{"id":12616,"date":"2021-01-27T22:06:13","date_gmt":"2021-01-27T22:06:13","guid":{"rendered":"https:\/\/www.heartfailurematters.org\/historia-clinica-e-exame-fisico\/"},"modified":"2021-01-27T22:06:13","modified_gmt":"2021-01-27T22:06:13","slug":"historia-clinica-e-exame-fisico","status":"publish","type":"page","link":"https:\/\/www.heartfailurematters.org\/pt-br\/o-que-e-a-insuficiencia-cardiaca\/historia-clinica-e-exame-fisico\/","title":{"rendered":"Hist\u00f3ria cl\u00ednica e exame f\u00edsico"},"content":{"rendered":"<p><img decoding=\"async\" class=\"alignleft size-full wp-image-6700\" src=\"https:\/\/cdn-endpoint-hfm.azureedge.net\/heartfailurematters\/2021\/02\/General-physician-1.jpg\" alt=\"\" width=\"211\" height=\"206\" \/><\/p>\n<p>A primeira coisa que um m\u00e9dico far\u00e1 se suspeitar que tem insufici\u00eancia card\u00edaca \u00e9 fazer a sua <a class=\"addtooltip\" title=\"Informa\u00e7\u00f5es sobre uma pessoa\"><strong>hist\u00f3ria cl\u00ednica<\/strong><\/a> e realizar um exame f\u00edsico minucioso. Isto \u00e9 importante para identificar os sintomas atuais, mas tamb\u00e9m para tentar identificar a poss\u00edvel causa da insufici\u00eancia card\u00edaca. Durante a <a class=\"addtooltip\" title=\"&lt;div id='ToolTipTextWrap'&gt;hist\u00f3ria cl\u00ednica&lt;\/div&gt;&lt;p&gt; Informa\u00e7\u00f5es sobre uma pessoa&lt;\/p&gt;\"><strong>hist\u00f3ria cl\u00ednica<\/strong><\/a> e <a class=\"addtooltip\" title=\"Exame minucioso de um doente para identificar sinais de doen\u00e7a ou anormalidade.\"><strong>exame f\u00edsico<\/strong><\/a> o seu m\u00e9dico ir\u00e1 perguntar-lhe sobre os seus sintomas, doen\u00e7as atuais e anteriores, atividade f\u00edsica, respira\u00e7\u00e3o, sono, alimenta\u00e7\u00e3o e outras atividades. Depois de concluir a sua hist\u00f3ria cl\u00ednica, o m\u00e9dico realizar\u00e1 um exame f\u00edsico. As partes do <a class=\"addtooltip\" title=\"Exame minucioso de um doente para identificar sinais de uma doen\u00e7a ou anomalia.\"><strong>exame f\u00edsico<\/strong><\/a> que s\u00e3o as mais \u00fateis no diagn\u00f3stico da insufici\u00eancia card\u00edaca s\u00e3o:<\/p>\n<ul>\n<li>Me\u00e7a a press\u00e3o arterial e a pulsa\u00e7\u00e3o. A press\u00e3o arterial elevada exerce esfor\u00e7o adicional no cora\u00e7\u00e3o e uma frequ\u00eancia card\u00edaca r\u00e1pida e\/ou irregular poder\u00e1 indicar que o cora\u00e7\u00e3o est\u00e1 a tentar bombear mais rapidamente para compensar.<\/li>\n<li>Avalie a cor e a temperatura da pele.<\/li>\n<li>Verifique as veias no pesco\u00e7o. Se o sangue estiver a acumular no cora\u00e7\u00e3o, as veias no pesco\u00e7o poder\u00e3o inchar ou ficar salientes.<\/li>\n<li>Oi\u00e7a a sua respira\u00e7\u00e3o e o cora\u00e7\u00e3o com um estetosc\u00f3pio. Um som de triturar nos pulm\u00f5es ou pieira poder\u00e1 indicar <a class=\"addtooltip\" title=\"Quando existe demasiado l\u00edquido na circula\u00e7\u00e3o sangu\u00ednea e congest\u00e3o, a press\u00e3o aumenta nos vasos sangu\u00edneos. Consequentemente, ocorre extravasamento de l\u00edquido para os tecidos circundantes, onde se acumula provocando edema.\"><strong>acumula\u00e7\u00e3o de l\u00edquidos<\/strong><\/a> nos pulm\u00f5es. Os sons card\u00edacos anormais (sopros) podem indicar defeitos nas v\u00e1lvulas.<\/li>\n<li>Verifique o abd\u00f3men para incha\u00e7o causado pela acumula\u00e7\u00e3o de l\u00edquidos.<\/li>\n<li>Verifique os tornozelos e pernas para incha\u00e7o causado pela acumula\u00e7\u00e3o de l\u00edquidos.<\/li>\n<li>Pese-se.<\/li>\n<\/ul>\n<p><a title=\"\" href=\"https:\/\/www.heartfailurematters.org\/pt-pt\/o-que-e-a-insuficiencia-cardiaca\/exames-comuns-para-detetar-a-insuficiencia-cardiaca\/\">Voltar \u00e0 sec\u00e7\u00e3o Exames comuns para detetar a insufici\u00eancia card\u00edaca<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A primeira coisa que um m\u00e9dico far\u00e1 se suspeitar que tem insufici\u00eancia card\u00edaca \u00e9 fazer a sua hist\u00f3ria cl\u00ednica e realizar um exame f\u00edsico minucioso. Isto \u00e9 importante para identificar os sintomas atuais, mas tamb\u00e9m para tentar identificar a poss\u00edvel causa da insufici\u00eancia card\u00edaca. Durante a hist\u00f3ria cl\u00ednica e exame f\u00edsico o seu m\u00e9dico ir\u00e1 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12487,"parent":13168,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"categories":[],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hist\u00f3ria cl\u00ednica e exame f\u00edsico<\/title>\n<meta name=\"description\" content=\"A primeira coisa que um m\u00e9dico far\u00e1 se suspeitar que sofre de insufici\u00eancia card\u00edaca \u00e9 analisar o seu historial m\u00e9dico e realizar um exame completo ao corpo.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.heartfailurematters.org\/pt-br\/o-que-e-a-insuficiencia-cardiaca\/historia-clinica-e-exame-fisico\/\" 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