{"id":1012,"date":"2022-08-24T00:08:59","date_gmt":"2022-08-24T03:08:59","guid":{"rendered":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/?page_id=1012"},"modified":"2022-09-29T00:06:57","modified_gmt":"2022-09-29T03:06:57","slug":"caso-2","status":"publish","type":"page","link":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/caso-2","title":{"rendered":"Caso 2"},"content":{"rendered":"\n<p><span style=\"font-weight: 400\">Para esta interpreta\u00e7\u00e3o voc\u00ea ter\u00e1 duas situa\u00e7\u00f5es:<\/span><\/p>\n\n\n\n<h2 class=\"has-text-color has-medium-font-size wp-block-heading\" style=\"color:#00649f;font-style:italic;font-weight:700\">Situa\u00e7\u00e3o 1<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1853\" height=\"618\" src=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/08\/caso-2-1-3.png\" alt=\"\" class=\"wp-image-1051\" srcset=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/08\/caso-2-1-3.png 1853w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/08\/caso-2-1-3-300x100.png 300w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/08\/caso-2-1-3-1024x342.png 1024w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/08\/caso-2-1-3-768x256.png 768w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/08\/caso-2-1-3-1536x512.png 1536w\" sizes=\"(max-width: 1853px) 100vw, 1853px\" \/><\/figure>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<h2 class=\"has-text-color has-medium-font-size wp-block-heading\" style=\"color:#00649f;font-style:italic;font-weight:700\">Situa\u00e7\u00e3o 2<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"1853\" height=\"618\" src=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/caso-2-2-1.png\" alt=\"\" class=\"wp-image-1066\" srcset=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/caso-2-2-1.png 1853w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/caso-2-2-1-300x100.png 300w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/caso-2-2-1-1024x342.png 1024w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/caso-2-2-1-768x256.png 768w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/caso-2-2-1-1536x512.png 1536w\" sizes=\"(max-width: 1853px) 100vw, 1853px\" \/><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg\" alt=\"\" class=\"wp-image-1071\" width=\"50\" height=\"50\" srcset=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg 612w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-300x300.jpg 300w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-150x150.jpg 150w\" sizes=\"(max-width: 50px) 100vw, 50px\" \/><\/figure>\n<\/div>\n\n\n<p><em>Se gestante apresentando \u00falcera anogenital <strong>ou<\/strong> sinais\/sintomas de s\u00edfilis secund\u00e1ria, <strong>ou<\/strong> se teve parceria sexual nos \u00faltimos 90 dias com diagn\u00f3stico de s\u00edfilis e n\u00e3o recebeu tratamento, <strong>ou<\/strong> se n\u00e3o tem registro de tratamento pr\u00e9vio adequado para s\u00edfilis: <strong><a href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\" rel=\"noreferrer noopener\">trate<\/a> para s\u00edfilis recente e notifique<\/strong>, e avalie e <a href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\" rel=\"noreferrer noopener\">trate<\/a> as parcerias sexuais dos \u00faltimos 3 meses.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<h2 class=\"has-text-color has-medium-font-size wp-block-heading\" style=\"color:#00649f;font-style:italic;font-weight:700\">Interpreta\u00e7\u00e3o<\/h2>\n\n\n\n<p><span style=\"font-weight: 400\">Para <\/span><b>dois testes<\/b><span style=\"font-weight: 400\"> imunol\u00f3gicos diferentes com <\/span><b>resultado reagente<\/b><span style=\"font-weight: 400\">:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><b>diagn\u00f3stico de s\u00edfilis<\/b><span style=\"font-weight: 400\">:<\/span><ul><li><b>recente<\/b><span style=\"font-weight: 400\">, se gestante apresenta \u00falcera anogenital <\/span><b>ou<\/b><span style=\"font-weight: 400\"> sinais\/sintomas de s\u00edfilis secund\u00e1ria, ou<\/span><\/li><li><b>tardia<\/b><span style=\"font-weight: 400\">, se gestante n\u00e3o apresenta sinais\/sintomas de s\u00edfilis recente <\/span><b>e <\/b><span style=\"font-weight: 400\">n\u00e3o tem hist\u00f3ria e\/ou registro de tratamento pr\u00e9vio para s\u00edfilis (<strong>ou<\/strong> tem, mas n\u00e3o tem VDRL anterior p\u00f3s-tratamento para compara\u00e7\u00e3o, <strong>ou<\/strong> tem, <strong>e<\/strong> VDRL atual tem titula\u00e7\u00e3o pelo menos 2 dilui\u00e7\u00f5es maior que o \u00faltimo VDRL realizado ap\u00f3s tratamento pr\u00e9vio adequado para s\u00edfilis);<\/span> <span style=\"color: #00ccff\"><b><i><span style=\"color:#00649f\" class=\"tadv-color\">OU<\/span><\/i><\/b><\/span><\/li><\/ul><\/li><li><b>cicatriz sorol\u00f3gica<\/b><span style=\"font-weight: 400\">: se gestante n\u00e3o apresenta sinais\/sintomas de s\u00edfilis recente <\/span><b>e <\/b><span style=\"font-weight: 400\">tem hist\u00f3ria<span style=\"font-weight: 400\"> e\/ou registro de tratamento pr\u00e9vio para s\u00edfilis<\/span>, <strong>e<\/strong> tem VDRL anterior <span style=\"font-weight: 400\">p\u00f3s-tratamento<\/span><\/span> <span style=\"font-weight: 400\">para compara\u00e7\u00e3o, <strong>e<\/strong> VDRL atual n\u00e3o tem titula\u00e7\u00e3o pelo menos 2 dilui\u00e7\u00f5es maior que o \u00faltimo VDRL realizado ap\u00f3s tratamento pr\u00e9vio adequado para s\u00edfilis.<\/span><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<h2 class=\"has-text-color has-medium-font-size wp-block-heading\" style=\"color:#00649f;font-style:italic;font-weight:700\">Conduta<span style=\"color: #00ccff\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><span style=\"font-weight: 400\">Se <\/span><b>diagn\u00f3stico de s\u00edfilis<\/b><span style=\"font-weight: 400\">: <strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\">trate<\/a><\/strong> conforme a classifica\u00e7\u00e3o cl\u00ednica, notifique e realize o <a href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/monitoramento-2\/\" data-type=\"page\" data-id=\"874\" target=\"_blank\" rel=\"noreferrer noopener\">monitoramento<\/a> com teste n\u00e3o trepon\u00eamico (VDRL).<\/span><\/li><li><span style=\"font-weight: 400\">Se confirmado caso de <\/span><b>cicatriz sorol\u00f3gica<\/b><span style=\"font-weight: 400\">: realize <\/span><b>orienta\u00e7\u00e3o <\/b><span style=\"font-weight: 400\">centrada na pessoa e nas suas pr\u00e1ticas sexuais (ver <\/span><a href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/monitoramento-2\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"font-weight: 400\">Monitoramento<\/span><\/a><span style=\"font-weight: 400\">).<\/span><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg\" alt=\"\" class=\"wp-image-1071\" width=\"50\" height=\"50\" srcset=\"https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg 612w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-300x300.jpg 300w, https:\/\/www.ufsm.br\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-150x150.jpg 150w\" sizes=\"(max-width: 50px) 100vw, 50px\" \/><\/figure>\n<\/div>\n\n\n<p><em>Se o diagn\u00f3stico de s\u00edfilis \u00e9 em pessoa vivendo com HIV (PVHIV), realize exame neurol\u00f3gico; se sinais\/sintomas oculares\/neurol\u00f3gicos: encaminhe, solicite pun\u00e7\u00e3o lombar e investigue neuross\u00edfilis.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<figure class=\"wp-block-table\" style=\"font-size:16px\"><table class=\"has-white-color has-text-color has-background has-fixed-layout\" style=\"background-color:#00649f\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><em><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/projeto-prevencao-da-sifilis-na-gestacao\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\">In\u00edcio<\/span><\/u><\/strong><\/span><\/a><\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/diagnostico\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\"><em>Diagn\u00f3stico<\/em><\/span><\/u><\/strong><\/span><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/tratamento\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\"><em>Tratamento<\/em><\/span><\/u><\/strong><\/span><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/monitoramento-2\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\"><em>Monitoramento<\/em><\/span><\/u><\/strong><\/span><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Para esta interpreta\u00e7\u00e3o voc\u00ea ter\u00e1 duas situa\u00e7\u00f5es: Situa\u00e7\u00e3o 1 Situa\u00e7\u00e3o 2 Se gestante apresentando \u00falcera anogenital ou sinais\/sintomas de s\u00edfilis secund\u00e1ria, ou se teve parceria sexual nos \u00faltimos 90 dias com diagn\u00f3stico de s\u00edfilis e n\u00e3o recebeu tratamento, ou se n\u00e3o tem registro de tratamento pr\u00e9vio adequado para s\u00edfilis: trate para s\u00edfilis recente e notifique, [&hellip;]<\/p>\n","protected":false},"author":6056,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[63],"tags":[],"class_list":["post-1012","page","type-page","status-publish","hentry","category-projeto-sifilis"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/pages\/1012","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/users\/6056"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/comments?post=1012"}],"version-history":[{"count":0,"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/pages\/1012\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/media?parent=1012"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/categories?post=1012"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ufsm.br\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/tags?post=1012"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}