, stool and sputum were negative. After the ivermectin obtained, patient was treated with oral ivermectin 200 μg once daily for 3 days. On her outpatient control at 15th day, stool and sputum samples were all negative for parasite.

3 SÉRIE - --------- Integração Vertical.

                 -------- Integração horizontal.

Questões orientadoras para o grupo debatedor.

1) Tradução e interpretação da História Clínica. Inglês Instrumental e Língua Portuguesa.).   

2) Revisão anatômica e fisiológica dos sistemas envolvidos no caso . (Anatomia e Fisiologia).

4) Caracterização das larvas e das alterações histopatológicas nas imagens apresentadas. (Histologia)

4) Diagnóstico clínico e laboratorial da parasitose envolvida. (Paab 3)

5) Drogas anti-parasitárias envolvidas no caso. Mecanismos de ação e indicações terapêutica . – (Farmacologia )

6) Prevenção das geohelmintíases. Tratamento e desparasitação. (Paab 3)

 

Gabarito da Prova Geral

GABARITO 3 PERIODO – UNIDADE I- 2011.1

A	B	C	D
1-A	1-D	1-C	1-B
2-B	2-A	2-D	2-C
3-C	3-B	3-A	3-D
4-C	4-B	4-A	4-D
5-C	5-B	5-A	5-D
6-B	6-A	6-D	6-C
7-C	7-B	7-A	7-D
8-C	8-B	8-A	8-D
9-C	9-B	9-A	9-D
10-C	10-B	10-A	10-D
11-A	11-D	11-C	11-B
12-C	12-B	12-A	12-D
13-NULA	13-NULA	13-NULA	13-NULA
14-D	14-C	14-B	14-A
15-A	15-D	15-C	15-B
16-C	16-B	16-A	16-D
17-A	17-D	17-C	17-B
18-C	18-B	18-A	18-D
19-NULA	19-NULA	19-NULA	19-NULA
20-A	20-D	20-C	20-B
21-C	21-B	21-A	21-D
22-B	22-A	22-D	22-C
23-D	23-C	23-B	23-A
24-C	24-B	24-A	24-D
25-C	25-B	25-A	25-D

Anatomia II: Dissecação de membro superior

Excelente (e longa) aula do professor Sérgio sobre dissecação dos membros superiores.

Introdução à genética - Griffiths

Para quem não pegou ainda no email o livro de genética liberado pelo prof. Uaska, segue o link!

PROBLEMAS COM O SERVIDOR

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Fabão deverá dar um jeito em breve, vamos aguardar.