gets meio Aral ca de mss cents
4 sgrares capull pacientu fn pice sewn” (ett
lateral penta eer cle serine sa even dare i Ta fang
saspicarenevntalsoe vast
adnan de gsdep cle ral eat, su ul) ta
‘zal tn cate clea orld no poate folie vor mises 200,
250ml intro solide wcord 10% i
dict dopa adminsraea ghaore sinptomatlogia mu se
ite api nscamn ei rw hpogicemi fost cazasimpomeloe,
8.
ATITUDINEA FATA DE AFECTIUNILE ENDOCRINE.
IN CABINETUL DE MEDICINA DENTARA
Prof dr, Mans VoRONEAN Pode ALEXANDRU BUCUR,
‘Sef ners dr. Tas NIT, Sf eos ce VicroN GUT,
sini OCTAFUNDINGR, Asi i de-CRSTIAN VLAD,
Asis nde MMmAtogbaN Bet Asi ede Coma HOPAA
AFECTIUNILE TIROIDIENE
Tireotoxicoza
ste un sndrom tne datort ur ees de homer tii
‘Teamenltiretoxcoz se pre prefab cell de hiproii, pot cd
‘au otce exces de hormni iden inseain ogni hiro
land tie,
‘Semele line le tistosisozi por ssematiete ase
generale
inlet esr
> rsp ncesivas,
seer ponieas important eu ptt sates2 gente mesos cat de mec dots
+ canfo-atculare:
Taher de epas (90min
tuba de tm Sig tly,
1+ pearomcule
oni ft,
+ porelece, emer al evreitiir
+ pearopie:
lai psnoaeeiva,
tegument tegument subj, calle, umede, cu aspect
= digstive:
secelerte travian,
«ator
vie cater fa
ie fantlor palpebral;
2 eet,
ln gencal,simpomle de nrostte domi abou civ ta
navi a nr in pce a cei ma net pedo stone
condosascalare mpi,
(Conduit in ebinctal de medicing dentards
+ esult”endocinologie fect fini trataentl
irwical eu maximum 18 ie,
‘+ dich pacienul prerin semne de dovompesre (aici
90min, agit psho-motore, tremor al exes) s temporizezs
‘cxanentl somaologie
+ adminsvaea fr ierapere» mec! de rt, nus
fn iu iervenil stomasloie,
‘sale pall a paietl pin diistrc ue tble
(75 mg) de Midzoloxo juss deo sine nerve
+ eviaea aeseicelr locale ex aeoorecty ee
‘anion dct leucopenia este <2 COD‘! (ecundars
‘sini anitioelr de sinter).
Cris trvtoied represis complica sve tnetoncozi,
deecminait de un sues exo. tu endogen cate sce 0 creer
‘maa a nivella:bomoior tide cu un fet toxic esp mete
boli visereor hipaa ssemuti spat, es lei
‘Clinic se manifest pin sgravare seal linie ale ise
‘ulus pshice (confi sav agi, abit exter)
1 be, deste, tegument ust, hier;
+ pipes:
* ihicaic, rubs de itm cardia, biptensane aril
Inicio cade
vom, dare
Repeeziis oun medial sor, Attadines cabinet de
ecg der const In monittizreasemelor vile isles
Amblne peste wafer de arena tun servic de specalite
Mipotiroiaia.
Ese un sndrom linc provoest de orcae din tiple de
nomi are determin ose inset de omen ics
Simptomatoogi et ei fate de vist In care dchir
‘ea defcens de promptiudines es ear este ns tate a
fara de stare, bla lini exe
Ties ner, nexpresiy infin
sen pri
1 oleme peti;
tegument rei ase, pai, cu content doa”
+ macroglsiexersomis,
+ asians,
loaner ree diminte;
+ sindrom de aan
Conduit in cabinetol de mizing dente:
+ "consult endootinologicefectot Ines tatamct chine
sical eo maximum Sle,4. slminisrars fi tnserapere a medicaid rin ntusiv
‘nun interenie somatologie,
*seevtl adminiarea de sedtve/analgetice a doze mat,
‘+ onitorzaea pls, TA;
+ cool igus herostaei (ani ecundar)
AFECTIUNI ALE GLANDEI CORTICOSUPRARENALE
Penru medi! dentist sunt inporante modifi patie ale
seer eoricosprareali,dearee eoizal(hdrsorzunal este
nal dinze hormonit care asgurkrispunal organi I see
\laclsi tastes ehiraie)
Defctul de glucocortcoel (hipocorticismul)
Priniala cau este rprezetatt de aoa cots
consecutiv adminisrani prelungie de crcosterois eogsn poser,
‘sim primar (bala Adkison) ete feevent de eaurh sutton,
at fascia uaa autoiane (ois Haskins se
Simptomataage:
Ipepimestatic maco-ctaa,
+ hponsone anes
1 oboreald masclart,
ste prinict
‘Conduit ta eabinetal de medi dentars:
consult de pei;
abla doi de Prodnison tn zius interven stom
‘ologie
* dact pace este como-ependet se recomandatibioe
ofa nor oe
ine on et
Crea Aditsoniant: in crak spr ui ss (asi,
trauma, hig) se produce consumarea api coer es
+ hiptensiue aerial sever pa la nape
Ipoalicemie:
duce abdominal, dite, vrais
Sealer tmpert,
2 decom
-Atitadinen de urgent in eabinctal de medi dental 12)
Cea pa]
i
~
rir aeons]
J
(eicnerAnouil)
se insaleaz oline ven pereriets
Se aiminisueas perfec pico 59% 9200 mg Hidocor
‘iam bemisucinat abla:
+ montrzae serie vt
4 Sofciaea Ambulat1 agente meer: nie de mass dt
ipercorticismul sindromul Cushing)
‘Se poate dstlor perce endogene sau tatamentli conic
doze mar de cortiostroe (ts, ler, bol ntimune, stn)
Simptomatoosi
2 ns pling
2 choclate on dsb cena,
{egumen bj, ov tend la echimoze,
1 oti moselare espe mised diaagmal;
2 scope
1 murodepresies
1 ere rong pi hpeeasune aerial neo),
{iperacemie date zat onc)
2 vindsare dif plage,
isn
tub pie
Conduit in cabinctal de medicina dentar
+ "cons de seit,
1 Inpscieni eu hipercoricsm exogn seroma splinen-
tara Joh une Be Preaisn Ta zua interven (pen & preven
‘ia Addisons)
entail se vorreaiza cit ma sauna se ect a
ce ptloee)
2 eal intervenor sngende sev fice anboproflasis
‘afer ioc
Feocromocitomul
seo tumor serene de estecolamin, cu niet tz in
popula 9 pele pentr ai ew rest cupeist ine 40950 ai,
ctr lini prin ada thar, efile i anspiri,ta
‘pessfa pertain cu crater prose.
neg rt 5
Simptomatologie:
transprae proxisticexcesiv;
«efile prose:
(petenine eer paxil,
hipotesine erst;
tuhicardie paoxistis,
Imola la ghocors,
pierre ln grout
tubs pice.
Tratamentele stomsolgice se pt efectua doar il cont de
spitazare, Insc de Chiruge Oro Mail Facials