Spitalul Clinic Colentina Sectia Diabet, Nutritie si Boli ... · Spitalul Clinic Colentina Sectia...

Spitalul Clinic Colentina

Sectia Diabet, Nutritie si Boli Metabolice

PROTOCOL DE DIAGNOSTIC SI TRATAMENT

SECTIA Diabet, Nutritie si Boli Metabolice AFECTIUNE Hiperuricemie

CLINIC -Artrita monoarticulara (haluce) sau poliartriculara (metatarso-falangiene, glezna, calcaie, geninchi, coate) -Febra sau subfebra -Colica uereterala

LABORATOR -acid uric; -HLG, VSH; -fibrinogen; -glicemie, test toleranta orala la glucoza; -colesterol total, LDL-colesterol, HDL-colesterol, trigliceride; -creatinina, uree; -sumar de urina

IMAGISTIC -Radiografie pulmonara; -Radiografie osteo-articulara; -Ecografie abdominala si de parti moi;

DIAGNOSTIC

GOLDEN STANDARD -Punctie articulara a membranei sinoviale

DIETETIC -Cura de diureza; -Dieta

MEDICAMENTOS -AINS -Colchicina -Corticosteroizi -Medicatie antihiperuricemica -Medicatie uricozurica -Medicatie uricolitica

TRATAMENT

CHIRURGICAL -In situatii exceptionale

PROGNOSTIC Dependent de severitatea afectarilor de organ