%PDF-1.7
%
1 0 obj
<>
endobj
53 0 obj
<>/Font<>>>/Fields 57 0 R>>
endobj
4 0 obj
<>stream
Acrobat Distiller 7.0.5 (Windows)
2008-06-12T16:22:32-03:00
Acrobat PDFMaker 7.0.7 for Word
2011-08-28T11:46:11-03:00
2011-08-28T11:46:11-03:00
application/pdf
21- Na hipertermia maligna com rigidez muscular, acredita-se que o distúrbio fundamental seja devido à seguinte disfunção:
Rosana
uuid:d5f679cd-f53d-41ab-b65a-f400be4399ea
uuid:a4b83b96-416c-4f3a-b01f-a9004d653105
D:20080517061242
endstream
endobj
3 0 obj
<>
endobj
5 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>>
endobj
30 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 1/Type/Page>>
endobj
33 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/StructParents 2/Type/Page>>
endobj
37 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/StructParents 3/Type/Page>>
endobj
39 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/StructParents 4/Type/Page>>
endobj
43 0 obj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/StructParents 5/Type/Page>>
endobj
73 0 obj
<>stream
/Artifact <>BDC
/OC /MC0 BDC
/CS0 cs 1 1 1 scn
/GS0 gs
459 806.9 93.6 19.2 re
f
/CS0 CS 0.502 0.502 0.502 SCN
0.75 w 8 M 1 J
552.6 826.1 -93.6 -19.2 re
459 826.1 m
h
S
BT
0.5 g
/TT0 1 Tf
0.0009 Tc 10.98 0 0 10.98 466.62 811.9403 Tm
(ESTATUT\301RIO)Tj
ET
/CS0 cs 1 1 1 scn
204.54 804.5 207 25.8 re
f
BT
0.602 g
/TT1 1 Tf
0.0005 Tc 0.0015 Tw 13.98 0 0 13.98 211.74 813.0803 Tm
(M\311DICO CL\315NICO GERAL)Tj
/TT0 1 Tf
0 Tc 0 Tw 12 0 0 12 339.18 813.0803 Tm
( )Tj
ET
/CS0 cs 1 1 1 scn
35.4 808.1 100.2 19.2 re
f
135.6 827.3 -100.2 -19.2 re
35.4 827.3 m
h
S
q
43.02 812.12 84.84 10.8 re
W n
BT
0.5 g
/TT0 1 Tf
0.0008 Tc 0.0006 Tw 10.98 0 0 10.98 43.02 813.1403 Tm
(Prova Ca)Tj
0 Tc 0 Tw 3.699 0 Td
(p)Tj
-0.0005 Tc 0.0019 Tw 0.503 0 Td
(a Branca )Tj
ET
EMC
EMC
/Artifact <<>>BDC
Q
BT
0 g
/TT0 1 Tf
12 0 0 12 552.72 785.6003 Tm
( )Tj
-42.515 -62.63 Td
( )Tj
0.465 g
42.105 -0.945 Td
(6)Tj
ET
EMC
BT
/P <>BDC
0 g
/TT0 1 Tf
-0.0003 Tc 10.98 0 0 10.98 42.54 768.0202 Tm
(C\))Tj
/TT2 1 Tf
0 Tc 1 0 Td
( )Tj
/TT0 1 Tf
0.0007 Tc 0.546 0 Td
(Biguanidas )Tj
EMC
/P <>BDC
-0.0009 Tc -1.546 -1.153 Td
(D\))Tj
/TT2 1 Tf
0 Tc 1.055 0 Td
( )Tj
/TT0 1 Tf
0.0006 Tc 0.492 0 Td
(Sulfonil)Tj
10.98 0 0 10.98 42.54 755.3602 Tm
[-4770(u)-2(r\351ias )]TJ
EMC
/P <>BDC
/TT3 1 Tf
0.0012 Tc 0.0548 Tw 0 -2.071 TD
[(39- Excluind)5(o-se o traumatism)4(o craniano, a causa)4( )]TJ
EMC
ET
0.754 g
41.04 743.84 240.42 3 re
f
BT
/P <>BDC
0 g
/TT3 1 Tf
0.0007 Tc 0.0007 Tw 10.98 0 0 10.98 42.54 720.0203 Tm
[(mais comu)-6(m de hemorra)-7(gia sub-arac)7(n\363idea \351: )]TJ
EMC
/P <>BDC
/TT0 1 Tf
-0.0009 Tc 0 Tw 0 -1.147 TD
(A\))Tj
/TT2 1 Tf
0 Tc 1.055 0 Td
( )Tj
/TT0 1 Tf
0.0011 Tc 0.0003 Tw 0.492 0 Td
(tum)Tj
10.98 0 0 10.98 42.54 707.4207 Tm
[-3098(o)-2(r intra-craniano. )]TJ
EMC
/P <>BDC
-0.0003 Tc 0 Tw 0 -1.153 TD
(B\))Tj
/TT2 1 Tf
0 Tc 1 0 Td
( )Tj
/TT0 1 Tf
0.0004 Tc 0.001 Tw 0.546 0 Td
(ruptura de aneuris)Tj
10.98 0 0 10.98 42.54 694.7608 Tm
8.779 0 Td
[(m)8(a s)-4(acul)-6(a)2(r. )]TJ
EMC
/P <>BDC
-0.0003 Tc 0 Tw -8.779 -1.153 Td
(C\))Tj
/TT2 1 Tf
0 Tc 1 0 Td
( )Tj
/TT0 1 Tf
0.001 Tc 0.0004 Tw 0.546 0 Td
(intoxica\347\343o ex\363gena. )Tj
EMC
/P <>BDC
-0.0009 Tc 0 Tw -1.546 -1.153 Td
(D\))Tj
/TT2 1 Tf
0 Tc 1.055 0 Td
( )Tj
/TT0 1 Tf
0.0008 Tc 0.0006 Tw 0.492 0 Td
(angiopatia amil\363ide. )Tj
EMC
/P <>BDC
/TT3 1 Tf
0.0004 Tc 0.3725 Tw -1.547 -2.066 Td
[(40- Em rel)-6(a\347\343o \340 esclerose )-5(m\372ltipla, podemos )]TJ
EMC
ET
0.754 g
41.04 657.98 240.42 3 re
f
BT
/P <>BDC
0 g
/TT3 1 Tf
0.001 Tc 0.0004 Tw 10.98 0 0 10.98 42.54 634.1003 Tm
(afirmar que: )Tj
EMC
/P <>BDC
/TT0 1 Tf
-0.0009 Tc 0 Tw 0 -1.147 TD
(A\))Tj
/TT2 1 Tf
0 Tc 1.055 0 Td
( )Tj
/TT0 1 Tf
0.0008 Tc 0.0006 Tw 0.492 0 Td
(\351 uma doen\347a mais co)Tj
10.98 0 0 10.98 42.54 621.5007 Tm
10.403 0 Td
[(m)8(u)-7(m nos hom)8(ens do q)4(u)-2(e )]TJ
-0.0002 Tc 0.007 Tw -8.856 -1.153 Td
[(nas m)7(u)-3(lheres.)-7( )]TJ
EMC
/P <>BDC
-0.0003 Tc 0 Tw -1.547 -1.147 Td
(B\))Tj
/TT2 1 Tf
0 Tc 1 0 Td
( )Tj
/TT0 1 Tf
0.0021 Tc -0.0007 Tw 0.546 0 Td
(c)Tj
10.98 0 0 10.98 42.54 596.2413 Tm
[-1989(a)3(r)2(ac)3(te)3(riza)3(-s)3(e pe)3(la)3( tr)]TJ
0.0013 Tc 0.0001 Tw 9.83 0 Td
[(\355ade de inflam)9(a\347\343o, )]TJ
0.0002 Tw -8.284 -1.153 Td
[(desm)9(ieliniza\347\343o e gliose. )]TJ
EMC
/P <>BDC
-0.0003 Tc 0 Tw -1.546 -1.153 Td
(C\))Tj
/TT2 1 Tf
0 Tc 1 0 Td
( )Tj
/TT0 1 Tf
0.0011 Tc 0.0003 Tw 0.546 0 Td
(o in\355cio )Tj
10.98 0 0 10.98 42.54 570.9214 Tm
[-4828(dos sintom)8(as se d\341 na prim)8(eira inf\342ncia. )]TJ
EMC
/P <>BDC
-0.0009 Tc 0 Tw 0 -1.153 TD
(D\))Tj
/TT2 1 Tf
0 Tc 1.055 0 Td
( )Tj
/TT0 1 Tf
0.0009 Tc 0.0005 Tw 0.492 0 Td
(o sistem)Tj
10.98 0 0 10.98 42.54 558.2614 Tm
[-4853(a nervoso perif\351rico \351 atingido)4( e a )]TJ
0.0001 Tc 0.0013 Tw 1.547 -1.153 Td
[(maioria dos pacientes te)-4(m )-5(doen\347a sist\352)-4(m)2(ica )]TJ
0 Tw 0 -1.147 TD
(associada. )Tj
EMC
/P <>BDC
0 Tc -1.547 -1.153 Td
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.148 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.147 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.147 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.148 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.148 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.147 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
/P <>BDC
0 -1.147 TD
( )Tj
EMC
/P <>BDC
24.847 65.18 Td
( )Tj
EMC
ET
297.3 49.82 0.72 728.34 re
f
BT
/P <>BDC
/TT0 1 Tf
10.98 0 0 10.98 315.3601 755.3667 Tm
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
/P <>BDC
0 -1.147 TD
( )Tj
EMC
/P <>BDC
0 -1.153 TD
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
/P <>BDC
T*
( )Tj
EMC
ET
/Shape <>BDC
/CS0 cs 0.502 0.502 0.502 scn
q 1 0 0 1 120.54 492.98 cm
0 0 m
31.74 0 l
31.74 -3.72 l
52.86 -3.72 l
52.86 0 l
84.6 0 l
74.04 -13.08 l
84.6 -26.22 l
63.48 -26.22 l
63.48 -30 l
21.18 -30 l
21.18 -26.22 l
0 -26.22 l
10.56 -13.08 l
f*
Q
1 1 0.8 scn
q 1 0 0 1 114.54 498.98 cm
0 0 m
31.74 0 l
31.74 -3.72 l
52.86 -3.72 l
52.86 0 l
84.6 0 l
74.04 -13.08 l
84.6 -26.22 l
63.48 -26.22 l
63.48 -30 l
21.18 -30 l
21.18 -26.22 l
0 -26.22 l
10.56 -13.08 l
f*
Q
0 0 0 SCN
10 M 1 j
q 1 0 0 1 114.54 498.98 cm
0 0 m
31.74 0 l
31.74 -3.72 l
52.86 -3.72 l
52.86 0 l
84.6 0 l
74.04 -13.08 l
84.6 -26.22 l
63.48 -26.22 l
63.48 -30 l
21.18 -30 l
21.18 -26.22 l
0 -26.22 l
10.56 -13.08 l
h
31.74 -3.72 m
21.18 -3.72 l
21.18 -26.22 l
21.18 -3.72 m
31.74 0 l
52.86 -3.72 m
63.48 -3.72 l
63.48 -26.22 l
63.48 -3.72 m
52.86 0 l
S
Q
EMC
/P <>BDC
q
148.62 475.64 18.18 10.74 re
W n
BT
0 g
0 G
0.28 w 1 M 0 j 0 J
/TT4 1 Tf
0.0016 Tc 2 Tr 13.98 0 0 13.98 148.74 474.5003 Tm
(FIM)Tj
ET
EMC
/P <>BDC
Q
q
165.42 475.64 4.8 10.74 re
W n
BT
0 g
0 G
0.28 w 1 M 0 j 0 J
/TT4 1 Tf
2 Tr 13.98 0 0 13.98 165.42 474.5003 Tm
( )Tj
ET
EMC
Q
0.754 g
34.08 797.66 4.5 4.5 re
f
34.08 797.66 527.16 4.5 re
f
556.74 797.66 4.5 4.5 re
f
34.08 44.12 4.5 753.54 re
f
556.74 44.12 4.5 753.54 re
f
34.08 39.62 4.5 4.5 re
f
34.08 39.62 527.16 4.5 re
f
556.74 39.62 4.5 4.5 re
f
/Artifact <>BDC
/OC /MC0 BDC
/CS0 cs 1 1 1 scn
q 1 0 0 1 31.7997 37.3401 cm
0 0 m
0 -19.8 l
197.935 -19.8 l
197.935 -14.972 l
333.843 -14.972 l
333.843 -19.8 l
503.401 -19.8 l
503.401 0 l
h
f
Q
BT
0.602 g
/TT3 1 Tf
-0.003 Tc 0.0045 Tw 10.02 0 0 10.02 39 24.2003 Tm
[(Funda)-6(\347)4(\343)-6(o Prof)-5(essor Ca)-6(rlo)-6(s)-3( )6(A)-5(u)2(g)-6(u)-4(st)-5(o Bit)-5(t)-5(e)4(nco)-6(u)-4(rt)-5( )6(\226)-6( FUNC)-5(A)-5(B)-1( )6( )6( )6( )6( )6( \(0)-6(21\))-5( )6(2)-6(621)-6(-0)-6(966)-6( )6( )6( )6( )6( )6( )6( )6( )6(www.)-4(f)-5(unca)-6(b)2(.)-4(org)-6( )]TJ
ET
q 1 0 0 1 550.8 35.54 cm
0 0 m
-4.32 0 -7.8 -3.36 -7.8 -7.5 c
-7.8 -11.64 -4.32 -15 0 -15 c
4.32 -15 7.8 -11.64 7.8 -7.5 c
7.8 -3.36 4.32 0 0 0 c
h
S
Q
EMC
EMC
BT
ET
q
1 0 0 1 228.2350006 8.7720337 cm
0 g
0 G
1 w 0 j 0 J
/GS1 gs
0 Tc 0 Tw /Fm0 Do
Q
endstream
endobj
75 0 obj
<>/Subtype/Form/Type/XObject>>stream
1 g
1 0 0 1 0 0 cm
229.735 10.272 m
365.6426 10.272 l
365.6426 22.368 l
229.735 22.368 l
229.735 10.272 l
f
endstream
endobj
27 0 obj
<>
endobj
28 0 obj
<>/PageElement<>>>>>
endobj
16 0 obj
<>
endobj
18 0 obj
<>
endobj
25 0 obj
<>
endobj
21 0 obj
<>
endobj
45 0 obj
<>
endobj
46 0 obj
<>
endobj
47 0 obj
<>stream
HWyTYD"XE @ą5SAϒB PqEZ|PEXP(UD^]{Λ9Lwwh 1,.R\yW%=te`Ijg
I$b `Mɺ: `JQ-H? 2%5|u Vh
Lz Sdֹj 8*BV龯
z7ղ,EWB{D#SJz$^^uŧx 8(xCMN{43zw466Y,&9lfӘehE h DF1.
gm~6xR2*DhV~?w!{LSP˗8itGY،L3H
58٣c3Tq
(<1o\UqB)S!qd2SǑtJIz
F-|Q4 -Cޢ Q@ռi,0.1n46%K+T;.df}ewu0.rǮi.+3';n8o oZJX#9~zrȯ
[%q]ے$]ʼO֏8<#x<~T\L10 +o=UW.L[1nN4gWQ3 E^w*>!lF:}4uE`kOXkkinj#EQ{'
\ê]9'ܐ4~xYM7s_9-
Íγɯ:QCF8W3!cNٽDNtԔFM{bR#qLSjR8\THVKb>cz42528$rj$844@w7EaN233=3#=Z