Como se o mar "Tudo se esclareceuTudo se acalmou Como se o marEntrasse em casaLavasse as magoasNos trouxesse calmaE a paz, a paz que ha na genteE subitamente se esvaiQuando a mente se perde ausenteE quase naufraga Essa pequena jangadaQue viaja nesse marEu reencontrei A paz, a paz que ha na genteE subitamente se esvaiQuando a mente se perde ausenteE quase naufragaEssa pequena jangadaQue viaja nesse marQue entrou la em casaE nos trouxe a calmaE deixou suas magoas pra trasO que ha com a gente?Por que e que a gente Nao fica em pazNo nosso lar, com a nossa gente?" Escala Pentatonica 01|---------------------3-6-3---------------------||-----------------3-6-------6-3-----------------||-------------3-5---------------5-3-------------||---------3-5-----------------------5-3---------||-----3-5-------------------------------5-3-----||-3-6---------------------------------------6-3-|Pentatonica 02|-------------------------10-13----------------------||-------------------11-13-------10-------------------||-------------10-12----------------13-11-------------||-------10-12----------------------------12-10-------||-10-13----------------------------------------13-10-||-----------------------------------------------------|escala de Blues 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10--999 10--------------|E|--------------------------------------------------| aula de violao simplificada aula de guitarra completa E|-------------------------------------------------------------------------B|-------------------------------------------------------------------------G|-------------------------------------------------------------------------D|--5---4-5-5---4-5-5-7-4-5---5---4-5-5---4-5-5-7-4-5---5------------------A|-------------------------------------------------------------------------E|------------------------------------------------------------------------- (aula de violao dedilhado - parte1)(aula de violao dedilhado - parte2) E|----------------------------------------------------------------|B|----------------------------------------------------------------|G|7-7-7-7-5-5-4-4-5-5-5-5-5-5-5-5-4-4-4-4-4-4-4-4-5-5-5-5-5-5-5-5-|D|5-5-5-5-5-5-5-5-5-5-5-5-5-5-5-5-2-2-2-2-2-2-2-2-5-5-5-5-5-5-5-5-|A|----------------------------------------------------------------|E|----------------------------------------------------------------| 5a sinfonia de Beethoven (versao Yngwie Malmsteen)E ae galera, vai ae uma musica muito boa que nosso mestre fez sua 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E-------------------------19b----------------|B--------------------------------------------|G-6b--9b--11b--14b---18b---------------------|D--------------------------------------------|A--------------------------------------------|E--------------------------------------------|E-------------15p14-15p14-15p14-15p14--------------15p14-15p14-15p14-15p14--17-17---------|B-------14h15--------------------------------14h15--------------------------------20p19p17|G-14h15--------------------------------14h15----------------------------------------------|D-----------------------------------------------------------------------------------------|A-----------------------------------------------------------------------------------------|E-----------------------------------------------------------------------------------------|E-15-15-----------14-14----------12-12----------10-10-----------9-9---------7-7--------|B-------19p17p15--------17p15p14-------15p13p12-------14p12p10------12p10p9-----10p9p7-|G--------------------------------------------------------------------------------------|D--------------------------------------------------------------------------------------|A--------------------------------------------------------------------------------------|E--------------------------------------------------------------------------------------|E-5-5-------3-3------------7-----7---7----7----7----7---7----7---7-----7---7----7---7----7|B-----8p7p5-----7p5p3----------------------------------------------------9---10---9---10--|G----------------------/10----7----9---10----9---10---9---10---9---10---------------------|D-----------------------------------------------------------------------------------------|A-----------------------------------------------------------------------------------------|E-----------------------------------------------------------------------------------------|E------------------------------------------------------------------------------------------|B-9-12-14-15-12-14-15-17-14-15-17-19-15-17-19-20-17---------------------12-----------------|G----------------------------------------------------11-13-15-11--13-15----11-12-----------|D--------------------------------------------------------------------------------12-14--11-|A------------------------------------------------------------------------------------------|E------------------------------------------------------------------------------------------|E-------------------------------------------------------------------------------------|B----------------11-12~~~~~----12/------15-17-19-15--------------------------5-3------|G-----9-11-10-11-------------------------------------15-16-18-15---2-4-6-2-------4----|D-12-----------------------------------------------------------------------------4--4-|A--------------------------------------------------------------------------------2--4-|E-----------------------------------------------------------------------------------2-| ------------------E-----------------------------------------------/------------------------------------------|B-/15-14-12-10-8-7-------------14bf-14bf---14bf/-14-14-14-14-14-14-------------------------|G---------------------------------------------------------------------11h12p11h12p11h12p11-|D-------------------5-4-2-0----------------------------------------------------------------|A------------------------------------------------------------------------------------------|E------------------------------------------------------------------------------------------|E--------------------------------------------------------------------------|B-11h12p11h12p11-----------------------------------------------------------|G----------------11h12p11h12p11-------9-9-9-9--6---/11-11-------/11-11-----|D-------------------------------12/---9-9-9-9--6----------12-----------12--|A-------------------------------------7-7-7-7--4---------------------------|E--------------------------------------------------------------------------|E---------------------------------|B---------------------------------|G-6-6-6-6-7--6-6-6-6-7--6-6-6-6-7-|D-6-6-6-6-7--6-6-6-6-7--6-6-6-6-7-|A-4-4-4-4-5--4-4-4-4-5--4-4-4-4-5-|E---------------------------------|E-------------------|B-------------------|G-6-7-6-7-6-7-6-7-6-|D-6-7-6-7-6-7-6-7-6-|A-4-5-4-5-4-5-4-5-4-|E-------------------|E--------------|B--------------|G-7------------|D-7--7---2-----|A-5--7---2-----|E----5---0-----| e|-------------------------------------------------B|--8-5-8-5------5-----5---8-5-8-5------5-----6----G|-----------5-7---7-5--------------5-7---7-5------e|--5---5--------------5-7-5---5-5-----------------B|----6---6------5-6-8-------5-----8-6-5---8-------G|------------7--------------------------7---5----- lomo fisheyeiso 200 Holga 135 BCiso 200 Action Sampleriso 200 Action Sampler iso 200 10 x 15 giz pastel oleoso Este resumo foi elaborado por monitoras de semiologia e supervisionado pela responsavel da disciplina. Tem por objetivo auxiliar estudantes de medicina na abordagem semiologica da ictericia, destacando pontos na anamnese, exame fisico, principais sintomas e patologias associadas. 1. CONCEITO: A ictericia e um importante achado semiologico e deve ser sempre valorizada. E um sinal que consiste na coloracao amarelada da pele, escleras e mucosas, devido a impregnacao dos tecidos por bilirrubina (pigmento derivado principalmente da degradacao da hemoglobina). So e possivel detectar ictericia quando os niveis de bilirrubina sao superiores a 2mg/gL. A localizacao da pigmentacao pode ser importante para a distincao clinica entre outras causas de pigmentacao amarelada da pele, como carotenemia, condicao em que o pigmento (betacaroteno) se deposita na pele, particularmente nas palmas das maos, mas poupa escleroticas e membranas mucosas. Alem da carotenemia, esta pigmentacao tambem pode ocorrer apos a ingesta de certos medicamentos (antimalaricos) ou pelo proprio fenotipo da pessoa. Pessoas de raca negra podem apresentar uma tonalidade amarelada na esclerotica, devido ao acumulo de uma pequena camada gordurosa na conjuntiva. Como ela nao atinge toda superficie anterior do olho, basta fazer um exame mais detalhado para descartar a hipotese de ictericia. Valores de bilirrubina: DIRETA (mg/dL) INDIRETA (mg/dL) TOTAL (mg/dL) Adulto 0,00 a 0,20 0,20 a 0,80 0,20 a 1,00 Recem-nascido prematuro 1 dia: 1 a 8 2 dias: 6 a 12 3-5 dias: 10 a 14 Recem-nascido a termo 1 dia: 2 a 6 2 dias: 6 a 10 3-5 dias: 4 a 8 Obs: Os intervalos considerados como referencia sao os utilizados pelo Laboratorio Fleury apenas para fins didaticos (http://www.fleury.com.br/Pages/default.aspx). A ictericia pode ser dividida em quatro diferentes tipos: a hemolitica, a hiperbilirrubinemia (tipica de recem-nascidos), a ictericia hepatocelular e a obstrutiva. Em todas elas ha uma quantidade excessiva de pigmentos biliares no sangue: A ictericia hemolitica ocorre devido a danos nas