Upload
vonhu
View
226
Download
0
Embed Size (px)
Citation preview
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