• atitudine – pozitia pe care o
TRANSCRIPT
![Page 1: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/1.jpg)
ATITUDINEA
![Page 2: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/2.jpg)
• Atitudine – pozitia pe care o adopta pacientul in pat sau in cabinetul de consultatie
• Activa – deplasarea, miscari in pat, act de igiena etc
• Pasiva – pacient la pat, incapabil sa-si schimbe pozitia: comatosi, boli grave
• Forţată – se datoreaza:– Calmarea unui simptom neplacut (durere, dispnee,
tuse)
– Contracturi musculare
– Pareze, paralizii
– Modificari osteoarticulare
![Page 3: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/3.jpg)
• Atitudinile forţate antalgice – pacientul obtine reducerea/disparitie unei dureri– Pleurita/fracturi costale – decubit contralateral → se
evita accentuarea durerii cauzata de apasarea hemitoracelui afectat asupra saltelei
– Ulcer gastric si duodenal – ghemuit cu pumnul apasand epigastrul
– Arteriopatii cronice obstructive avansate – cu picioarele atarnand pe marginea patului
– Durerea peritoneala (ulcer penetrant, colecistita acuta etc) – decubit dorsal cu coapsele in semiflexie → relaxarea peretelui abdominal
– Infarct miocadic acut, colica renala/biliara – instabilitate pozitionala, agitatie, schimbarea permanenta a pozitiei
– Pancreatita acuta – pozitia de “ou”
![Page 4: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/4.jpg)
![Page 5: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/5.jpg)
![Page 6: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/6.jpg)
![Page 8: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/8.jpg)
![Page 9: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/9.jpg)
![Page 10: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/10.jpg)
![Page 11: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/11.jpg)
![Page 12: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/12.jpg)
Atitudinile antidispneizante
• Ortopneea/semiortopneea
• Pleurezia exudativa/bronsiectazie- decubit ipsilateral
• Pericardita exudativa-torace aplecat inainte
• Angiocardiopatiile congenitale – pozitia ghemuita “squating”
![Page 13: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/13.jpg)
![Page 14: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/14.jpg)
![Page 15: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/15.jpg)
![Page 16: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/16.jpg)
![Page 17: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/17.jpg)
![Page 18: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/18.jpg)
Atitudini fortate- contractura musculara
• Opistotonus –pozitia de arc
![Page 19: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/19.jpg)
• Emprostotonus – in fata
• Pleurostotonus – partea laterala
• Contractura musculaturii paravertebrale– Scolioza, spate “in baioneta”
![Page 20: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/20.jpg)
![Page 21: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/21.jpg)
![Page 22: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/22.jpg)
• Torticolisul –contractia muschilor sternocleidomastoidieni sau trapezi
![Page 23: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/23.jpg)
• Sdr. Meningiene – “cocos de pusca”
![Page 24: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/24.jpg)
• Tetania acuta – hipocalcemia– Miospasme– Spasme musculatura neteda: laringe, esofag– Orbicularul gurii – gura de stiuca– Mana de mamos – spasm carpal– Membre inferioare - Spasm pedal – degete
flectate in gheara
![Page 25: • Atitudine – Pozitia Pe Care o](https://reader033.vdocuments.pub/reader033/viewer/2022061322/5571f3f349795947648ecd04/html5/thumbnails/25.jpg)