spondilita anchilozanta

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t014_b
ID:
225029
Filename:
spondilita anchilozanta
Updated:
2013-06-25 18:18:39
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spondilita anchilozanta
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spondilita anchilozanta
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  1. tratament de fond in spondilita anchilozanta(3)
    • 1 MTX
    • 2 sulfasalazina
    • 3 TNFa
    • daca :
    • A. esec MTX.SALA
    • B. afectare coxofemurala 
    • C. enteze/col vert :
    •   a. 3AINS(2sapt)
    •   b. impact fam/prof
    •   c. creste rigiditatea
  2. examinari complementare spondil ankil
    • 1. inflama(VSH,CRP, hemogr)
    • 2. punctie articulara (efuziune artic mari)
    • 3. ptr AINS (renal :ionogr, creat, uree) / MTX(transmi)
    • 4. bandeleta urinara(nefropatia IgA, amiloid AA)
    • 5. radiografii : bazin, cv toracica(f+p), lombare (f+p), maini (f+p), picioare(f +3/4)
    • 6. eco articul / RMN sold (daca exista durere coxofemurala)
    • 7. eco artic (se cauta sinovite la maini/picioare)
    • 8. RMN cv toracolombara / articulatii sacroiliace
  3. aspect RMN in spondilita ankilozanta
    • dupa gadoliniu
    • hiposemnal T1
    • hipersemnal T2
    • spatiu articular sacroiliac
    • colturile vertebrelor
    • fetele artic post
    • discopatie inflamatorie (spondilita/spondilodiscita noninfectioasa)

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