<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/af2e690e-25d9-4467-95bf-ba9aa8ab1e5e/bg1.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls0 ws0">Doenças</div><div class="t m1 x2 h3 y2 ff2 fs1 fc0 sc0 ls5a">da</div><div class="t m2 x3 h4 y3 ff3 fs2 fc0 sc0 ls1 ws1">Glândula</div><div class="t m3 x4 h5 y4 ff4 fs3 fc0 sc0 ls5b ws2">Adren<span class="blank _0"> </span>al</div><div class="t m4 x1 h6 y5 ff2 fs4 fc0 sc0 ls2 ws3">Funcionamento</div><div class="t m5 x5 h7 y6 ff2 fs5 fc0 sc0 ls5c">:</div><div class="t m6 x6 h8 y7 ff2 fs6 fc0 sc0 ls5d">liberação</div><div class="t m7 x7 h9 y8 ff2 fs7 fc0 sc0 ls3 ws4">regulada</div><div class="t m8 x8 ha y9 ff2 fs8 fc0 sc0 ls5e">pelo</div><div class="t m9 x9 hb ya ff2 fs9 fc0 sc0 ls4 ws5">ciclo</div><div class="t ma xa hc yb ff2 fsa fc0 sc0 ls5f ws6">circadiano</div><div class="t mb xb hd yc ff2 fsb fc0 sc0 ls5c">(</div><div class="t mc xc he yd ff2 fsc fc0 sc0 ls5 ws7">pico</div><div class="t md xd hf ye ff2 fsd fc0 sc0 ls60">pela</div><div class="t me xe h10 yf ff2 fse fc0 sc0 ls61">manhã</div><div class="t mf xf h11 y10 ff2 fsf fc0 sc0 ls5c">-</div><div class="t m10 x10 h12 y11 ff2 fs10 fc0 sc0 ls62">8h</div><div class="t m11 x11 h13 y12 ff2 fs11 fc0 sc0 ls5c">)</div><div class="t m12 x1 h14 y13 ff2 fs12 fc0 sc0 ls63">Hipotálamo</div><div class="t m13 x12 h15 y14 ff2 fs13 fc0 sc0 ls5c">À</div><div class="t m14 x13 h16 y15 ff2 fs14 fc0 sc0 ls64">Hipófise</div><div class="t m15 x14 h17 y16 ff2 fs15 fc0 sc0 ls65">És</div><div class="t m16 x15 h18 y17 ff2 fs16 fc0 sc0 ls66 ws8">Adr<span class="blank"> </span>e<span class="blank"> </span>n<span class="blank"> </span>a<span class="blank"> </span>l</div><div class="t m17 x16 h19 y18 ff5 fs17 fc0 sc0 ls5c">\u2192</div><div class="t m18 x17 h1a y19 ff2 fs18 fc0 sc0 ls67 ws9">cortisol</div><div class="t m19 x18 h1b y1a ff6 fs19 fc0 sc0 ls68">FÊ</div><div class="t m1a x19 h1c y1b ff7 fs1a fc0 sc0 ls5c">\u21b3</div><div class="t m1b x1a h1d y1c ff2 fs1b fc0 sc0 ls6 wsa">efeito</div><div class="t m1c x1b h1e y1d ff2 fs1c fc0 sc0 ls5c">:</div><div class="t m1d x1c h1f y1e ff2 fs1d fc0 sc0 ls69">To</div><div class="t m1e x7 h20 y1f ff2 fs1e fc0 sc0 ls7 wsb">reabsorção<span class="blank _1"></span></div><div class="t m1f x9 h21 y20 ff2 fs1f fc0 sc0 ls6a">de</div><div class="t m20 x1d h22 y21 ff2 fs20 fc0 sc0 ls6b">Né</div><div class="t m21 x1e h23 y22 ff2 fs21 fc0 sc0 ls5c">e</div><div class="t m22 x1f h24 y23 ff2 fs22 fc0 sc0 ls8 wsc">H2O</div><div class="t m23 x1c h25 y24 ff5 fs23 fc0 sc0 ls5c">\u2193</div><div class="t m24 x7 h26 y25 ff2 fs24 fc0 sc0 ls9 wsd">reabsorção<span class="blank _1"></span></div><div class="t m25 x20 h27 y26 ff2 fs25 fc0 sc0 ls6c">de</div><div class="t m26 x1d h28 y27 ff2 fs26 fc0 sc0 ls6d">thi</div><div class="t m27 x21 h29 y28 ff2 fs27 fc0 sc0 ls5c">e</div><div class="t m28 x22 h2a y29 ff2 fs28 fc0 sc0 ls6e">tt</div><div class="t m29 x23 h2b y2a ff2 fs29 fc0 sc0 lsa wse">Divisão</div><div class="t m2a x24 h2c y2b ff2 fs2a fc0 sc0 ls6f wsf">Adr<span class="blank"> </span>e<span class="blank"> </span>n<span class="blank"> </span>a<span class="blank"> </span>l</div><div class="t m2b x25 h2d y2c ff2 fs2b fc0 sc0 ls5c">:</div><div class="t m2c x1c h2e y2d ff5 fs2c fc0 sc0 ls5c">\u2191</div><div class="t m2d x7 h2f y2e ff2 fs2d fc0 sc0 ls70 ws10">volum<span class="blank"> </span>e</div><div class="t m2e x26 h30 y2f ff2 fs2e fc0 sc0 ls71 ws11">circulante</div><div class="t m2f x21 h31 y30 ff2 fs2f fc0 sc0 lsb ws12">efetivo</div><div class="t m30 x27 h32 y31 ff2 fs30 fc0 sc0 ls5c">=</div><div class="t m31 x28 h33 y32 ff5 fs31 fc0 sc0 ls5c">\u2191</div><div class="t m32 x29 h34 y33 ff2 fs32 fc0 sc0 ls72">PA</div><div class="t m33 x1 h35 y34 ff2 fs33 fc0 sc0 ls5c">-</div><div class="t m34 x2a h36 y35 ff2 fs34 fc0 sc0 ls73 ws13">Zona</div><div class="t m35 x24 h37 y36 ff2 fs35 fc0 sc0 ls74 ws14">geomeruhsa</div><div class="t m36 x2b h38 y37 ff5 fs36 fc0 sc0 ls5c">\u2192</div><div class="t m37 x2c h39 y38 ff2 fs37 fc0 sc0 lsc ws15">mineraloeorticoideso</div><div class="t m38 x2d h3a y39 ff2 fs38 fc0 sc0 ls5c ws16">taldosterona</div><div class="t m39 x4 h3b y3a ff2 fs39 fc0 sc0 ls5c">)</div><div class="t m3a x1 h3c y3b ff2 fs3a fc0 sc0 ls5c">-</div><div class="t m3b x2a h3d y3c ff2 fs3b fc0 sc0 ls75 ws17">Zona</div><div class="t m3c x2e h3e y3d ff2 fs3c fc0 sc0 ls76 ws18">fasc<span class="blank"> </span>i<span class="blank"> </span>n<span class="blank"> </span>a<span class="blank"> </span>d<span class="blank"> </span>a</div><div class="t m3d x13 h3f y3e ff5 fs3d fc0 sc0 ls5c">\u2192</div><div class="t m3e x2f h40 y3f ff2 fs3e fc0 sc0 ls77 ws19">cortisol</div><div class="t m3f x1 h41 y40 ff2 fs3f fc0 sc0 ls5c">-</div><div class="t m40 x30 h42 y41 ff2 fs40 fc0 sc0 ls78 ws1a">Zona</div><div class="t m41 x24 h43 y42 ff2 fs41 fc0 sc0 lsd ws1b">reticular</div><div class="t m42 x31 h44 y43 ff5 fs42 fc0 sc0 ls5c">\u2192</div><div class="t m43 x32 h45 y44 ff2 fs43 fc0 sc0 ls79 ws1c">androgenia</div><div class="t m44 x3 h46 y45 ff2 fs44 fc0 sc0 ls5c">(</div><div class="t m45 x33 h47 y46 ff2 fs45 fc0 sc0 ls7a ws1d">progester<span class="blank _1"></span>ona</div><div class="t m46 x34 h48 y47 ff2 fs46 fc0 sc0 ls7b">ou</div><div class="t m47 x35 h49 y48 ff2 fs47 fc0 sc0 ls7c">17</div><div class="t m48 x36 h4a y49 ff2 fs48 fc0 sc0 ls5c">-</div><div class="t m49 x37 h4b y4a ff2 fs49 fc0 sc0 ls7d">OH</div><div class="t m4a x38 h4c y4b ff2 fs4a fc0 sc0 ls5c">-</div><div class="t m4b x39 h4d y4c ff2 fs4b fc0 sc0 lse ws1e">pregnendona</div><div class="t m4c x3a h4e y4d ff2 fs4c fc0 sc0 ls5c">)</div><div class="t m4d x1 h4f y4e ff2 fs4d fc0 sc0 ls5c">-</div><div class="t m4e x2a h50 y4f ff2 fs4e fc0 sc0 lsf ws1f">Medula</div><div class="t m4f x3b h51 y50 ff2 fs4f fc0 sc0 ls7e ws20">adrenal</div><div class="t m50 x13 h52 y51 ff5 fs50 fc0 sc0 ls5c">\u2192</div><div class="t m51 x3c h53 y52 ff2 fs51 fc0 sc0 ls7f ws21">catecolaminas</div><div class="t m52 x3d h54 y53 ff2 fs52 fc0 sc0 ls5c">(</div><div class="t m53 x3e h55 y54 ff2 fs53 fc0 sc0 ls10 ws22">epinefrina</div><div class="t m54 x3f h56 y55 ff2 fs54 fc0 sc0 ls5c">e</div><div class="t m55 x40 h57 y56 ff2 fs55 fc0 sc0 ls11 ws23">norepinefrina</div><div class="t m56 x41 h58 y57 ff2 fs56 fc0 sc0 ls80 ws24">&mfiuênaa<span class="ff5 ls5c ws25">µ<span class="blank _1"></span><span class="ff2 ls80 ws24">Unalm</span></span></div><div class="t m57 x42 h59 y58 ff5 fs57 fc0 sc0 ls5c">\u2192</div><div class="t m58 x43 h5a y59 ff5 fs58 fc0 sc0 ls5c">\u2193</div><div class="t m59 x44 h5b y5a ff2 fs59 fc0 sc0 ls81 ws26">PAI</div><div class="t m5a x45 h5c y5b ff5 fs5a fc0 sc0 ls5c">\u2193</div><div class="t m5b x14 h5d y5c ff2 fs5b fc0 sc0 ls12 ws27">glicemia</div><div class="t m5c x46 h5e y5d ff2 fs5c fc0 sc0 ls5c">,</div><div class="t m5d x15 h5f y5e ff2 fs5d fc0 sc0 ls82">dor</div><div class="t m5e x47 h60 y5f ff2 fs5e fc0 sc0 ls13 ws28">abdominal</div><div class="t m5f x35 h61 y60 ff2 fs5f fc0 sc0 ls5c">,</div><div class="t m60 x48 h62 y61 ff2 fs60 fc0 sc0 ls83 ws29">astenia</div><div class="t m61 x49 h63 y62 ff2 fs61 fc0 sc0 ls5c">,</div><div class="t m62 x4a h64 y63 ff2 fs62 fc0 sc0 ls84 ws2a">vômi<span class="blank"> </span>to<span class="blank"> </span>s</div><div class="t m63 x4b h65 y64 ff2 fs63 fc0 sc0 ls5c">,</div><div class="t m64 x4c h66 y65 ff2 fs64 fc0 sc0 ls85">eosinofilia</div><div class="t m65 x2f h67 y66 ff2 fs65 fc0 sc0 ls14 ws2b">Primária</div><div class="t m66 x4c h68 y67 ff2 fs66 fc0 sc0 ls15 ws2c">Secundária</div><div class="t m67 x44 h69 y68 ff2 fs67 fc0 sc0 ls5c">+</div><div class="t m68 x1c h6a y69 ff2 fs68 fc0 sc0 ls86">ty</div><div class="t m69 x2f h6b y6a ff2 fs69 fc0 sc0 ls87 ws2d">córtex</div><div class="t m6a x4d h6c y6b ff2 fs6a fc0 sc0 ls88 ws2e">adrenal</div><div class="t m6b x33 h6d y6c ff2 fs6b fc0 sc0 ls5c">/</div><div class="t m6c x4e h6e y6d ff2 fs6c fc0 sc0 ls89">Dç</div><div class="t m6d x3e h6f y6e ff2 fs6d fc0 sc0 ls8a">de</div><div class="t m6e x4f h70 y6f ff2 fs6e fc0 sc0 ls16 ws2f">Addison<span class="blank _1"></span></div><div class="t m6f x50 h71 y70 ff2 fs6f fc0 sc0 ls5c">)</div><div class="t m70 x51 h72 y71 ff2 fs70 fc0 sc0 ls17 ws30">hipófise</div><div class="t m71 x52 h73 y72 ff2 fs71 fc0 sc0 ls5c">/</div><div class="t m72 x53 h74 y73 ff2 fs72 fc0 sc0 ls18 ws31">hipotálamo</div><div class="t m73 x23 h75 y74 ff2 fs73 fc0 sc0 ls19 ws32">causa</div><div class="t m74 x42 h76 y75 ff2 fs74 fc0 sc0 ls5c">-</div><div class="t m75 x54 h77 y76 ff2 fs75 fc0 sc0 ls8b ws33">Destruição</div><div class="t m76 x33 h78 y77 ff2 fs76 fc0 sc0 ls5c ws34">glandular</div><div class="t m77 x2d h79 y78 ff2 fs77 fc0 sc0 ls5c">(</div><div class="t m78 x55 h7a y79 ff2 fs78 fc0 sc0 ls8c">de</div><div class="t m79 x56 h7b y7a ff2 fs79 fc0 sc0 ls1a ws35">.de</div><div class="t m7a x40 h7c y7b ff2 fs7a fc0 sc0 ls1b ws36">Addison<span class="blank _1"></span></div><div class="t m7b x4 h7d y7c ff2 fs7b fc0 sc0 ls5c">)</div><div class="t m7c x4a h7e y7d ff2 fs7c fc0 sc0 ls5c">;</div><div class="t m7d x57 h7f y7e ff2 fs7d fc0 sc0 ls8d ws37">adrenali</div><div class="t m7e x4b h80 y7f ff2 fs7e fc0 sc0 ls5c">.</div><div class="t m7f x51 h81 y80 ff2 fs7f fc0 sc0 ls5c">-</div><div class="t m80 x58 h82 y81 ff2 fs80 fc0 sc0 ls8e ws38">Interrupção</div><div class="t m81 x8 h83 y82 ff2 fs81 fc0 sc0 ls8f">do</div><div class="t m82 x9 h84 y83 ff2 fs82 fc0 sc0 ls1c ws39">eixo</div><div class="t m83 xd h85 y84 ff2 fs83 fc0 sc0 ls5c">;</div><div class="t m84 x1e h86 y85 ff2 fs84 fc0 sc0 ls90 ws3a">suspensão</div><div class="t m85 x59 h87 y86 ff2 fs85 fc0 sc0 ls91 ws3b">abrupta</div><div class="t m86 x5a h88 y87 ff2 fs86 fc0 sc0 ls92">de</div><div class="t m87 x42 h89 y88 ff2 fs87 fc0 sc0 ls5c">"</div><div class="t m88 x43 h8a y89 ff2 fs88 fc0 sc0 ls5c">"</div><div class="t m89 x14 h8b y8a ff2 fs89 fc0 sc0 ls5c">"</div><div class="t m8a x3 h8c y8b ff2 fs8a fc0 sc0 ls5c">"</div><div class="t m8b x5b h8d y8c ff2 fs8b fc0 sc0 ls5c">"</div><div class="t m8c x15 h8e y8d ff2 fs8c fc0 sc0 ls5c">"</div><div class="t m8d x5c h8f y8e ff8 fs8d fc0 sc0 ls5c">\u21d0</div><div class="t m8e x5d h90 y8f ff2 fs8e fc0 sc0 ls5c">"</div><div class="t m8f x35 h91 y90 ff2 fs8f fc0 sc0 ls5c">"</div><div class="t m90 x49 h92 y91 ff2 fs90 fc0 sc0 ls5c">"</div><div class="t m91 x5e h93 y92 ff2 fs91 fc0 sc0 ls5c">"</div><div class="t m92 x3a h94 y93 ff9 fs92 fc0 sc0 ls93 ws3c">fo<span class="blank"> </span>i<span class="blank"> </span>o</div><div class="t m93 x5f h95 y94 ff2 fs93 fc0 sc0 ls5c">"</div><div class="t m94 xa h96 y95 ff2 fs94 fc0 sc0 ls5c">"</div><div class="t m95 x11 h97 y96 ff2 fs95 fc0 sc0 ls5c">"</div><div class="t m96 x60 h98 y97 ff2 fs96 fc0 sc0 ls5c">"</div><div class="t m97 x61 h99 y98 ff2 fs97 fc0 sc0 ls5c">"</div><div class="t m98 x2c h9a y99 ff2 fs98 fc0 sc0 ls5c">(</div><div class="t m99 x2 h9b y9a ff2 fs99 fc0 sc0 ls1d ws3d">atocorazol</div><div class="t m9a x4e h9c y9b ff2 fs9a fc0 sc0 ls5c">,</div><div class="t m9b x62 h9d y9c ff2 fs9b fc0 sc0 ls1e ws3e">itraconazol</div><div class="t m9c x56 h9e y9d ff2 fs9c fc0 sc0 ls5c">;</div><div class="t m9d x34 h9f y9e ff2 fs9d fc0 sc0 ls1f ws3f">rifampicina</div><div class="t m9e x63 ha0 y9f ff2 fs9e fc0 sc0 ls5c">,</div><div class="t m9f x57 ha1 ya0 ff2 fs9f fc0 sc0 ls20 ws40">flueona</div><div class="t ma0 x4b ha2 ya1 ff2 fsa0 fc0 sc0 ls5c">.</div><div class="t ma1 x51 ha3 ya2 ff2 fsa1 fc0 sc0 ls21 ws41">tálamo</div><div class="t ma2 x53 ha4 ya3 ff2 fsa2 fc0 sc0 ls5c">e</div><div class="t ma3 x64 ha5 ya4 ff2 fsa3 fc0 sc0 ls22 ws42">hipófise</div><div class="t ma4 x42 ha6 ya5 ff2 fsa4 fc0 sc0 ls94">2-01</div><div class="t ma5 x44 ha7 ya6 ff2 fsa5 fc0 sc0 ls5c">,</div><div class="t ma6 x65 ha8 ya7 ff2 fsa6 fc0 sc0 ls23 ws43">fenobarbital</div><div class="t ma7 x66 ha9 ya8 ff2 fsa7 fc0 sc0 ls5c">,</div><div class="t ma8 x67 haa ya9 ff2 fsa8 fc0 sc0 ls24 ws44">etomidato</div><div class="t ma9 x68 hab yaa ff2 fsa9 fc0 sc0 ls5c">)</div><div class="t maa x37 hac yab ff2 fsaa fc0 sc0 ls25 ws45">iradrenoeeuco</div><div class="t mab x6 had yac ff2 fsab fc0 sc0 ls5c">-</div><div class="t mac x42 hae yad ff2 fsac fc0 sc0 ls26 ws46">distrofia</div><div class="t mad x23 haf yae ff2 fsad fc0 sc0 ls95 ws47">Loa<span class="blank"> </span>b<span class="blank"> </span>o<span class="blank"> </span>h<span class="blank"> </span>a<span class="blank"> </span>t<span class="blank"> </span>o<span class="blank"> </span>r<span class="blank"> </span>i<span class="blank"> </span>o</div><div class="t mae x2c hb0 yaf ff5 fsae fc0 sc0 ls5c">\u2193</div><div class="t maf x43 hb1 yb0 ff2 fsaf fc0 sc0 ls27 ws48">Aldosterona</div><div class="t mb0 x69 hb2 yb1 ff2 fsb0 fc0 sc0 ls5c">*</div><div class="t mb1 x6a hb3 yb2 ff2 fsb1 fc0 sc0 ls96 ws49">cortisol</div><div class="t mb2 x6b hb4 yb3 ff2 fsb2 fc0 sc0 ls28 ws4a">sérico</div><div class="t mb3 x20 hb5 yb4 ff2 fsb3 fc0 sc0 ls97">matinal</div><div class="t mb4 x2c hb6 yb5 ff5 fsb4 fc0 sc0 ls5c">\u2193</div><div class="t mb5 x6c hb7 yb6 ff2 fsb5 fc0 sc0 ls98 ws4b">Androgênio</div><div class="t mb6 x69 hb8 yb7 ff2 fsb6 fc0 sc0 ls99 ws4c">nrlout</div><div class="t mb7 x6d hb9 yb8 ff2 fsb7 fc0 sc0 ls9a ws4d">ACTH</div><div class="t mb8 x54 hba yb9 ff5 fsb8 fc0 sc0 ls5c">\u2191</div><div class="t mb9 x6c hbb yba ff2 fsb9 fc0 sc0 ls29 ws4e">AROTH</div><div class="t mba x23 hbc ybb ff2 fsba fc0 sc0 ls9b ws4f">Tr<span class="blank"> </span>a<span class="blank"> </span>t<span class="blank"> </span>a<span class="blank"> </span>m<span class="blank"> </span>e<span class="blank"> </span>n<span class="blank"> </span>t<span class="blank"> </span>o</div><div class="t mbb x2c hbd ybc ff2 fsbb fc0 sc0 ls2a ws50">Glicocorticoide</div><div class="t mbc x5c hbe ybd ff2 fsbc fc0 sc0 ls5c">(</div><div class="t mbd x6e hbf ybe ff2 fsbd fc0 sc0 ls2b ws51">hidrocortisona</div><div class="t mbe x17 hc0 ybf ff2 fsbe fc0 sc0 ls5c">)</div><div class="t mbf x69 hc1 yc0 ff2 fsbf fc0 sc0 ls2c ws52">Glicocorticoide</div><div class="t mc0 x6f hc2 yc1 ff2 fsc0 fc0 sc0 ls5c">(</div><div class="t mc1 x70 hc3 yc2 ff2 fsc1 fc0 sc0 ls2d ws53">hidrocortisona</div><div class="t mc2 x71 hc4 yc3 ff2 fsc2 fc0 sc0 ls5c">)</div><div class="t mc3 x42 hc5 yc4 ff2 fsc3 fc0 sc0 ls2e ws54">Minerado</div><div class="t mc4 x33 hc6 yc5 ff2 fsc4 fc0 sc0 ls9c ws55">corticoide</div><div class="t mc5 x55 hc7 yc6 ff2 fsc5 fc0 sc0 ls5c">(</div><div class="t mc6 x72 hc8 yc7 ff2 fsc6 fc0 sc0 ls2f ws56">fludrocostisona</div><div class="t mc7 x5e hc9 yc8 ff2 fsc7 fc0 sc0 ls5c">)</div><div class="t mc8 x1 hca yc9 ff7 fsc8 fc0 sc0 ls5c">\u21b3</div><div class="t mc9 x73 hcb yca ff2 fsc9 fc0 sc0 ls5c">+</div><div class="t mca x74 hcc ycb ff2 fsca fc0 sc0 ls30 ws57">correrão</div><div class="t mcb x5 hcd ycc ff2 fscb fc0 sc0 ls31 ws58">DHE</div><div class="t mcc x31 hce ycd ff2 fscc fc0 sc0 ls5c">e</div><div class="t mcd x75 hcf yce ff2 fscd fc0 sc0 ls32 ws59">glicemia</div><div class="t mce x65 hd0 ycf ff2 fsce fc0 sc0 ls5c">,</div><div class="t mcf x4d hd1 yd0 ff2 fscf fc0 sc0 ls33 ws5a">reposição</div><div class="t md0 x15 hd2 yd1 ff2 fsd0 fc0 sc0 ls9d">oolêmiea</div><div class="t md1 x5d hd3 yd2 ff2 fsd1 fc0 sc0 ls9e ws5b">agressiva</div><div class="t md2 x39 hd4 yd3 ff2 fsd2 fc0 sc0 ls5c">,</div><div class="t md3 x76 hd5 yd4 ff2 fsd3 fc0 sc0 ls34 ws5c">tto</div><div class="t md4 x77 hd6 yd5 ff2 fsd4 fc0 sc0 ls35 ws5d">causa</div><div class="t md5 x51 hd7 yd6 ff2 fsd5 fc0 sc0 ls36 ws5e">base</div><div class="t md6 x41 hd8 yd7 ff2 fsd6 fc0 sc0 ls9f ws5f">Jándromedejc<span class="blank _1"></span>ushengmmf</div><div class="t md7 x44 hd9 yd8 ff5 fsd7 fc0 sc0 ls5c">\u2192</div><div class="t md8 x45 hda yd9 ff2 fsd8 fc0 sc0 lsa0 ws60">excesso</div><div class="t md9 x3e hdb yda ff2 fsd9 fc0 sc0 lsa1">de</div><div class="t mda x4f hdc ydb ff2 fsda fc0 sc0 ls37 ws61">qlicocoiticoides</div><div class="t mdb x78 hdd ydc ff2 fsdb fc0 sc0 ls5c">/</div><div class="t mdc x38 hde ydd ff2 fsdc fc0 sc0 lsa2 ws62">cortisol</div><div class="t mdd x79 hdf yde ff2 fsdd fc0 sc0 ls38 ws63">causas</div><div class="t mde x7a he0 ydf ff2 fsde fc0 sc0 ls5c">:</div><div class="t mdf x79 he1 ye0 ff2 fsdf fc0 sc0 ls5c">-</div><div class="t me0 x7b he2 ye1 ff2 fse0 fc0 sc0 lsa3 ws64">ACTH</div><div class="t me1 x7c he3 ye2 ff2 fse1 fc0 sc0 ls39 ws65">dependentes</div><div class="t me2 x32 he4 ye3 ff2 fse2 fc0 sc0 ls5c">}</div><div class="t me3 x2b he5 ye4 ff2 fse3 fc0 sc0 ls3a ws66">Doença</div><div class="t me4 x7d he6 ye5 ff2 fse4 fc0 sc0 lsa4">de</div><div class="t me5 x7e he7 ye6 ff2 fse5 fc0 sc0 ls3b ws67">Cushing</div><div class="t me6 x5c he8 ye7 ff2 fse6 fc0 sc0 ls5c">(</div><div class="t me7 x6e he9 ye8 ff2 fse7 fc0 sc0 ls3c ws68">adenoma</div><div class="t me8 x48 hea ye9 ff2 fse8 fc0 sc0 lsa5 ws69">secretor</div><div class="t me9 x63 heb yea ff2 fse9 fc0 sc0 lsa6">de</div><div class="t mea x19 hec yeb ff2 fsea fc0 sc0 lsa7 ws6a">ACTH</div><div class="t meb x6 hed yec ff2 fseb fc0 sc0 ls5c">)</div><div class="t mec x2b hee yed ff2 fsec fc0 sc0 ls3d ws6b">Secrecão</div><div class="t med x7f hef yee ff2 fsed fc0 sc0 lsa8 ws6c">ectópica</div><div class="t mee x6e hf0 yef ff2 fsee fc0 sc0 ls5c">(</div><div class="t mef x47 hf1 yf0 ff2 fsef fc0 sc0 lsa9">sd</div><div class="t mf0 x55 hf2 yf1 ff2 fsf0 fc0 sc0 ls3e ws6d">paraneoplásica</div><div class="t mf1 x76 hf3 yf2 ff2 fsf1 fc0 sc0 ls5c">)</div><div class="t mf2 x1 hf4 yf3 ff2 fsf2 fc0 sc0 ls5c">-</div><div class="t mf3 x2a hf5 yf4 ff2 fsf3 fc0 sc0 lsaa ws6e">ACTH</div><div class="t mf4 x24 hf6 yf5 ff2 fsf4 fc0 sc0 ls3f ws6f">independentes</div><div class="t mf5 x80 hf7 yf6 ff2 fsf5 fc0 sc0 ls5c">{</div><div class="t mf6 x3c hf8 yf7 ff2 fsf6 fc0 sc0 ls40 ws70">adenoma</div><div class="t mf7 x45 hf9 yf8 ff2 fsf7 fc0 sc0 ls5c">/</div><div class="t mf8 x14 hfa yf9 ff2 fsf8 fc0 sc0 lsab ws71">hiperplasia</div><div class="t mf9 x67 hfb yfa ff2 fsf9 fc0 sc0 ls41 ws72">suprarrenal</div><div class="t mfa x3c hfc yfb ff2 fsfa fc0 sc0 ls42 ws73">carcinoma</div><div class="t mfb x81 hfd yfc ff2 fsfb fc0 sc0 ls43 ws74">suprarrenal</div><div class="t mfc x2b hfe yfd ff2 fsfc fc0 sc0 ls5c">/</div><div class="t mfd x82 hff yfe ff2 fsfd fc0 sc0 lsac ws75">iatrogênico</div><div class="t mfe x79 h100 yff ff2 fsfe fc0 sc0 ls44 ws76">clínica</div><div class="t mff x2e h101 y100 ff2 fsff fc0 sc0 ls5c">:</div><div class="t m100 x7c h102 y101 ff2 fs100 fc0 sc0 ls45 ws77">obesidade</div><div class="t m101 x13 h103 y102 ff2 fs101 fc0 sc0 ls46 ws78">central</div><div class="t m102 x65 h104 y103 ff2 fs102 fc0 sc0 ls5c">/</div><div class="t m103 x4d h105 y104 ff2 fs103 fc0 sc0 ls47 ws79">centrípeta</div><div class="t m104 x15 h106 y105 ff2 fs104 fc0 sc0 ls5c">,</div><div class="t m105 x83 h107 y106 ff2 fs105 fc0 sc0 ls48 ws7a">giboádode</div><div class="t m106 x16 h108 y107 ff2 fs106 fc0 sc0 ls5c">/</div><div class="t m107 x35 h109 y108 ff2 fs107 fc0 sc0 lsad ws7b">face</div><div class="t m108 x38 h10a y109 ff2 fs108 fc0 sc0 lsae">em</div><div class="t m109 x4a h10b y10a ff2 fs109 fc0 sc0 ls49 ws7c">lua</div><div class="t m10a x84 h10c y10b ff2 fs10a fc0 sc0 ls4a ws7d">cheia</div><div class="t m10b x7a h10d y10c ff2 fs10b fc0 sc0 ls4b ws7e">atrofia</div><div class="t m10c x85 h10e y10d ff2 fs10c fc0 sc0 lsaf">muscular</div><div class="t m10d x44 h10f y10e ff2 fs10d fc0 sc0 lsb0">de</div><div class="t m10e x45 h110 y10f ff2 fs10e fc0 sc0 ls4c ws7f">braços</div><div class="t m10f x3d h111 y110 ff2 fs10f fc0 sc0 ls5c">e</div><div class="t m110 x86 h112 y111 ff2 fs110 fc0 sc0 ls4d ws80">pernas</div><div class="t m111 x7a h113 y112 ff2 fs111 fc0 sc0 ls4e ws81">pele</div><div class="t m112 x87 h114 y113 ff2 fs112 fc0 sc0 lsb1">mais</div><div class="t m113 x13 h115 y114 ff2 fs113 fc0 sc0 ls4f ws82">fina</div><div class="t m114 x88 h116 y115 ff2 fs114 fc0 sc0 lsb2">giba</div><div class="t m115 x85 h117 y116 ff2 fs115 fc0 sc0 lsb3 ws83">dorsal</div><div class="t m116 x2f h118 y117 ff2 fs116 fc0 sc0 ls5c">(</div><div class="t m117 x42 h119 y118 ff2 fs117 fc0 sc0 ls50 ws84">corcova</div><div class="t m118 x14 h11a y119 ff2 fs118 fc0 sc0 ls5c">)</div><div class="t m119 x88 h11b y11a ff2 fs119 fc0 sc0 ls51 ws85">hieratismo</div><div class="t m11a x75 h11c y11b ff2 fs11a fc0 sc0 ls5c">,</div><div class="t m11b x32 h11d y11c ff2 fs11b fc0 sc0 ls52 ws86">acene</div><div class="t m11c x89 h11e y11d ff2 fs11c fc0 sc0 ls53 ws87">estrias</div><div class="t m11d x8a h11f y11e ff2 fs11d fc0 sc0 lsb4">violácea</div><div class="t m11e x89 h120 y11f ff2 fs11e fc0 sc0 ls54 ws88">osteopatia</div><div class="t m11f x32 h121 y120 ff2 fs11f fc0 sc0 ls5c">/</div><div class="t m120 x80 h122 y121 ff2 fs120 fc0 sc0 lsb5 ws89">osteoporose</div><div class="t m121 x88 h123 y122 ff2 fs121 fc0 sc0 lsb6">hiper</div><div class="t m122 x8b h124 y123 ff2 fs122 fc0 sc0 ls55 ws8a">pigmentação</div><div class="t m123 x6c h125 y124 ff2 fs123 fc0 sc0 ls56 ws8b">cutânea</div><div class="t m124 x3 h126 y125 ff2 fs124 fc0 sc0 ls57 ws8c">HACIA</div><div class="t m125 x83 h127 y126 ff2 fs125 fc0 sc0 ls5c">)</div><div class="t m126 x88 h128 y127 ff5 fs126 fc0 sc0 ls5c">\u2191</div><div class="t m127 x12 h129 y128 ff2 fs127 fc0 sc0 ls58 ws8d">risco</div><div class="t m128 x85 h12a y129 ff2 fs128 fc0 sc0 lsb7">de</div><div class="t m129 x75 h12b y12a ff2 fs129 fc0 sc0 ls59 ws8e">catarata</div><div class="t m12a x44 h12c y12b ff2 fs12a fc0 sc0 ls5c">e</div><div class="t m12b x7d h12d y12c ff2 fs12b fc0 sc0 lsb8 ws8f">glaucoma</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/af2e690e-25d9-4467-95bf-ba9aa8ab1e5e/bg2.png"><div class="t m12c x89 h12e y12d ff2 fs12c fc0 sc0 ls134">inibe</div><div class="t m12d x85 h12f y12e ff2 fs12d fc0 sc0 lsb9 ws90">sistema</div><div class="t m12e x2 h130 y12f ff2 fs12e fc0 sc0 lsba ws91">imunológico</div><div class="t m12f x5b h131 y130 ff2 fs12f fc0 sc0 ls5c">e</div><div class="t m130 x3d h132 y131 ff2 fs130 fc0 sc0 lsbb ws92">inflamatório</div><div class="t m131 x5d h133 y132 ff2 fs131 fc0 sc0 ls5c">(</div><div class="t m132 x8c h134 y133 ff5 fs132 fc0 sc0 ls5c">\u2193</div><div class="t m133 x8d h135 y134 ff2 fs133 fc0 sc0 ls135">TN</div><div class="t m134 x36 h136 y135 ff2 fs134 fc0 sc0 ls136">F-</div><div class="t m135 x78 h137 y136 ff5 fs135 fc0 sc0 ls5c">×</div><div class="t m136 x8e h138 y137 ff2 fs136 fc0 sc0 ls5c">,</div><div class="t m137 x39 h139 y138 ff2 fs137 fc0 sc0 ls137">1H</div><div class="t m138 x8f h13a y139 ff2 fs138 fc0 sc0 ls5c">,</div><div class="t m139 x5e h13b y13a ff2 fs139 fc0 sc0 ls138">IL</div><div class="t m13a x19 h13c y13b ff2 fs13a fc0 sc0 ls139">-2</div><div class="t m13b x90 h13d y13c ff2 fs13b fc0 sc0 ls5c">,</div><div class="t m13c x84 h13e y13d ff2 fs13c fc0 sc0 ls13a">IL</div><div class="t m13d x1a h13f y13e ff2 fs13d fc0 sc0 ls13b">-6</div><div class="t m13e x3a h140 y13f ff2 fs13e fc0 sc0 ls5c">/</div><div class="t m13f x51 h141 y140 ff5 fs13f fc0 sc0 ls5c">\u2191</div><div class="t m140 x58 h142 y141 ff2 fs140 fc0 sc0 lsbc ws93">neutrófilos</div><div class="t m141 x6b h143 y142 ff2 fs141 fc0 sc0 ls5c">)</div><div class="t m142 x88 h144 y143 ff2 fs142 fc0 sc0 ls5c">+</div><div class="t m143 x91 h145 y144 ff2 fs143 fc0 sc0 ls13c">PA</div><div class="t m144 x92 h146 y145 ff2 fs144 fc0 sc0 ls5c">,</div><div class="t m145 x87 h147 y146 ff2 fs145 fc0 sc0 ls13d">hiper</div><div class="t m146 x8a h148 y147 ff2 fs146 fc0 sc0 lsbd ws94">coagulabilidade</div><div class="t m147 x88 h149 y148 ff2 fs147 fc0 sc0 lsbe ws95">laboratório</div><div class="t m148 x32 h14a y149 ff2 fs148 fc0 sc0 ls5c">:</div><div class="t m149 x80 h14b y14a ff2 fs149 fc0 sc0 lsbf ws96">hiperglicemia</div><div class="t m14a x81 h14c y14b ff2 fs14a fc0 sc0 ls5c">,</div><div class="t m14b x93 h14d y14c ff2 fs14b fc0 sc0 ls13e">tipo</div><div class="t m14c x94 h14e y14d ff2 fs14c fc0 sc0 ls5c">K</div><div class="t m14d x46 h14f y14e ff2 fs14d fc0 sc0 ls5c">,</div><div class="t m14e x86 h150 y14f ff2 fs14e fc0 sc0 ls13f">hi</div><div class="t m14f x5c h151 y150 ff2 fs14f fc0 sc0 lsc0 ws97">perca</div><div class="t m150 x72 h152 y151 ff2 fs150 fc0 sc0 ls5c">,</div><div class="t m151 x56 h153 y152 ff2 fs151 fc0 sc0 ls140">hiper</div><div class="t m152 x8d h154 y153 ff2 fs152 fc0 sc0 ls141">eipidemua</div><div class="t m153 x1 h155 y154 ff2 fs153 fc0 sc0 ls142 ws98">Algoritmo</div><div class="t m154 x88 h156 y155 ff2 fs154 fc0 sc0 lsc1 ws99">diagnostico</div><div class="t m155 x2b h157 y156 ff2 fs155 fc0 sc0 ls5c">:</div><div class="t m156 x1 h158 y157 ff5 fs156 fc0 sc0 ls5c">\u2460</div><div class="t m157 x7b h159 y158 ff2 fs157 fc0 sc0 lsc2 ws9a">Excluir</div><div class="t m158 x7a h15a y159 ff2 fs158 fc0 sc0 ls143">uso</div><div class="t m159 x92 h15b y15a ff2 fs159 fc0 sc0 ls144">de</div><div class="t m15a x31 h15c y15b ff2 fs15a fc0 sc0 ls145 ws9b">corticoides</div><div class="t m15b x1 h15d y15c ff5 fs15b fc0 sc0 ls5c">\u2461</div><div class="t m15c x73 h15e y15d ff2 fs15c fc0 sc0 ls146 ws9c">Dexa</div><div class="t m15d x95 h15f y15e ff2 fs15d fc0 sc0 ls147">1mg</div><div class="t m15e x96 h160 y15f ff2 fs15e fc0 sc0 ls148">ás</div><div class="t m15f x85 h161 y160 ff2 fs15f fc0 sc0 ls149">23h</div><div class="t m160 x80 h162 y161 ff5 fs160 fc0 sc0 ls5c">\u2192</div><div class="t m161 x2 h163 y162 ff2 fs161 fc0 sc0 ls14a ws9d">cortisol</div><div class="t m162 x81 h164 y163 ff2 fs162 fc0 sc0 ls14b">ás</div><div class="t m163 x62 h165 y164 ff2 fs163 fc0 sc0 ls14c">8h</div><div class="t m164 x46 h166 y165 ff5 fs164 fc0 sc0 ls5c">\u2192</div><div class="t m165 x6e h167 y166 ff2 fs165 fc0 sc0 lsc3 ws9e">suprimido</div><div class="t m166 x8d h168 y167 ff2 fs166 fc0 sc0 ls5c">=</div><div class="t m167 x97 h169 y168 ff2 fs167 fc0 sc0 ls14d ws9f">normal</div><div class="t m168 x98 h16a y169 ff2 fs168 fc0 sc0 ls14e">213</div><div class="t m169 x58 h16b y16a ff2 fs169 fc0 sc0 ls5c">(</div><div class="t m16a x99 h16c y16b ff2 fs16a fc0 sc0 ls5c">t</div><div class="t m16b x1b h16d y16c ff2 fs16b fc0 sc0 ls5c">)</div><div class="t m16c x9a h16e y16d ff2 fs16c fc0 sc0 ls5c">=</div><div class="t m16d x9b h16f y16e ff2 fs16d fc0 sc0 lsc4 wsa0">passo</div><div class="t m16e x26 h170 y16f ff2 fs16e fc0 sc0 ls5c">3</div><div class="t m16f x81 h171 y170 ff7 fs16f fc0 sc0 ls5c">\u21b3</div><div class="t m170 x5b h172 y171 ff5 fs170 fc0 sc0 ls5c">\u2265</div><div class="t m171 x3e h173 y172 ff2 fs171 fc0 sc0 ls14f wsa1">1,88</div><div class="t m172 x47 h174 y173 ff2 fs172 fc0 sc0 ls5c">=</div><div class="t m173 x2d h175 y174 ff2 fs173 fc0 sc0 ls150">hiper</div><div class="t m174 x9c h176 y175 ff2 fs174 fc0 sc0 ls151 wsa2">artisoeésmo</div><div class="t m175 x9d h177 y176 ffa fs175 fc0 sc0 ls5c">{</div><div class="t m176 x9e h178 y177 ff2 fs176 fc0 sc0 lsc5 wsa3">Cortisol</div><div class="t m177 x3b h179 y178 ff2 fs177 fc0 sc0 lsc6 wsa4">urinário</div><div class="t m178 x8a h17a y179 ff2 fs178 fc0 sc0 ls152">em</div><div class="t m179 x2b h17b y17a ff2 fs179 fc0 sc0 lsc7 wsa5">24h</div><div class="t m17a x54 h17c y17b ff5 fs17a fc0 sc0 ls5c">\u2192</div><div class="t m17b x44 h17d y17c ff2 fs17b fc0 sc0 ls5c">(</div><div class="t m17c x65 h17e y17d ff2 fs17c fc0 sc0 ls5c">t</div><div class="t m17d x9f h17f y17e ff2 fs17d fc0 sc0 ls5c">)</div><div class="t m17e x7f h180 y17f ff2 fs17e fc0 sc0 ls153">se</div><div class="t m17f x93 h181 y180 ff5 fs17f fc0 sc0 ls5c">\u2191</div><div class="t m180 x9e h182 y181 ff2 fs180 fc0 sc0 lsc8 wsa6">Cortisol</div><div class="t m181 x89 h183 y182 ff2 fs181 fc0 sc0 ls5c wsa7">sal<span class="blank"> </span>i<span class="blank"> </span>va<span class="blank"> </span>r</div><div class="t m182 x8a h184 y183 ff2 fs182 fc0 sc0 ls5c">à</div><div class="t m183 x13 h185 y184 ff2 fs183 fc0 sc0 ls154">meia</div><div class="t m184 x2 h186 y185 ff2 fs184 fc0 sc0 lsc9 wsa8">noite</div><div class="t m185 xa0 h187 y186 ff5 fs185 fc0 sc0 ls5c">\u2192</div><div class="t m186 x7e h188 y187 ff2 fs186 fc0 sc0 ls5c">(</div><div class="t m187 x81 h189 y188 ff2 fs187 fc0 sc0 ls5c">+</div><div class="t m188 x93 h18a y189 ff2 fs188 fc0 sc0 ls5c">)</div><div class="t m189 x4e h18b y18a ff2 fs189 fc0 sc0 ls155">sei</div><div class="t m18a x1 h18c y18b ff5 fs18a fc0 sc0 ls5c">\u2462</div><div class="t m18b x73 h18d y18c ff2 fs18b fc0 sc0 lsca wsa9">Dosagem</div><div class="t m18c x12 h18e y18d ff2 fs18c fc0 sc0 ls156">de</div><div class="t m18d x8b h18f y18e ff2 fs18d fc0 sc0 ls157 wsaa">ACTH</div><div class="t m18e x80 h190 y18f ff5 fs18e fc0 sc0 ls5c">\u2192</div><div class="t m18f x2f h191 y190 ff2 fs18f fc0 sc0 lscb wsab">suprimido</div><div class="t m190 x3 h192 y191 ff8 fs190 fc0 sc0 ls5c">\udb8b\udc1b</div><div class="t m191 x5b h193 y192 ff2 fs191 fc0 sc0 ls158">TC</div><div class="t m192 x83 h194 y193 ff2 fs192 fc0 sc0 ls159">de</div><div class="t m193 x67 h195 y194 ff2 fs193 fc0 sc0 lscc wsac">abdome</div><div class="t m194 x89 h196 y195 ff7 fs194 fc0 sc0 ls5c">\u21b3</div><div class="t m195 x92 h197 y196 ff2 fs195 fc0 sc0 lscd wsad">Alto</div><div class="t m196 x31 h198 y197 ff2 fs196 fc0 sc0 ls5c">/</div><div class="t m197 x8a h199 y198 ff2 fs197 fc0 sc0 ls15a wsae">normal</div><div class="t m198 x54 h19a y199 ff2 fs198 fc0 sc0 ls5c">{</div><div class="t m199 x43 h19b y19a ff2 fs199 fc0 sc0 ls15b">RM</div><div class="t m19a x45 h19c y19b ff2 fs19a fc0 sc0 ls15c">de</div><div class="t m19b x7e h19d y19c ff2 fs19b fc0 sc0 ls15d">sua</div><div class="t m19c x94 h19e y19d ff2 fs19c fc0 sc0 lsce wsaf">túnica</div><div class="t m19d x6c h19f y19e ff2 fs19d fc0 sc0 lscf wsb0">Supressão</div><div class="t m19e xa1 h1a0 y19f ff2 fs19e fc0 sc0 ls5c">e</div><div class="t m19f x62 h1a1 y1a0 ff2 fs19f fc0 sc0 ls5c">/</div><div class="t m1a0 x94 h1a2 y1a1 ff2 fs1a0 fc0 sc0 lsd0 wsb1">2mg</div><div class="t m1a1 x5c h1a3 y1a2 ff2 fs1a1 fc0 sc0 ls15e">de</div><div class="t m1a2 x67 h1a4 y1a3 ff2 fs1a2 fc0 sc0 lsd1 wsb2">taxa</div><div class="t m1a3 x3f h1a5 y1a4 ff2 fs1a3 fc0 sc0 ls15f">de</div><div class="t m1a4 x40 h1a6 y1a5 ff2 fs1a4 fc0 sc0 ls160">616h</div><div class="t m1a5 x37 h1a7 y1a6 ff2 fs1a5 fc0 sc0 lsd2 wsb3">por</div><div class="t m1a6 x39 h1a8 y1a7 ff2 fs1a6 fc0 sc0 ls161">48h</div><div class="t m1a7 x5e h1a9 y1a8 ff5 fs1a7 fc0 sc0 ls5c">\u2192</div><div class="t m1a8 xa2 h1aa y1a9 ff2 fs1a8 fc0 sc0 lsd3 wsb4">doença</div><div class="t m1a9 x51 h1ab y1aa ff2 fs1a9 fc0 sc0 ls162">de</div><div class="t m1aa x1b h1ac y1ab ff2 fs1aa fc0 sc0 lsd4 wsb5">Cushing</div><div class="t m1ab xa3 h1ad y1ac ff2 fs1ab fc0 sc0 ls5c">=</div><div class="t m1ac xa4 h1ae y1ad ff2 fs1ac fc0 sc0 ls163 wsb6">cortisol</div><div class="t m1ad xb h1af y1ae ff2 fs1ad fc0 sc0 lsd5 wsb7">suprimido</div><div class="t m1ae x43 h1b0 y1af ff2 fs1ae fc0 sc0 ls164 wsb8">Te<span class="blank"> </span>s<span class="blank"> </span>t<span class="blank"> </span>e</div><div class="t m1af x7f h1b1 y1b0 ff2 fs1af fc0 sc0 ls165">do</div><div class="t m1b0 x3 h1b2 y1b1 ff2 fs1b0 fc0 sc0 lsd6 wsb9">CRH</div><div class="t m1b1 x3d h1b3 y1b2 ff5 fs1b1 fc0 sc0 ls5c">\u2192</div><div class="t m1b2 x83 h1b4 y1b3 ff2 fs1b2 fc0 sc0 lsd7 wsba">doença</div><div class="t m1b3 x72 h1b5 y1b4 ff2 fs1b3 fc0 sc0 ls166">de</div><div class="t m1b4 x3f h1b6 y1b5 ff2 fs1b4 fc0 sc0 lsd8 wsbb">Cushing</div><div class="t m1b5 x38 h1b7 y1b6 ff2 fs1b5 fc0 sc0 ls5c">=</div><div class="t m1b6 x76 h1b8 y1b7 ff5 fs1b6 fc0 sc0 ls5c">\u2191</div><div class="t m1b7 x4a h1b9 y1b8 ff2 fs1b7 fc0 sc0 ls167 wsbc">AOT</div><div class="t m1b8 x19 h1ba y1b9 ff2 fs1b8 fc0 sc0 ls168">te</div><div class="t m1b9 x90 h1bb y1ba ff2 fs1b9 fc0 sc0 ls5c">+</div><div class="t m1ba x98 h1bc y1bb ff5 fs1ba fc0 sc0 ls5c">\u2191</div><div class="t m1bb xa5 h1bd y1bc ff2 fs1bb fc0 sc0 ls169 wsbd">cortisol</div><div class="t m1bc x1 h1be y1bd ff2 fs1bc fc0 sc0 ls16a wsbe">Doença</div><div class="t m1bd x7c h1bf y1be ff2 fs1bd fc0 sc0 ls16b">de</div><div class="t m1be x96 h1c0 y1bf ff2 fs1be fc0 sc0 ls16c wsbf">Cushing</div><div class="t m1bf x3c h1c1 y1c0 ff2 fs1bf fc0 sc0 lsd9 wsc0">nos</div><div class="t m1c0 x2 h1c2 y1c1 ff2 fs1c0 fc0 sc0 lsda wsc1">adenoma</div><div class="t m1c1 x33 h1c3 y1c2 ff2 fs1c1 fc0 sc0 lsdb wsc2">hipofisãrio</div><div class="t m1c2 x72 h1c4 y1c3 ff2 fs1c2 fc0 sc0 ls16d wsc3">secretos</div><div class="t m1c3 x78 h1c5 y1c4 ff2 fs1c3 fc0 sc0 ls16e">de</div><div class="t m1c4 x39 h1c6 y1c5 ff2 fs1c4 fc0 sc0 ls16f wsc4">ACTH</div><div class="t m1c5 x32 h1c7 y1c6 ff7 fs1c5 fc0 sc0 ls5c">\u21b3</div><div class="t m1c6 x2c h1c8 y1c7 ff2 fs1c6 fc0 sc0 ls5c">,</div><div class="t m1c7 xa6 h1c9 y1c8 ff2 fs1c7 fc0 sc0 ls170">15-50</div><div class="t m1c8 x14 h1ca y1c9 ff2 fs1c8 fc0 sc0 lsdc wsc5">anos</div><div class="t m1c9 x95 h1cb y1ca ffb fs1c9 fc0 sc0 ls5c">{</div><div class="t m1ca x12 h1cc y1cb ffc fs1ca fc0 sc0 ls5c">[</div><div class="t m1cb x8b h1cd y1cc ff2 fs1cb fc0 sc0 ls171">Lo</div><div class="t m1cc xa7 h1ce y1cd ff2 fs1cc fc0 sc0 ls172">Bx</div><div class="t m1cd x80 h1cf y1ce ff2 fs1cd fc0 sc0 ls5c">:</div><div class="t m1ce x2b h1d0 y1cf ff2 fs1ce fc0 sc0 ls173">RM</div><div class="t m1cf xa6 h1d1 y1d0 ff2 fs1cf fc0 sc0 ls174">de</div><div class="t m1d0 x7d h1d2 y1d1 ff2 fs1d0 fc0 sc0 lsdd wsc6">sela</div><div class="t m1d1 x81 h1d3 y1d2 ff2 fs1d1 fc0 sc0 ls175">thrüua</div><div class="t m1d2 x6e h1d4 y1d3 ff2 fs1d2 fc0 sc0 ls5c">/</div><div class="t m1d3 x66 h1d5 y1d4 ff2 fs1d3 fc0 sc0 ls5c">/</div><div class="t m1d4 x67 h1d6 y1d5 ff2 fs1d4 fc0 sc0 lsde wsc7">TTO</div><div class="t m1d5 x34 h1d7 y1d6 ff2 fs1d5 fc0 sc0 ls5c">:</div><div class="t m1d6 x3f h1d8 y1d7 ff2 fs1d6 fc0 sc0 ls176 wsc8">ress<span class="blank"> </span>e<span class="blank"> </span>c<span class="blank"> </span>ç<span class="blank"> </span>ã<span class="blank"> </span>o</div><div class="t m1d7 x76 h1d9 y1d8 ff2 fs1d7 fc0 sc0 lsdf wsc9">trans</div><div class="t m1d8 xa2 h1da y1d9 ff2 fs1d8 fc0 sc0 lse0 wsca">esfenoidal</div><div class="t m1d9 x9b h1db y1da ff2 fs1d9 fc0 sc0 ls5c">(</div><div class="t m1da x6d h1dc y1db ff2 fs1da fc0 sc0 ls177">RT</div><div class="t m1db x6b h1dd y1dc ff2 fs1db fc0 sc0 ls5c">+</div><div class="t m1dc xa8 h1de y1dd ff2 fs1dc fc0 sc0 lse1 wscb">inibidores</div><div class="t m1dd xa9 h1df y1de ff2 fs1dd fc0 sc0 ls178">da</div><div class="t m1de xaa h1e0 y1df ff2 fs1de fc0 sc0 lse2 wscc">esteroidogeeiese</div><div class="t m1df x11 h1e1 y1e0 ff8 fs1df fc0 sc0 ls5c">\udb8b\udc1b</div><div class="t m1e0 xab h1e2 y1e1 ff2 fs1e0 fc0 sc0 lse3 wscd">desejo</div><div class="t m1e1 xac h1e3 y1e2 ff2 fs1e1 fc0 sc0 ls179">de</div><div class="t m1e2 x5a h1e4 y1e3 ff2 fs1e2 fc0 sc0 ls17a wsce">gastar</div><div class="t m1e3 xad h1e5 y1e4 ff2 fs1e3 fc0 sc0 ls5c">)</div><div class="t m1e4 x92 h1e6 y1e5 ff2 fs1e4 fc0 sc0 lse4 wscf">complicações</div><div class="t m1e5 x2 h1e7 y1e6 ff2 fs1e5 fc0 sc0 ls5c">:</div><div class="t m1e6 x6c h1e8 y1e7 ff2 fs1e6 fc0 sc0 lse5 wsd0">insufi</div><div class="t m1e7 x7e h1e9 y1e8 ff2 fs1e7 fc0 sc0 lse6 wsd1">ciencia</div><div class="t m4f x3e h1ea y1e9 ff2 fs1e8 fc0 sc0 ls17b wsd2">adrenal</div><div class="t m1e8 xae h1eb y1ea ff2 fs1e9 fc0 sc0 lse7 wsd3">transitória</div><div class="t m1e9 x37 h1ec y1eb ff2 fs1ea fc0 sc0 ls5c">,</div><div class="t m1ea x78 h1ed y1ec ff2 fs1eb fc0 sc0 lse8 wsd4">diabetes</div><div class="t m1eb x19 h1ee y1ed ff2 fs1ec fc0 sc0 ls17c">insipidus</div><div class="t m1ec x58 h1ef y1ee ff2 fs1ed fc0 sc0 ls5c">,</div><div class="t m1ed x99 h1f0 y1ef ff2 fs1ee fc0 sc0 ls17d">in</div><div class="t m1ee x1c h1f1 y1f0 ff2 fs1ef fc0 sc0 ls17e wsd5">sufi</div><div class="t m1ef x6d h1f2 y1f1 ff2 fs1f0 fc0 sc0 lse9 wsd6">ciencia</div><div class="t m1f0 x26 h1f3 y1f2 ff2 fs1f1 fc0 sc0 ls17f wsd7">gonoohal</div><div class="t m1f1 xaf h1f4 y1f3 ff2 fs1f2 fc0 sc0 ls5c">,</div><div class="t m1f2 xa9 h1f5 y1f4 ff2 fs1f3 fc0 sc0 lsea wsd8">deficiência</div><div class="t m1f3 xb0 h1f6 y1f5 ff2 fs1f4 fc0 sc0 ls180">de</div><div class="t m1f4 x71 h1f7 y1f6 ff2 fs1f5 fc0 sc0 ls181">TSH</div><div class="t m1f5 x11 h1f8 y1f7 ff2 fs1f6 fc0 sc0 ls5c">)</div><div class="t m1f6 x3b h1f9 y1f8 ff2 fs1f7 fc0 sc0 ls182">Sd</div><div class="t m1f7 xb1 h1fa y1f9 ff2 fs1f8 fc0 sc0 ls183">de</div><div class="t m1f8 x31 h1fb y1fa ff2 fs1f9 fc0 sc0 ls184">Nelson</div><div class="t m1f9 x2f h1fc y1fb ff2 fs1fa fc0 sc0 ls5c">:</div><div class="t m1fa x2c h1fd y1fc ff2 fs1fb fc0 sc0 ls185">hiper</div><div class="t m1fb x4d h1fe y1fd ff2 fs1fc fc0 sc0 lseb wsd9">pigmentação</div><div class="t m1fc x86 h1ff y1fe ff2 fs1fd fc0 sc0 lsec wsda">cutânea</div><div class="t m1fd x56 h200 y1ff ff2 fs1fe fc0 sc0 ls5c">,</div><div class="t m1fe xb2 h201 y200 ff2 fs1ff fc0 sc0 ls5c">"</div><div class="t m1ff x8c h202 y201 ff2 fs200 fc0 sc0 ls186 wsdb">ACTH</div><div class="t m200 xb3 h203 y202 ff2 fs201 fc0 sc0 ls5c">e</div><div class="t m201 x78 h204 y203 ff2 fs202 fc0 sc0 lsed wsdc">crescimento</div><div class="t m202 x84 h205 y204 ff2 fs203 fc0 sc0 ls187">de</div><div class="t m203 x4b h206 y205 ff2 fs204 fc0 sc0 lsee wsdd">tumor</div><div class="t m204 x1c h207 y206 ff2 fs205 fc0 sc0 lsef wsde">hipofisário</div><div class="t m205 x8 h208 y207 ff2 fs206 fc0 sc0 lsf0 wsdf">pré</div><div class="t m206 x6f h209 y208 ff2 fs207 fc0 sc0 ls5c">-</div><div class="t m207 x70 h20a y209 ff2 fs208 fc0 sc0 ls188 wse0">exis<span class="blank"> </span>te<span class="blank"> </span>n<span class="blank"> </span>t<span class="blank"> </span>e</div><div class="t m208 xb4 h20b y20a ff2 fs209 fc0 sc0 lsf1 wse1">após</div><div class="t m209 xb0 h20c y20b ff2 fs20a fc0 sc0 ls189 wse2">adrenalectomia</div><div class="t m20a xb5 h20d y20c ff2 fs20b fc0 sc0 lsf2 wse3">bilateral</div><div class="t m20b x79 h20e y20d ff2 fs20c fc0 sc0 lsf3 wse4">Hiperplasia</div><div class="t m20c x89 h20f y20e ff2 fs20d fc0 sc0 ls18a wse5">Adr<span class="blank"> </span>e<span class="blank"> </span>n<span class="blank"> </span>al</div><div class="t m20d xa7 h210 y20f ff2 fs20e fc0 sc0 lsf4 wse6">Congênita</div><div class="t m20e x4d h211 y210 ff5 fs20f fc0 sc0 ls5c">\u2192</div><div class="t m20f x7f h212 y211 ff2 fs210 fc0 sc0 lsf5 wse7">deficiência</div><div class="t m210 x83 h213 y212 ff2 fs211 fc0 sc0 ls18b">de</div><div class="t m211 x47 h214 y213 ff2 fs212 fc0 sc0 ls18c">21</div><div class="t m212 x2d h215 y214 ff2 fs213 fc0 sc0 ls5c">-</div><div class="t m213 x55 h216 y215 ff2 fs214 fc0 sc0 lsf6 wse8">hidroxilase</div><div class="t m214 x2f h217 y216 ff7 fs215 fc0 sc0 ls5c">\u21b3</div><div class="t m215 x2 h218 y217 ff5 fs216 fc0 sc0 ls5c">\u2191</div><div class="t m216 x43 h219 y218 ff2 fs217 fc0 sc0 ls18d wse9">androgênio</div><div class="t m217 xa1 h21a y219 ff2 fs218 fc0 sc0 ls18e">loirilização</div><div class="t m218 xb6 h21b y21a ff2 fs219 fc0 sc0 ls5c">)</div><div class="t m219 xa6 h21c y21b ff2 fs21a fc0 sc0 ls5c">+</div><div class="t m21a x44 h21d y21c ff2 fs21b fc0 sc0 ls18f wsea">cortisol</div><div class="t m21b x81 h21e y21d ff2 fs21c fc0 sc0 ls5c">e</div><div class="t m21c x3 h21f y21e ff2 fs21d fc0 sc0 ls190 wseb">aldosterona</div><div class="t m21d x2d h220 y21f ff2 fs21e fc0 sc0 ls5c">(</div><div class="t m21e xae h221 y220 ff2 fs21f fc0 sc0 lsf7 wsec">perda</div><div class="t m21f x8c h222 y221 ff2 fs220 fc0 sc0 ls191">de</div><div class="t m220 x35 h223 y222 ff2 fs221 fc0 sc0 lsf8 wsed">sal</div><div class="t m221 x37 h224 y223 ff2 fs222 fc0 sc0 ls5c">)</div><div class="t m222 x8b h225 y224 ffd fs223 fc0 sc0 ls5c">"</div><div class="t m223 x2b h226 y225 ff2 fs224 fc0 sc0 ls192">hipo</div><div class="t m224 x2 h227 y226 ff2 fs225 fc0 sc0 ls193">Na</div><div class="t m225 x65 h228 y227 ff2 fs226 fc0 sc0 ls5c">,</div><div class="t m226 x7d h229 y228 ff2 fs227 fc0 sc0 ls194">hiper</div><div class="t m227 x7e h22a y229 ff2 fs228 fc0 sc0 ls5c">K</div><div class="t m228 x93 h22b y22a ff2 fs229 fc0 sc0 ls5c">,</div><div class="t m229 x3 h22c y22b ff2 fs22a fc0 sc0 lsf9 wsee">acidose</div><div class="t m22a x83 h22d y22c ff2 fs22b fc0 sc0 ls5c">,</div><div class="t m22b x4f h22e y22d ff2 fs22c fc0 sc0 lsfa wsef">hipoglicemia</div><div class="t m22c xa7 h22f y22e ff2 fs22d fc0 sc0 ls195 wsf0">Repor</div><div class="t m22d x82 h230 y22f ff2 fs22e fc0 sc0 ls196 wsf1">volume</div><div class="t m22e x9f h231 y230 ff2 fs22f fc0 sc0 ls5c">+</div><div class="t m22f x45 h232 y231 ff2 fs230 fc0 sc0 lsfb wsf2">repor</div><div class="t m230 x33 h233 y232 ff2 fs231 fc0 sc0 lsfc wsf3">hormônio</div><div class="t m231 x66 h234 y233 ff2 fs232 fc0 sc0 ls5c">+</div><div class="t m232 xb6 h235 y234 ff2 fs233 fc0 sc0 lsfd wsf4">ofertar</div><div class="t m233 x8c h236 y235 ff2 fs234 fc0 sc0 lsfe wsf5">glicose</div><div class="t m234 x23 h237 y236 ff2 fs235 fc0 sc0 ls197 wsf6">flipesaedostesonesmouo</div><div class="t m235 x1 h238 y237 ff2 fs236 fc0 sc0 lsff wsf7">Primário</div><div class="t m236 x7a h239 y238 ff2 fs237 fc0 sc0 ls5c">(</div><div class="t m237 x88 h23a y239 ff2 fs238 fc0 sc0 ls198">Dç</div><div class="t m238 x5 h23b y23a ff2 fs239 fc0 sc0 ls199">de</div><div class="t m239 xb7 h23c y23b ff2 fs23a fc0 sc0 ls100 wsf8">Conn</div><div class="t m23a x13 h23d y23c ff2 fs23b fc0 sc0 ls5c">)</div><div class="t m23b x37 h23e y23d ff2 fs23c fc0 sc0 ls101 wsf9">Secundário</div><div class="t m23c xa5 h23f y23e ff2 fs23d fc0 sc0 ls5c">(</div><div class="t m23d x4b h240 y23f ff5 fs23e fc0 sc0 ls5c">\u2191</div><div class="t m23e x4c h241 y240 ff2 fs23f fc0 sc0 ls19a wsfa">aldosterona</div><div class="t m23f xb8 h242 y241 ff2 fs240 fc0 sc0 ls19b">às</div><div class="t m240 xa8 h243 y242 ff2 fs241 fc0 sc0 ls19c wsfb">custas</div><div class="t m241 x70 h244 y243 ff2 fs242 fc0 sc0 ls19d">de</div><div class="t m242 xaf h245 y244 ff2 fs243 fc0 sc0 ls102 wsfc">renina</div><div class="t m243 x22 h246 y245 ff2 fs244 fc0 sc0 ls5c">)</div><div class="t m244 x1 h247 y246 ff2 fs245 fc0 sc0 ls5c">-</div><div class="t m245 x2a h248 y247 ff2 fs246 fc0 sc0 ls103 wsfd">Adenoma<span class="blank _1"></span></div><div class="t m246 x7c h249 y248 ff2 fs247 fc0 sc0 ls19e wsfe">produtor</div><div class="t m247 x31 h24a y249 ff2 fs248 fc0 sc0 ls19f">de</div><div class="t m248 x13 h24b y24a ff2 fs249 fc0 sc0 ls1a0 wsff">aldosterona</div><div class="t m249 xb3 h24c y24b ff2 fs24a fc0 sc0 ls5c">-</div><div class="t m24a x78 h24d y24c ff2 fs24b fc0 sc0 ls1a1 ws100">Estenose</div><div class="t m24b x19 h24e y24d ff2 fs24c fc0 sc0 ls1a2">de</div><div class="t m24c x84 h24f y24e ff2 fs24d fc0 sc0 ls104 ws101">artéria</div><div class="t m24d x6a h250 y24f ff2 fs24e fc0 sc0 ls105 ws102">renal</div><div class="t m24e x1 h251 y250 ff2 fs24f fc0 sc0 ls5c">-</div><div class="t m24f x2a h252 y251 ff2 fs250 fc0 sc0 ls106 ws103">Hiperplasia</div><div class="t m250 x91 h253 y252 ff2 fs251 fc0 sc0 ls107 ws104">bilateral</div><div class="t m251 xb9 h254 y253 ff2 fs252 fc0 sc0 ls5c">(</div><div class="t m252 x32 h255 y254 ff2 fs253 fc0 sc0 ls1a3">mais</div><div class="t m253 x54 h256 y255 ff2 fs254 fc0 sc0 ls108 ws105">comum</div><div class="t m254 x7f h257 y256 ff2 fs255 fc0 sc0 ls5c">)</div><div class="t m255 x1 h258 y257 ff2 fs256 fc0 sc0 ls1a4 ws106">Indicação</div><div class="t m256 x7a h259 y258 ff2 fs257 fc0 sc0 ls1a5">de</div><div class="t m257 x96 h25a y259 ff2 fs258 fc0 sc0 ls109 ws107">rastreio</div><div class="t m258 x80 h25b y25a ff2 fs259 fc0 sc0 ls5c">:</div><div class="t m259 x1 h25c y25b ff2 fs25a fc0 sc0 ls5c">-</div><div class="t m25a x2a h25d y25c ff2 fs25b fc0 sc0 ls1a6">MAS</div><div class="t m25b x74 h25e y25d ff2 fs25c fc0 sc0 ls5c">></div><div class="t m25c xba h25f y25e ff2 fs25d fc0 sc0 ls1a7">1501100</div><div class="t m25d xbb h260 y25f ff2 fs25e fc0 sc0 ls1a8">mantida</div><div class="t m25e x32 h261 y260 ff2 fs25f fc0 sc0 ls1a9">em</div><div class="t m25f x2f h262 y261 ff2 fs260 fc0 sc0 ls5c">3</div><div class="t m260 x2 h263 y262 ff2 fs261 fc0 sc0 ls10a ws108">ocasiões</div><div class="t m261 x7e h264 y263 ff2 fs262 fc0 sc0 ls10b ws109">diferentes</div><div class="t m262 x37 h265 y264 ff2 fs263 fc0 sc0 ls5c">-</div><div class="t m263 x38 h266 y265 ff2 fs264 fc0 sc0 ls1aa">HAS</div><div class="t m264 x5e h267 y266 ff2 fs265 fc0 sc0 ls1ab ws10a">resis<span class="blank"> </span>te<span class="blank"> </span>n<span class="blank"> </span>t<span class="blank"> </span>e</div><div class="t m265 x69 h268 y267 ff2 fs266 fc0 sc0 ls5c">q</div><div class="t m266 x99 h269 y268 ff2 fs267 fc0 sc0 ls1ac">uso</div><div class="t m267 x9b h26a y269 ff2 fs268 fc0 sc0 ls1ad">de</div><div class="t m268 xa3 h26b y26a ff2 fs269 fc0 sc0 ls5c">3</div><div class="t m269 xa4 h26c y26b ff2 fs26a fc0 sc0 ls1ae ws10b">anti</div><div class="t m26a x5f h26d y26c ff2 fs26b fc0 sc0 ls5c">-</div><div class="t m26b xbc h26e y26d ff2 fs26c fc0 sc0 ls10c ws10c">hipertensivos</div><div class="t m26c x27 h26f y26e ff2 fs26d fc0 sc0 ls1af">de</div><div class="t m26d x28 h270 y26f ff2 fs26e fc0 sc0 ls10d">1<span class="ff5 ls5c">ª</span></div><div class="t m26e x29 h271 y270 ff2 fs26f fc0 sc0 ls10e ws10d">linha</div><div class="t m26f x1 h272 y271 ff2 fs270 fc0 sc0 ls5c">-</div><div class="t m270 x2a h273 y272 ff2 fs271 fc0 sc0 ls1b0">HAS</div><div class="t m271 x74 h274 y273 ff2 fs272 fc0 sc0 ls10f ws10e">controlada</div><div class="t m272 x87 h275 y274 ff2 fs273 fc0 sc0 ls5c">q</div><div class="t m273 x85 h276 y275 ff2 fs274 fc0 sc0 ls5c">4</div><div class="t m274 x31 h277 y276 ff2 fs275 fc0 sc0 ls1b1 ws10f">anti</div><div class="t m275 xbd h278 y277 ff2 fs276 fc0 sc0 ls5c">-</div><div class="t m276 x2b h279 y278 ff2 fs277 fc0 sc0 ls110 ws110">hipertensivos</div><div class="t m277 xbe h27a y279 ff2 fs278 fc0 sc0 ls5c">-</div><div class="t m278 x8e h27b y27a ff2 fs279 fc0 sc0 ls1b2">MAS</div><div class="t m279 x5e h27c y27b ff2 fs27a fc0 sc0 ls111 ws111">associada</div><div class="t m27a x99 h27d y27c ff2 fs27b fc0 sc0 ls5c">à</div><div class="t m27b x1c h27e y27d ff2 fs27c fc0 sc0 ls1b3">hipo</div><div class="t m27c x53 h27f y27e ff2 fs27d fc0 sc0 ls1b4">Kr</div><div class="t m27d x64 h280 y27f ff2 fs27e fc0 sc0 ls112 ws112">espontânea</div><div class="t m27e x23 h281 y280 ff2 fs27f fc0 sc0 ls5c">-</div><div class="t m27f x2a h282 y281 ff2 fs280 fc0 sc0 ls1b5">MAS</div><div class="t m280 xbf h283 y282 ff2 fs281 fc0 sc0 ls5c">e</div><div class="t m281 xba h284 y283 ff2 fs282 fc0 sc0 ls1b6">HF</div><div class="t m282 x95 h285 y284 ff2 fs283 fc0 sc0 ls1b7">de</div><div class="t m283 x3b h286 y285 ff2 fs284 fc0 sc0 ls5c">H</div><div class="t m284 xbb h287 y286 ff2 fs285 fc0 sc0 ls1b8">AS</div><div class="t m285 x8b h288 y287 ff2 fs286 fc0 sc0 ls5c">/</div><div class="t m286 x8b h289 y288 ff2 fs287 fc0 sc0 ls1b9 ws113">AVC</div><div class="t m287 xc0 h28a y289 ff2 fs288 fc0 sc0 ls1ba">em</div><div class="t m288 x3c h28b y28a ff2 fs289 fc0 sc0 ls1bb">idade</div><div class="t m289 x44 h28c y28b ff2 fs28a fc0 sc0 ls1bc ws114">precoce</div><div class="t m28a x78 h28d y28c ff2 fs28b fc0 sc0 ls5c">-</div><div class="t m28b x39 h28e y28d ff2 fs28c fc0 sc0 ls1bd">HAS</div><div class="t m28c x5e h28f y28e ff2 fs28d fc0 sc0 ls5c">e</div><div class="t m28d x9d h290 y28f ff2 fs28e fc0 sc0 ls113 ws115">Apneia</div><div class="t m28e x3a h291 y290 ff2 fs28f fc0 sc0 ls114 ws116">Obstrutiva</div><div class="t m28f x53 h292 y291 ff2 fs290 fc0 sc0 ls1be">do</div><div class="t m290 x64 h293 y292 ff2 fs291 fc0 sc0 ls115 ws117">sono</div><div class="t m291 x1 h294 y293 ff2 fs292 fc0 sc0 ls5c">-</div><div class="t m292 x2a h295 y294 ff2 fs293 fc0 sc0 ls1bf">MAS</div><div class="t m293 x18 h296 y295 ff2 fs294 fc0 sc0 ls5c">e</div><div class="t m294 xc1 h297 y296 ff2 fs295 fc0 sc0 ls1c0">HF</div><div class="t m295 x7a h298 y297 ff2 fs296 fc0 sc0 ls1c1">de</div><div class="t m296 xbb h299 y298 ff2 fs297 fc0 sc0 ls1c2">HAP</div><div class="t m297 x85 h29a y299 ff2 fs298 fc0 sc0 ls1c3">em</div><div class="t m298 xb9 h29b y29a ff2 fs299 fc0 sc0 ls116 ws118">familiar</div><div class="t m299 x4d h29c y29b ff2 fs29a fc0 sc0 ls1c4">de</div><div class="t m29a xc2 h29d y29c ff2 fs29b fc0 sc0 ls1c5 ws119">grau</div><div class="t m29b x78 h29e y29d ff2 fs29c fc0 sc0 ls5c">-</div><div class="t m29c x39 h29f y29e ff2 fs29d fc0 sc0 ls1c6">MAS</div><div class="t m29d x77 h2a0 y29f ff2 fs29e fc0 sc0 ls5c">e</div><div class="t m29e xa2 h2a1 y2a0 ff2 fs29f fc0 sc0 ls117 ws11a">incidem</div><div class="t m29f x69 h2a2 y2a1 ff2 fs2a0 fc0 sc0 ls118 ws11b">talomou</div><div class="t m2a0 x1 h2a3 y2a2 ff2 fs2a1 fc0 sc0 ls1c7 ws11c">exame</div><div class="t m2a1 xc1 h2a4 y2a3 ff2 fs2a2 fc0 sc0 ls1c8">de</div><div class="t m2a2 x7a h2a5 y2a4 ff2 fs2a3 fc0 sc0 ls1c9 ws11d">rastreio</div><div class="t m2a3 x31 h2a6 y2a5 ff2 fs2a4 fc0 sc0 ls5c">:</div><div class="t m2a4 x8a h2a7 y2a6 ff2 fs2a5 fc0 sc0 ls119 ws11e">relação</div><div class="t m2a5 xa6 h2a8 y2a7 ff2 fs2a6 fc0 sc0 ls1ca ws11f">aldosterona</div><div class="t m2a6 x62 h2a9 y2a8 ff2 fs2a7 fc0 sc0 ls5c">/</div><div class="t m2a7 x94 h2aa y2a9 ff2 fs2a8 fc0 sc0 ls11a ws120">renina</div><div class="t m2a8 xc3 h2ab y2aa ff2 fs2a9 fc0 sc0 ls11b ws121">plasmática</div><div class="t m2a9 xbe h2ac y2ab ff5 fs2aa fc0 sc0 ls5c">\u2192</div><div class="t m2aa x76 h2ad y2ac ff2 fs2ab fc0 sc0 ls5c">(</div><div class="t m2ab x49 h2ae y2ad ff2 fs2ac fc0 sc0 ls5c">t</div><div class="t m2ac x63 h2af y2ae ff2 fs2ad fc0 sc0 ls5c">)</div><div class="t m2ad x5e h2b0 y2af ff2 fs2ae fc0 sc0 ls1cb">se</div><div class="t m2ae x84 h2b1 y2b0 ff2 fs2af fc0 sc0 ls11c ws122">730</div><div class="t m2af xc4 h2b2 y2b1 ff2 fs2b0 fc0 sc0 ls5c">-</div><div class="t m2b0 xbf h2b3 y2b2 ff2 fs2b1 fc0 sc0 ls1cc ws123">Aldosterona</div><div class="t m2b1 x92 h2b4 y2b3 ff5 fs2b2 fc0 sc0 ls5c">!</div><div class="t m2b2 x8b h2b5 y2b4 ff2 fs2b3 fc0 sc0 ls1cd">10</div><div class="t m2b3 x31 h2b6 y2b5 ff2 fs2b4 fc0 sc0 ls5c">-</div><div class="t m2b4 xa7 h2b7 y2b6 ff2 fs2b5 fc0 sc0 ls1ce">15</div><div class="t m2b5 x1 h2b8 y2b7 ff2 fs2b6 fc0 sc0 ls5c">-</div><div class="t m2b6 x2a h2b9 y2b8 ff2 fs2b7 fc0 sc0 ls11d ws124">Precisa</div><div class="t m2b7 x2e h2ba y2b9 ff2 fs2b8 fc0 sc0 ls1cf">ser</div><div class="t m2b8 x89 h2bb y2ba ff2 fs2b9 fc0 sc0 ls11e ws125">realizado</div><div class="t m2b9 xb9 h2bc y2bb ff2 fs2ba fc0 sc0 ls1d0">na</div><div class="t m2ba x82 h2bd y2bc ff2 fs2bb fc0 sc0 ls1d1 ws126">ausência</div><div class="t m2bb x14 h2be y2bd ff2 fs2bc fc0 sc0 ls1d2">de</div><div class="t m2bc x3 h2bf y2be ff2 fs2bd fc0 sc0 ls1d3">hipo</div><div class="t m2bd x46 h2c0 y2bf ff2 fs2be fc0 sc0 ls5c">K</div><div class="t m2be x83 h2c1 y2c0 ff2 fs2bf fc0 sc0 ls5c">;</div><div class="t m2bf x5c h2c2 y2c1 ff2 fs2c0 fc0 sc0 ls11f ws127">IECA</div><div class="t m2c0 xae h2c3 y2c2 ff2 fs2c1 fc0 sc0 ls5c">,</div><div class="t m2c1 x55 h2c4 y2c3 ff2 fs2c2 fc0 sc0 ls1d4">BRA</div><div class="t m243 x5d h2c5 y2c4 ff2 fs2c3 fc0 sc0 ls5c">,</div><div class="t m2c2 x8c h2c6 y2c5 ff2 fs2c4 fc0 sc0 ls1d5">BCC</div><div class="t m2c3 xb3 h2c7 y2c6 ff2 fs2c5 fc0 sc0 ls5c">e</div><div class="t m2c4 x38 h2c8 y2c7 ff2 fs2c6 fc0 sc0 ls120 ws128">diuréticos</div><div class="t m2c5 xc5 h2c9 y2c8 ff2 fs2c7 fc0 sc0 ls121 ws129">podem</div><div class="t m2c6 x6a h2ca y2c9 ff2 fs2c8 fc0 sc0 ls122 ws12a">interferir</div><div class="t m2c7 xc6 h2cb y2ca ff2 fs2c9 fc0 sc0 ls1d6">no</div><div class="t m2c8 xc7 h2cc y2cb ff2 fs2ca fc0 sc0 ls1d7 ws12b">exame</div><div class="t m2c9 x23 h2cd y2cc ff2 fs2cb fc0 sc0 ls1d8 ws12c">Te<span class="blank"> </span>s<span class="blank"> </span>t<span class="blank"> </span>e</div><div class="t m2ca x18 h2ce y2cd ff2 fs2cc fc0 sc0 ls123 ws12d">confirmatório</div><div class="t m2cb xc0 h2cf y2ce ff2 fs2cd fc0 sc0 ls5c">:</div><div class="t m2cc x32 h2d0 y2cf ff2 fs2ce fc0 sc0 ls1d9">infusão</div><div class="t m2cd x65 h2d1 y2d0 ff2 fs2cf fc0 sc0 ls124 ws12e">salina</div><div class="t m2ce xa1 h2d2 y2d1 ff5 fs2d0 fc0 sc0 ls5c">\u2192</div><div class="t m2cf x3d h2d3 y2d2 ff2 fs2d1 fc0 sc0 ls1da">G)</div><div class="t m2d0 x4f h2d4 y2d3 ff2 fs2d2 fc0 sc0 ls1db">se</div><div class="t m2d1 x67 h2d5 y2d4 ff2 fs2d3 fc0 sc0 ls125 ws12f">não</div><div class="t m2d2 x56 h2d6 y2d5 ff2 fs2d4 fc0 sc0 ls126 ws130">houver</div><div class="t m2d3 x97 h2d7 y2d6 ff2 fs2d5 fc0 sc0 ls127 ws131">supressão</div><div class="t m2d4 x19 h2d8 y2d7 ff2 fs2d6 fc0 sc0 ls1dc">da</div><div class="t m2d5 xc5 h2d9 y2d8 ff2 fs2d7 fc0 sc0 ls1dd ws132">aldosterona</div><div class="t m2d6 x32 h2da y2d9 ff2 fs2d8 fc0 sc0 ls128 ws133">furosemida</div><div class="t m2d7 x14 h2db y2da ff5 fs2d9 fc0 sc0 ls5c">\u2192</div><div class="t m2d8 x3 h2dc y2db ff2 fs2da fc0 sc0 ls5c">(</div><div class="t m2d9 x33 h2dd y2dc ff2 fs2db fc0 sc0 ls5c">t</div><div class="t m2da x62 h2de y2dd ff2 fs2dc fc0 sc0 ls5c">)</div><div class="t m2db x3d h2df y2de ff2 fs2dd fc0 sc0 ls1de">se</div><div class="t m2dc x4f h2e0 y2df ff2 fs2de fc0 sc0 ls129 ws134">não</div><div class="t m2dd xc3 h2e1 y2e0 ff2 fs2df fc0 sc0 ls12a ws135">houver</div><div class="t m2de x8d h2e2 y2e1 ff5 fs2e0 fc0 sc0 ls5c">\u2191</div><div class="t m2df x68 h2e3 y2e2 ff2 fs2e1 fc0 sc0 ls1df">da</div><div class="t m2e0 x78 h2e4 y2e3 ff2 fs2e2 fc0 sc0 ls12b ws136">renina</div><div class="t m2e1 x1 h2e5 y2e4 ff2 fs2e3 fc0 sc0 ls1e0 ws137">Te<span class="blank"> </span>s<span class="blank"> </span>t<span class="blank"> </span>e<span class="blank"> </span>s</div><div class="t m2e2 xc1 h2e6 y2e5 ff2 fs2e4 fc0 sc0 ls1e1">localiza</div><div class="t m2e3 xb1 h2e7 y2e6 ff2 fs2e5 fc0 sc0 ls12c ws138">tórios</div><div class="t m2e4 x75 h2e8 y2e7 ff2 fs2e6 fc0 sc0 ls5c">:</div><div class="t m2e5 xbd h2e9 y2e8 ff2 fs2e7 fc0 sc0 ls1e2">To</div><div class="t m2e6 x42 h2ea y2e9 ff2 fs2e8 fc0 sc0 ls1e3">de</div><div class="t m2e7 x43 h2eb y2ea ff2 fs2e9 fc0 sc0 ls12d ws139">abdome</div><div class="t m2e8 x3 h2ec y2eb ff2 fs2ea fc0 sc0 ls5c">(</div><div class="t m2e9 x33 h2ed y2ec ff2 fs2eb fc0 sc0 ls1e4 ws13a">cortes</div><div class="t m2ea x4f h2ee y2ed ff2 fs2ec fc0 sc0 ls12e ws13b">finos</div><div class="t m2eb x50 h2ef y2ee ff2 fs2ed fc0 sc0 ls1e5">ou</div><div class="t m2ec x16 h2f0 y2ef ff2 fs2ee fc0 sc0 ls12f ws13c">corte</div><div class="t m2ed x78 h2f1 y2f0 ff2 fs2ef fc0 sc0 ls130 ws13d">seletivo</div><div class="t m2ee x77 h2f2 y2f1 ff2 fs2f0 fc0 sc0 ls1e6">de</div><div class="t m2ef x90 h2f3 y2f2 ff2 fs2f1 fc0 sc0 ls131 ws13e">dias</div><div class="t m2f0 x51 h2f4 y2f3 ff2 fs2f2 fc0 sc0 ls1e7 ws13f">adrenais</div><div class="t m2f1 xb8 h2f5 y2f4 ff2 fs2f3 fc0 sc0 ls5c">(</div><div class="t m2f2 xa3 h2f6 y2f5 ff2 fs2f4 fc0 sc0 ls1e8">mais</div><div class="t m2f3 x5f h2f7 y2f6 ff2 fs2f5 fc0 sc0 ls132 ws140">específico</div><div class="t m2f4 xd h2f8 y2f7 ff2 fs2f6 fc0 sc0 ls5c">,</div><div class="t m2f5 x1e h2f9 y2f8 ff2 fs2f7 fc0 sc0 ls1e9">menos</div><div class="t m2f6 xc8 h2fa y2f9 ff2 fs2f8 fc0 sc0 ls133 ws141">disponível</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/af2e690e-25d9-4467-95bf-ba9aa8ab1e5e/bg3.png"><div class="t m2f7 x1 h2fb y2fa ff2 fs2f9 fc0 sc0 ls239 ws142">Tr<span class="blank"> </span>a<span class="blank"> </span>t<span class="blank"> </span>a<span class="blank"> </span>m<span class="blank"> </span>e<span class="blank"> </span>n<span class="blank"> </span>t<span class="blank"> </span>o</div><div class="t m2f8 x12 h2fc y2fb ff2 fs2fa fc0 sc0 ls5c">:</div><div class="t m2f9 x96 h2fd y2fc ff2 fs2fb fc0 sc0 ls23a ws143">cirúrgico</div><div class="t m2fa x13 h2fe y2fd ff2 fs2fc fc0 sc0 ls5c">{</div><div class="t m2fb x2b h2ff y2fe ff2 fs2fd fc0 sc0 ls1ea ws144">adenoma</div><div class="t m2fc x3c h300 y2ff ff2 fs2fe fc0 sc0 ls1eb ws145">hiperplasia</div><div class="t m2fd x93 h301 y300 ff2 fs2ff fc0 sc0 ls23b ws146">unilateral</div><div class="t m2fe x5 h302 y301 ff2 fs300 fc0 sc0 ls1ec ws147">clínico</div><div class="t m2ff xb9 h303 y302 ff5 fs301 fc0 sc0 ls5c">\u2192</div><div class="t m300 x2b h304 y303 ff2 fs302 fc0 sc0 ls1ed ws148">espironolactona</div><div class="t m301 x23 h305 y304 ff2 fs303 fc0 sc0 ls23c ws149">tncidentalomasomno</div><div class="t m302 x79 h306 y305 ff2 fs304 fc0 sc0 ls1ee ws14a">Causas</div><div class="t m303 x24 h307 y306 ff2 fs305 fc0 sc0 ls5c">:</div><div class="t m304 x7c h308 y307 ff2 fs306 fc0 sc0 ls1ef ws14b">adenomas</div><div class="t m305 xc9 h309 y308 ff2 fs307 fc0 sc0 ls1f0 ws14c">benignos</div><div class="t m306 x2 h30a y309 ff2 fs308 fc0 sc0 ls1f1 ws14d">não</div><div class="t m307 x9f h30b y30a ff2 fs309 fc0 sc0 ls1f2 ws14e">funcionam</div><div class="t m308 x5b h30c y30b ff2 fs30a fc0 sc0 ls1f3 ws14f">tes</div><div class="t m309 x15 h30d y30c ff2 fs30b fc0 sc0 ls1f4 ws150">170</div><div class="t m30a x66 h30e y30d ff2 fs30c fc0 sc0 ls23d">%)</div><div class="t m30b x7c h30f y30e ff2 fs30d fc0 sc0 ls1f5 ws151">adenomas</div><div class="t m30c x31 h310 y30f ff2 fs30e fc0 sc0 ls5c">q</div><div class="t m30d xc0 h311 y310 ff2 fs30f fc0 sc0 ls23e ws152">secreção</div><div class="t m30e x43 h312 y311 ff2 fs310 fc0 sc0 ls23f ws153">hormonal</div><div class="t m30f x7c h313 y312 ff2 fs311 fc0 sc0 ls1f6 ws154">metástase</div><div class="t m310 x7c h314 y313 ff2 fs312 fc0 sc0 ls1f7 ws155">carcinoma</div><div class="t m311 xa7 h315 y314 ff2 fs313 fc0 sc0 ls240 ws156">adrenal</div><div class="t m312 x1 h316 y315 ff2 fs314 fc0 sc0 ls241 ws157">Inv<span class="blank _1"></span>estigação</div><div class="t m313 x12 h317 y316 ff2 fs315 fc0 sc0 ls5c">:</div><div class="t m314 x1 h318 y317 ff5 fs316 fc0 sc0 ls5c">\u2460</div><div class="t m315 x7b h319 y318 ff2 fs317 fc0 sc0 ls242 ws158">Existe</div><div class="t m316 x24 h31a y319 ff2 fs318 fc0 sc0 ls243">hiper</div><div class="t m317 x91 h31b y31a ff2 fs319 fc0 sc0 ls244 ws159">ssecreãao</div><div class="t m318 x32 h31c y31b ff2 fs31a fc0 sc0 ls245 ws15a">hormonal</div><div class="t m319 x4d h31d y31c ff2 fs31b fc0 sc0 ls5c">{</div><div class="t m31a x45 h31e y31d ff2 fs31c fc0 sc0 ls246">MAS</div><div class="t m31b x33 h31f y31e ff2 fs31d fc0 sc0 ls247">ou</div><div class="t m31c x94 h320 y31f ff2 fs31e fc0 sc0 ls248">hiper</div><div class="t m31d x67 h321 y320 ff8 fs31f fc0 sc0 ls5c">\udb8b\udc1b</div><div class="t m31e x72 h322 y321 ff2 fs320 fc0 sc0 ls249">hiper</div><div class="t m31f x16 h323 y322 ff2 fs321 fc0 sc0 ls1f8 ws15b">aldo</div><div class="t m320 xa0 h324 y323 ff2 fs322 fc0 sc0 ls1f9 ws15c">T<span class="blank _1"></span>odos<span class="blank _1"></span></div><div class="t m321 x33 h325 y324 ff8 fs323 fc0 sc0 ls5c">\udb8b\udc1b</div><div class="t m322 x5b h326 y325 ff2 fs324 fc0 sc0 ls1fa ws15d">feocromocitoma<span class="blank _1"></span></div><div class="t m323 xca h327 y326 ff2 fs325 fc0 sc0 ls5c">,</div><div class="t m324 x40 h328 y327 ff2 fs326 fc0 sc0 ls1fb ws15e">Cushing</div><div class="t m325 x4 h329 y328 ff2 fs327 fc0 sc0 ls1fc ws15f">subclínica</div><div class="t m326 x23 h32a y329 ff5 fs328 fc0 sc0 ls5c">\u2461</div><div class="t m327 x7b h32b y32a ff2 fs329 fc0 sc0 ls24a">TC</div><div class="t m328 xba h32c y32b ff2 fs32a fc0 sc0 ls5c">-</div><div class="t m329 x24 h32d y32c ff2 fs32b fc0 sc0 ls1fd ws160">sugestivo</div><div class="t m32a xb7 h32e y32d ff2 fs32c fc0 sc0 ls24b">de</div><div class="t m32b x75 h32f y32e ff2 fs32d fc0 sc0 ls24c">malignidade</div><div class="t m32c x7f h330 y32f ff2 fs32e fc0 sc0 ls5c">|</div><div class="t m32d x7e h331 y330 ff2 fs32f fc0 sc0 ls5c">></div><div class="t m32e x93 h332 y331 ff2 fs330 fc0 sc0 ls5c">4</div><div class="t m32f xa1 h333 y332 ff2 fs331 fc0 sc0 ls24d">cm</div><div class="t m330 x46 h334 y333 ff2 fs332 fc0 sc0 ls5c">,</div><div class="t m331 x15 h335 y334 ff2 fs333 fc0 sc0 ls1fe ws161">margens</div><div class="t m332 x50 h336 y335 ff2 fs334 fc0 sc0 ls1ff ws162">irregulares</div><div class="t m333 x39 h337 y336 ff2 fs335 fc0 sc0 ls5c">,</div><div class="t m334 x76 h338 y337 ff2 fs336 fc0 sc0 ls200 ws163">calcificados</div><div class="t m335 x51 h339 y338 ff2 fs337 fc0 sc0 ls5c">,</div><div class="t m336 x58 h33a y339 ff2 fs338 fc0 sc0 ls201 ws164">necrose</div><div class="t m337 x14 h33b y33a ff2 fs339 fc0 sc0 ls24e ws165">coeficiente</div><div class="t m338 x5c h33c y33b ff2 fs33a fc0 sc0 ls24f">de</div><div class="t m339 xb6 h33d y33c ff2 fs33b fc0 sc0 ls202 ws166">atenuação</div><div class="t m33a x68 h33e y33d ff5 fs33c fc0 sc0 ls5c">\u2265</div><div class="t m33b x36 h33f y33e ff2 fs33d fc0 sc0 ls250">10</div><div class="t m33c x38 h340 y33f ff2 fs33e fc0 sc0 ls251">na</div><div class="t m33d x63 h341 y340 ff2 fs33f fc0 sc0 ls252">TC</div><div class="t m33e xcb h342 y341 ff2 fs340 fc0 sc0 ls253">sp</div><div class="t m33f x98 h343 y342 ff2 fs341 fc0 sc0 ls203 ws167">contraste</div><div class="t m340 xc2 h344 y343 ff2 fs342 fc0 sc0 ls254 ws168">Woo<span class="blank"> </span>s<span class="blank"> </span>h<span class="blank"> </span>o<span class="blank"> </span>u<span class="blank"> </span>t</div><div class="t m341 x83 h345 y344 ff2 fs343 fc0 sc0 ls5c">=</div><div class="t m342 x6e h346 y345 ff2 fs344 fc0 sc0 ls255">50%</div><div class="t m343 xc2 h347 y346 ff2 fs345 fc0 sc0 ls204 ws169">metástase</div><div class="t m344 x1 h348 y347 ff5 fs346 fc0 sc0 ls5c">\u2462</div><div class="t m345 x30 h349 y348 ff2 fs347 fc0 sc0 ls205 ws16a">Indicação</div><div class="t m346 x3b h34a y349 ff2 fs348 fc0 sc0 ls256">de</div><div class="t m347 x87 h34b y34a ff2 fs349 fc0 sc0 ls257">biópsia</div><div class="t m348 x2b h34c y34b ff2 fs34a fc0 sc0 ls5c">:</div><div class="t m349 x82 h34d y34c ff2 fs34b fc0 sc0 ls206 ws16b">lesão</div><div class="t m34a xcc h34e y34d ff2 fs34c fc0 sc0 ls258">suspeita</div><div class="t m34b x4e h34f y34e ff2 fs34d fc0 sc0 ls259">de</div><div class="t m34c x3e h350 y34f ff2 fs34e fc0 sc0 ls207 ws16c">metástase</div><div class="t m34d x3f h351 y350 ff2 fs34f fc0 sc0 ls25a">ou</div><div class="t m34e x8d h352 y351 ff2 fs350 fc0 sc0 ls25b ws16d">processo</div><div class="t m34f x76 h353 y352 ff2 fs351 fc0 sc0 ls208 ws16e">infiltnativo</div><div class="t m350 x73 h354 y353 ff2 fs352 fc0 sc0 ls209 ws16f">Sempre</div><div class="t m351 x7c h355 y354 ff2 fs353 fc0 sc0 ls20a ws170">descartar</div><div class="t m352 x8a h356 y355 ff2 fs354 fc0 sc0 ls20b ws171">feocromocit<span class="blank _1"></span>oma</div><div class="t m353 x73 h357 y356 ff2 fs355 fc0 sc0 ls20c ws172">Nunca</div><div class="t m354 x7a h358 y357 ff2 fs356 fc0 sc0 ls25c">se</div><div class="t m355 x96 h359 y358 ff2 fs357 fc0 sc0 ls25d">suspeita</div><div class="t m356 x3c h35a y359 ff2 fs358 fc0 sc0 ls25e">de</div><div class="t m357 x2 h35b y35a ff2 fs359 fc0 sc0 ls20d ws173">carcinoma</div><div class="t m358 x5b h35c y35b ff2 fs35a fc0 sc0 ls25f ws174">adrenocortieoe</div><div class="t m359 x16 h35d y35c ff2 fs35b fc0 sc0 ls20e ws175">primário</div><div class="t m35a x23 h35e y35d ff2 fs35c fc0 sc0 ls260 ws176">fe<span class="blank"> </span>o<span class="blank"> </span>c<span class="blank"> </span>ro<span class="blank"> </span>m<span class="blank"> </span>o<span class="blank"> </span>c<span class="blank"> </span>i<span class="blank"> </span>t<span class="blank"> </span>o<span class="blank"> </span>m<span class="blank"> </span>a</div><div class="t m35b xc0 h35f y35e ff2 fs35d fc0 sc0 ls20f ws177">nos</div><div class="t m35c x2b h360 y35f ff2 fs35e fc0 sc0 ls261">hiper</div><div class="t m35d xa6 h361 y360 ff2 fs35f fc0 sc0 ls210 ws178">fuscão</div><div class="t m35e x3 h362 y361 ff2 fs360 fc0 sc0 ls211 ws179">das</div><div class="t m35f x46 h363 y362 ff2 fs361 fc0 sc0 ls212 ws17a">células</div><div class="t m360 x72 h364 y363 ff2 fs362 fc0 sc0 ls213 ws17b">cromafins</div><div class="t m361 x38 h365 y364 ff2 fs363 fc0 sc0 ls262">da</div><div class="t m362 x63 h366 y365 ff2 fs364 fc0 sc0 ls263">medula</div><div class="t m363 x1 h367 y366 ff2 fs365 fc0 sc0 ls214 ws17c">Relacionado</div><div class="t m364 x12 h368 y367 ff2 fs366 fc0 sc0 ls5c">q</div><div class="t m365 xb1 h369 y368 ff2 fs367 fc0 sc0 ls215 ws17d">NEM</div><div class="t m366 x75 h36a y369 ff2 fs368 fc0 sc0 ls5c">2</div><div class="t m367 x80 h36b y36a ff2 fs369 fc0 sc0 ls5c">,</div><div class="t m368 x2b h36c y36b ff2 fs36a fc0 sc0 ls264 ws17e">neurofibromatose</div><div class="t m369 x46 h36d y36c ff2 fs36b fc0 sc0 ls265">tipo</div><div class="t m36a x47 h36e y36d ff2 fs36c fc0 sc0 ls5c">1</div><div class="t m36b x2d h36f y36e ff2 fs36d fc0 sc0 ls5c">,</div><div class="t m36c x55 h370 y36f ff2 fs36e fc0 sc0 ls216 ws17f">sal</div><div class="t m36d x3f h371 y370 ff2 fs36f fc0 sc0 ls266">de</div><div class="t m36e x8d h372 y371 ff2 fs370 fc0 sc0 ls217 ws180">von</div><div class="t m36f xbe h373 y372 ff2 fs371 fc0 sc0 ls267">Hippel</div><div class="t m370 x77 h374 y373 ff2 fs372 fc0 sc0 ls5c">-</div><div class="t m371 x19 h375 y374 ff2 fs373 fc0 sc0 ls218 ws181">Lindaa</div><div class="t m372 xc4 h376 y375 ff2 fs374 fc0 sc0 ls219 ws182">clínica</div><div class="t m373 x24 h377 y376 ff2 fs375 fc0 sc0 ls5c">:</div><div class="t m374 x95 h378 y377 ff2 fs376 fc0 sc0 ls21a ws183">PPA</div><div class="t m375 x96 h379 y378 ff2 fs377 fc0 sc0 ls268">em</div><div class="t m376 x31 h37a y379 ff2 fs378 fc0 sc0 ls21b ws184">paro<span class="blank _1"></span>xismo</div><div class="t m377 x7c h37b y37a ff2 fs379 fc0 sc0 ls269 ws185">cefaleia</div><div class="t m378 x31 h37c y37b ff2 fs37a fc0 sc0 ls5c">+</div><div class="t m379 x75 h37d y37c ff2 fs37b fc0 sc0 ls21c ws186">palpitação</div><div class="t m37a xa0 h37e y37d ff2 fs37c fc0 sc0 ls5c">+</div><div class="t m37b x14 h37f y37e ff2 fs37d fc0 sc0 ls21d ws187">sudorese</div><div class="t m37c x79 h380 y37f ff2 fs37e fc0 sc0 ls21e ws188">Exceções</div><div class="t m37d x88 h381 y380 ff2 fs37f fc0 sc0 ls5c">-</div><div class="t m37e x12 h382 y381 ff2 fs380 fc0 sc0 ls21f ws189">regra</div><div class="t m37f x8a h383 y382 ff2 fs381 fc0 sc0 ls220 ws18a">dos</div><div class="t m380 x82 h384 y383 ff2 fs382 fc0 sc0 ls26a">10%</div><div class="t m381 x44 h385 y384 ff2 fs383 fc0 sc0 ls5c">:</div><div class="t m382 x7d h386 y385 ff2 fs384 fc0 sc0 ls221 ws18b">bilaterais</div><div class="t m383 x7d h387 y386 ff2 fs385 fc0 sc0 ls222 ws18c">paragangdionoooso</div><div class="t m384 x45 h388 y387 ff2 fs386 fc0 sc0 ls5c">e</div><div class="t m385 xc2 h389 y388 ff2 fs387 fc0 sc0 ls26b">2o</div><div class="t m386 x33 h38a y389 ff2 fs388 fc0 sc0 ls223 ws18d">anos</div><div class="t m387 x7f h38b y38a ff2 fs389 fc0 sc0 ls26c">malignos</div><div class="t m388 xc2 h38c y38b ffe fs38a fc0 sc0 ls5c">\u2205</div><div class="t m389 x93 h38d y38c ff2 fs38b fc0 sc0 ls224 ws18e">alteração</div><div class="t m38a xc3 h38e y38d ff2 fs38c fc0 sc0 ls26d">de</div><div class="t m38b x72 h38f y38e ff2 fs38d fc0 sc0 ls26e">PA</div><div class="t m38c x7f h390 y38f ff2 fs38e fc0 sc0 ls225 ws18f">incidem</div><div class="t m38d x94 h391 y390 ff2 fs38f fc0 sc0 ls226 ws190">tabom</div><div class="t m38e x47 h392 y391 ff2 fs390 fc0 sc0 ls5c">a</div><div class="t m38f x14 h393 y392 ff2 fs391 fc0 sc0 ls26f ws3a">retor<span class="blank"> </span>n<span class="blank"> </span>a<span class="blank"> </span>m</div><div class="t m390 xcd h394 y393 ff2 fs392 fc0 sc0 ls227 ws191">após</div><div class="t m391 x72 h395 y394 ff2 fs393 fc0 sc0 ls270 ws192">cirurgia</div><div class="t m392 x23 h396 y395 ff2 fs394 fc0 sc0 ls271 ws193">Diagnóstico</div><div class="t m393 x12 h397 y396 ff2 fs395 fc0 sc0 ls5c">:</div><div class="t m394 x87 h398 y397 ff5 fs396 fc0 sc0 ls5c">\u2460</div><div class="t m395 x8a h399 y398 ff2 fs397 fc0 sc0 ls228 ws194">alta</div><div class="t m396 x2f h39a y399 ff2 fs398 fc0 sc0 ls272">suspeita</div><div class="t m397 x7e h39b y39a ff5 fs399 fc0 sc0 ls5c">\u2192</div><div class="t m398 x33 h39c y39b ff2 fs39a fc0 sc0 ls229 ws195">dosagem</div><div class="t m399 xb6 h39d y39c ff2 fs39b fc0 sc0 ls22a ws196">das</div><div class="t m39a xb2 h39e y39d ff2 fs39c fc0 sc0 ls22b ws197">metanefrênas</div><div class="t m39b x77 h39f y39e ff2 fs39d fc0 sc0 ls22c ws198">plasmáticos</div><div class="t m39c x75 h3a0 y39f ff2 fs39e fc0 sc0 ls22d ws199">baixa</div><div class="t m39d x2 h3a1 y3a0 ff2 fs39f fc0 sc0 ls273">suspeita</div><div class="t m39e x81 h3a2 y3a1 ff2 fs3a0 fc0 sc0 ls274">=D</div><div class="t m39f x4e h3a3 y3a2 ff2 fs3a1 fc0 sc0 ls22e ws19a">dosagem</div><div class="t m3a0 xc3 h3a4 y3a3 ff2 fs3a2 fc0 sc0 ls275">de</div><div class="t m3a1 x72 h3a5 y3a4 ff2 fs3a3 fc0 sc0 ls22f ws19b">metanefeinas</div><div class="t m3a2 x63 h3a6 y3a5 ff2 fs3a4 fc0 sc0 ls5c">e</div><div class="t m3a3 x19 h3a7 y3a6 ff2 fs3a5 fc0 sc0 ls230 ws19c">catecolaminas</div><div class="t m3a4 xb8 h3a8 y3a7 ff2 fs3a6 fc0 sc0 ls231 ws19d">urinárias</div><div class="t m3a5 x5 h3a9 y3a8 ff5 fs3a7 fc0 sc0 ls5c">\u2461</div><div class="t m3a6 xb7 h3aa y3a9 ff2 fs3a8 fc0 sc0 ls232 ws19e">níveis</div><div class="t m3a7 x2f h3ab y3aa ff2 fs3a9 fc0 sc0 ls5c">></div><div class="t m3a8 x2 h3ac y3ab ff2 fs3aa fc0 sc0 ls5c">4</div><div class="t m3a9 x43 h3ad y3ac ff5 fs3ab fc0 sc0 ls5c">×</div><div class="t m3aa x4d h3ae y3ad ff2 fs3ac fc0 sc0 ls276">LSN</div><div class="t m3ab x81 h3af y3ae ff8 fs3ad fc0 sc0 ls5c">\udb8b\udc1b</div><div class="t m3ac x62 h3b0 y3af ff2 fs3ae fc0 sc0 ls277">TC</div><div class="t m3ad x4f h3b1 y3b0 ff2 fs3af fc0 sc0 ls278">de</div><div class="t m3ae xc3 h3b2 y3b1 ff2 fs3b0 fc0 sc0 ls233 ws19f">abdome</div><div class="t m3af x36 h3b3 y3b2 ff2 fs3b1 fc0 sc0 ls5c">e</div><div class="t m3b0 x17 h3b4 y3b3 ff2 fs3b2 fc0 sc0 ls234 ws1a0">pelve</div><div class="t m3b1 xce h3b5 y3b4 ff2 fs3b3 fc0 sc0 ls5c">q</div><div class="t m3b2 x84 h3b6 y3b5 ff2 fs3b4 fc0 sc0 ls235 ws1a1">contraste</div><div class="t m3b3 x5 h3b7 y3b6 ff5 fs3b5 fc0 sc0 ls5c">\u2462</div><div class="t m3b4 x31 h3b8 y3b7 ff2 fs3b6 fc0 sc0 ls279">To</div><div class="t m3b5 x80 h3b9 y3b8 ff2 fs3b7 fc0 sc0 ls27a">neg</div><div class="t m3b6 x43 h3ba y3b9 ff2 fs3b8 fc0 sc0 ls5c">+</div><div class="t m3b7 x4d h3bb y3ba ff2 fs3b9 fc0 sc0 ls236 ws1a2">alta</div><div class="t m3b8 x93 h3bc y3bb ff2 fs3ba fc0 sc0 ls27b">suspeita</div><div class="t m3b9 xb6 h3bd y3bc ff8 fs3bb fc0 sc0 ls5c">\udb8b\udc1b</div><div class="t m3ba x56 h3be y3bd ff2 fs3bc fc0 sc0 ls27c ws1a3">cintilografia</div><div class="t m3bb x8f h3bf y3be ff2 fs3bd fc0 sc0 ls27d">com</div><div class="t m3bc xc5 h3c0 y3bf ff2 fs3be fc0 sc0 ls27e ws1a4">MIBG</div><div class="t m3bd x1 h3c1 y3c0 ff2 fs3bf fc0 sc0 ls27f ws1a5">Tr<span class="blank"> </span>a<span class="blank"> </span>t<span class="blank"> </span>a<span class="blank"> </span>m<span class="blank"> </span>e<span class="blank"> </span>n<span class="blank"> </span>t<span class="blank"> </span>o</div><div class="t m3be x91 h3c2 y3c1 ff2 fs3c0 fc0 sc0 ls5c">:</div><div class="t m3bf x5 h3c3 y3c2 ff2 fs3c1 fc0 sc0 ls280 ws1a6">cirúrgico</div><div class="t m3c0 x2c h3c4 y3c3 ff2 fs3c2 fc0 sc0 ls5c">y</div><div class="t m3c1 x6c h3c5 y3c4 ff2 fs3c3 fc0 sc0 ls237 ws1a7">preparo</div><div class="t m3c2 xa0 h3c6 y3c5 ff7 fs3c4 fc0 sc0 ls5c">\u21b3</div><div class="t m3c3 x93 h3c7 y3c6 ff5 fs3c5 fc0 sc0 ls5c">\u2717</div><div class="t m3c4 x62 h3c8 y3c7 ff2 fs3c6 fc0 sc0 ls281">bloqueio</div><div class="t m3c5 x55 h3c9 y3c8 ff2 fs3c7 fc0 sc0 ls282">10-14</div><div class="t m3c6 x35 h3ca y3c9 ff2 fs3c8 fc0 sc0 ls238 ws1a8">dias</div><div class="t m3c7 x39 h3cb y3ca ff2 fs3c9 fc0 sc0 ls5c">e</div><div class="t m3c8 x57 h3cc y3cb ff2 fs3ca fc0 sc0 ls283">depois</div><div class="t m3c9 xa5 h3cd y3cc ff2 fs3cb fc0 sc0 ls5c">p</div><div class="t m3ca x4c h3ce y3cd ff2 fs3cc fc0 sc0 ls5c">-</div><div class="t m3cb x51 h3cf y3ce ff2 fs3cd fc0 sc0 ls284">bloqueio</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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