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% Document Info
\author{nagabi}
\pdfinfo{
  /Title (ortopedia-derrame-articular.pdf)
  /Creator (Cheatography)
  /Author (nagabi)
  /Subject (Ortopedia: Derrame Articular Cheat Sheet)
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Ortopedia: Derrame Articular Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{nagabi} via \textcolor{DarkBackground}{\uline{cheatography.com/196758/cs/45625/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}nagabi \\
  \uline{cheatography.com/nagabi} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 8th February, 2025.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Definição}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{O derrame articular, também chamado de efusão articular, refere-se ao acúmulo anormal de líquido dentro da cavidade articular. Esse líquido pode ser sinovial, sangue (hemartrose), pus (empiema articular) ou sero-fibrinoso, dependendo da causa subjacente.% Row Count 6 (+ 6)
} \tn 
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\begin{tabularx}{5.377cm}{x{1.54287 cm} x{3.43413 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Etiopatogênia}}  \tn
% Row 0
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{\bf{Traumáticas}} & Lesões Ligamentares, Fraturas Intra-articulares, Contusões e Distensões Musculares Severas \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\bf{Inflamatórias}} & Artrite Reumatoide, Espondiloartropatias, Gota e Pseudogota \tn 
% Row Count 7 (+ 3)
% Row 2
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{\bf{Infecciosas}} & Artrite séptica e Doença de Lyme \tn 
% Row Count 9 (+ 2)
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{\bf{Degenerativas}} & Osteoartrite \tn 
% Row Count 11 (+ 2)
% Row 4
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{\bf{Hemorrágicas}} & Hemofilia, Escorbuto e Uso de Anticoagulantes \tn 
% Row Count 13 (+ 2)
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\mymulticolumn{1}{x{5.377cm}}{O derrame articular pode ocorrer por diversos mecanismos, incluindo:} \tn 
% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{- {\bf{Aumento da produção de líquido sinovial}} {\emph{(ex: inflamação por artrite reumatoide, gota e infecção)}}} \tn 
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\mymulticolumn{1}{x{5.377cm}}{- {\bf{Diminuição da reabsorção do líquido articular}} {\emph{(ex: lesões que afetam a drenagem linfática)}}} \tn 
% Row Count 8 (+ 3)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{- {\bf{Sangramento intra-articular}} {\emph{(ex: trauma, coagulopatias)}}} \tn 
% Row Count 10 (+ 2)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Diagnóstico}}  \tn
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{\bf{História Clínica}} & idade, comobidades, trauma recente, uso de anticoagulantes, doenças articulares prévias, características do derrame {\emph{(início súbito ou insidioso)}} e sintomas sistêmicos {\emph{(febre, fadiga, perda de peso)}} \tn 
% Row Count 9 (+ 9)
% Row 1
\SetRowColor{white}
{\bf{Exame Físico}} & inspeção {\emph{(aumento de volume, eritema, deformidades)}}, palpação {\emph{(calor, dor, crepitação)}}, teste de mobilidade {\emph{(limitação passiva e ativa)}} e sinal da "onda líquida" {\emph{(indica presença de líquido intra-articular)}} \tn 
% Row Count 19 (+ 10)
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{\bf{Exames Complementares}} & {\bf{Artrocentese}} (punção articular)\{\{nl\}\} Osteoartrite {\emph{se líquido transparente/amarelo claro + leucócitos \textless{}2.000}} \{\{nl\}\} Causa Inflamatória {\emph{se leucócitos entre 2.000 e 50.000 \{\{nl\}\} Artrite Séptica }}se líquido opaco e purulento \{\{nl\}\} Hemartrose {\emph{se líquido sanguinolento \{\{nl\}\} Infecção }}se Gram e cultura positivos{\emph{ \{\{nl\}\} Gota ou Pseudogota }}se cristais \{\{nl\}\} {\bf{Raio-x}} se osteoartrite ou fraturas \{\{nl\}\} {\bf{USG}} detecção de derrames pequenos \{\{nl\}\} {\bf{RM}} para lesões de ligamento e tecido mole \tn 
% Row Count 41 (+ 22)
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{\bf{Traumático}} & gelo, repouso, AINE, fisioterapia \{\{nl\}\} {\emph{Cirurgia se houver lesão ligamentar grave ou fratura intra-articular}} \tn 
% Row Count 4 (+ 4)
% Row 1
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{\bf{Inflamatório}} & AINE, metrotrexato para artrite reumatoide, colchicina para gota, corticoide intra-articular \tn 
% Row Count 8 (+ 4)
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{\bf{Infeccioso}} & {\bf{Artrite Séptica}} é uma {\bf{emergência médica}} faz antibiótico IV e drenagem articular \tn 
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{\bf{Hemorrágico}} & reposição de fator de coagulação e suspensão de anticoagulantes se possível \tn 
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complicações}}  \tn
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{\bf{Anquilose Articular}} & perda de mobilidade \tn 
% Row Count 2 (+ 2)
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Deformidades Articulares}}} \tn 
% Row Count 3 (+ 1)
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{\bf{Septicemia}} & se não tratada rapidamente a artrite séptica \tn 
% Row Count 5 (+ 2)
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% That's all folks
\end{multicols*}

\end{document}