sindromes parenquimales 2016 urp
TRANSCRIPT
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Aproximación Sindrómica a las
Enfermedades que afectan alParénquima Pulmonar
Dr. Alonso Soto T, MSc, PhDMedico Internista !"
PhD ealth Sciences, " #ent
MSc $linical trials, ". %ondon
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Soto A. Sindromes Parenquimales&
SI!D'(ME
) $on*unto de S+ntomas si-nos que
permiten orientar el dia-nóstico.
) "sualmente permiten restrin-ir el
dia-nóstico a determinadas etiolo-+as.
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Soto A. Sindromes Parenquimales
/ASES A!AT(MI$AS
El P0lmón puede ser di1idido en 2onas
Zona de conducción
) Traquea, 3ronquios 3ronquiolos. Inclueademas arterias 1enas, linfaticos septosinterlo3ares
Zona transicional
) /ronquiolos respiratorios ductosal1eolares
Zona respiratoria
) Sacos al1eolares al1eolos
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Soto A. Sindromes Parenquimales4
Parénquima pulmonar5
$omponentes) $élulas Epiteliales Al1eolares Tipo I
6!eumocitos tipo I7
) $élulas Epiteliales Al1eolares Tipo II
6!eumocitos tipo II7
) Intersticio al1eolar
6$ol8-eno, miofi3ro3lastos7
) Macrófa-o al1eolar9intersticial
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Soto A. Sindromes Parenquimales:
'epresentac+on esquem8tica del
Pulmón
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Soto A. Sindromes Parenquimales;
S+ndromes que comprometen al
parénquima pulmonar ) S+ndrome de consolidacón.
) S+ndrome de Atelectasia.
) Enfermedad Pulmonar Intersticial
difusa9<i3rosis pulmonar.
) S+ndrome ca1itario
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S+ndromes que comprometen al
parénquima pulmonar ) S+ndrome de consolidación
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S+ndrome de $onsolidación
<isiopatolo-+a) 'eempla2o del aire en el interior del acino
pulmonar por l+quido, células o am3os.
) T+picamente muchos acinos anti-uos se
comprometen 6poros de $ohn, $anales de
%am3ert7
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Paso de Exudado inflamatorio a
tra1és de Poros de @ohn
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Examen Físico
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=
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>
/'(!$(<(!IA
PE$T('I%(C"IA
PE$T. A<(!A
S(P%( T"/A'I(
$'EPITA!TES
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?
S+ndrome de $onsolidación
Anamnesis
) aria3le5 "sualmente tos expectoración
Inspección
) Puede encontrarse uso de m0sculos accesorios
Palpación
) i3raciones ocales aumentadas
Percusión) Matide2 a la percusión
Auscultación
) Estertores crepitantes, soplo tu3ario, 3roncofon+a, pectoriloquia, pectoriloquia 8fona.
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&B
S+ndrome de $onsolidaciónEtiolo-+a
! +
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&
) !eumon+a
/acteriana
) #érmenes T+picos
) #érmenes at+picos
) !eumon+a tu3erculosa
) !eumon+a metatu3erculosa
Micótica
Parasitaria) !eumonitis
$onecti1opat+as, hemorra-ia al1eolar
Cu+mica
S+ndrome de Mendelson) !eoplasia 6$8ncer pulmonar primario o metast8sico7
) Infarto pulmonar
) A3sceso pulmonar
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Soto A. Sindromes Parenquimales&&
!eumon+a %o3ar 6o Al1eolar7
) $ondición infecciosa en la cual un a-ente
micro3iano alcan2a los al1eolos pulmonares
produciendo un edema inflamatorio el cualse disemina centr+fu-amente pudiendo
comprometer o m8s ló3ulos.
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Soto A. Sindromes Parenquimales&
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Soto A. Sindromes Parenquimales&4
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Soto A. Sindromes Parenquimales&:
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Soto A. Sindromes Parenquimales&;
$aracter+sticas Fcl8sicasG
!eumon+a neumocócica
) Escalofr+o inicial
) Dolor en punta de costado
) Aparicion de erpes la3ial
!eumon+a por @le3siella
) Esputo en FHalea de #rosellaG
!eumon+a por anaero3ios) Esputo p0trido
!eumon+a estafilocócica
) alla2-os 3ilaterales 63ronconeumon+a7
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%a Maor+a de Pacientes con
!eumon+a !( presentan
s+ndrome de consolidación
Soto A. Sindromes Parenquimales&=
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Soto A. Sindromes Parenquimales&>
Sensibilidad (%)
Especifcidad (%)
LRPositiv
o
LRnegati
vo
Frecuencia Respiratoria > 28 36 82 2 0.8
Matidez 15-48 73-95 3 NS
Disminución de MurmulloVesicular 15-49 73-95 2.3 0.8
Auscultación de ruidotraqueobronquial 14 96 3.3 NS
Egofona 4- 16 96-99 4.1 NS
!repitantes 19-64 48-94 2 0.8
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alla2-os en !eumon+a
) <ie3re >B
) <'J&B ?B
) $repitantes >B
) S+ndrome de condensación B
) Pueden superponerse halla2-os de derrame pleural.
Soto A. Sindromes Parenquimales&?
/arttlet.$ommunit Acquired pneumonia. !EHM ??:.
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) %a ausencia de alteración de funciones
1itales anormalidades del examen f+sico
permite EK$%"I' el dia-nóstico deneumon+a.
Soto A. Sindromes ParenquimalesB
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%a neumon+a desde el punto de 1ista
histoló-ico puede tener los si-uientes
patrones5
)%o3ar
)Intersticial
)/ronconeumon+a
)Miliar
El s+ndrome cl+nico de $onsolidación se
asocia sólo al patrón lo3ar.
Soto A. Sindromes Parenquimales
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Soto A. Sindromes Parenquimales&
S+ndromes que comprometen al
parénquima pulmonar ) S+ndrome de consolidación
) S+ndrome de Atelectasia.
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Soto A. Sindromes Parenquimales
ATE%E$TASIA
) $ualquier condición que -enere perdida 6sin
reempla2o7 del aire al1eolar
Etimolo-+a
) Atelos incompleto
) Ectasis distensión, estiramiento
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Soto A. Sindromes Parenquimales4
Tipos de Atelectasias
) Atelectasia por 'ela*ación 6pasi1as7
) Atelectasia por cicatri2ación
) Atelectasias adhesi1as
) Atelectasias por resorción
)Atelectasias por denitro-enación
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Soto A. Sindromes Parenquimales:
Atelectasias por 'esorción
) $ausa m8s frecuente de atelectasias
) (3strucción de la comunicación entre la
tr8quea el al1eolo
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Soto A. Sindromes Parenquimales;
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Soto A. Sindromes Parenquimales=
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Soto A. Sindromes Parenquimales>
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Soto A. Sindromes Parenquimales?
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Soto A. Sindromes Parenquimales4B
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Soto A. Sindromes Parenquimales4
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Soto A. Sindromes Parenquimales4&
↓ ó A3olicionMurmulloesicular
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Soto A. Sindromes Parenquimales4
alla2-os $l+nicosInspección
) Des1iación 6inspiratoria7 de la traquea hacia el lado afectado,disminución de la expansión respiratoria, retracciónhemitor8cica
Palpación) Disminución de la amplexación. i3raciones 1ocales
a3olidas.
Percusión
) Matide2. Despla2amiento de 2ona de matide2 cardiacaAuscultación
) Murmullo 1esicular a3olido. Disminución de la resonancia1ocal
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) $uando una consolidación se asocia a
o3strucción de un 3ronquio maor
6secreciones, crecimiento tumoral7 se pueden superponer los halla2-os de
consolidación atelectasia.
) %a com3inación de atelectasia conconsolidación o derrame o3li-a a decartar
neoplasia tu3erculosis.
Soto A. Sindromes Parenquimales44
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S+ndrome $a1itario
) Presente en casos de lesiones extensas
6-eneralmente J4 cm7 periféricas.
Soto A. Sindromes Parenquimales4:
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Soto A. Sindromes Parenquimales4;
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Soto A. Sindromes Parenquimales4=
<9 disminuidas
Timpanismo
LM
Soplo ca1itario9anfórico
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Soto A. Sindromes Parenquimales:
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