Summary
Samenvatting E1 Algemene klachten, infectieziekten en endocriene ziekten
Course
Klinisch redeneren
Samenvatting van heel blok E1 met onder andere ziekten van de hypofyse, bijnierziekten, schildklierziekten en hypogonadisme, moeheid, algemene aspecten van voeding, anemie kind met gewichtsverlies, koorts bij een kind, kinderziekten, infectieziekten, jeuk
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March 17, 2019
Number of pages
93
Written in
2018/2019
Type
Summary
ziekten van de hypofyse
bilaterale hemianopsie
dubbelzien
diabetes insipidus
siadh
hypopituïtarisme
hypofysetumoren
prolactinoom
acromegalie
syndroom van sheehan
bijnierziekten
syndroom van cushing
zi
Book Title: Leerboek interne geneeskunde
Author(s): Joost van der Meer
Edition: september 2017
ISBN: 9789036818407
Edition: 15
Institution
Radboud Universiteit Nijmegen (RU)
Education
Geneeskunde
Course
Klinisch redeneren
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Bundel cluster E
1. Summary - Samenvatting e3 oncologie, palliatieve behandeling en levenseinde
2. Summary - Samenvatting e2 acute complexe zorg
3. Summary - Samenvatting e1 algemene klachten, infectieziekten en endocriene ziekten
4. Summary - Samenvatting e4 chronisch ziek zijn en specifieke patiëntgroepen
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E1 Algemene klachten,
infectieziekten en
endocriene ziekten
SAMENVATTING
Lieke Schönberger
,Inhoud
Ziekten van de hypofyse .....................................................................................................................6
Centrale ligging en functie van de hypofyse ....................................................................................6
Bilaterale hemianopsie ................................................................................................................6
Dubbelzien ..................................................................................................................................7
Diabetes insipidus en SIADH ............................................................................................................7
Diabetes insipidus .......................................................................................................................7
SIADH .............................................................................................................................................8
Hypopituïtarisme ............................................................................................................................9
Hypofysetumoren ......................................................................................................................... 10
Prolactinoom ................................................................................................................................ 10
Acromegalie .................................................................................................................................. 10
Syndroom van Sheehan................................................................................................................. 12
Bijnierziekten .................................................................................................................................... 13
Syndroom van Cushing .................................................................................................................. 13
Screening naar Cushing ............................................................................................................. 14
Syndroom van Cushing en ziekte van Cushing............................................................................ 15
beeldvorming ............................................................................................................................ 15
Behandeling .............................................................................................................................. 15
Primair hyperaldosteronisme (syndroom van Conn) ..................................................................... 16
Primair en secundair hyperaldosteronemie ............................................................................... 16
Hypertensie door drop .............................................................................................................. 17
Bijnierschorsinsufficiëntie (ziekte van Addison) ............................................................................. 17
Bijniercrisis (Addison crisis) ........................................................................................................... 20
Bijniercrisis................................................................................................................................ 20
Iatrogene Cushing en iatrogene bijnierschorsinsufficiëntie ............................................................ 20
Feochromocytoom ........................................................................................................................ 21
Schildklierziekten en hypogonadisme................................................................................................ 22
Interpretatie van schildklieruitslagen ............................................................................................ 22
Hyperthyreoïdie ............................................................................................................................ 22
Graves’ hyperthyreoïdie ............................................................................................................ 23
Subacute granulomateuze thyreoïditis (thyreoïditis van de Quervain ........................................ 24
Toxisch adenoom ...................................................................................................................... 24
, Hypothyreoïdie ............................................................................................................................. 24
Primaire hypothyreoïdie............................................................................................................ 24
Struma .......................................................................................................................................... 26
Schildkliernodus en schildkliercarcinoom ...................................................................................... 26
Hypogonadisme bij de man ........................................................................................................... 27
Polyglandulaire endocriene syndromen ........................................................................................ 29
PAIS1 en PAIS2 .......................................................................................................................... 30
Multiple endocriene neoplasie (MEN)-syndromen..................................................................... 30
Moeheid ........................................................................................................................................... 31
Algemene aspecten van voeding ....................................................................................................... 33
Overgewicht en obesitas ............................................................................................................... 35
Voedingsbehoefte bij specifieke ziekte en ouderen ....................................................................... 37
Gewichtsverlies en eetlust bij ouderen ...................................................................................... 38
Anemie ............................................................................................................................................. 39
Hemoglobine, hematocriet en erythrocyten .................................................................................. 39
MCV en reticulocyten ................................................................................................................ 39
Aanmaak erytrocyten.................................................................................................................... 39
Hemoglobine (Hb) ..................................................................................................................... 40
2,3-disfosfoglycinezuur............................................................................................................. 41
Afbraak erythrocyten .................................................................................................................... 42
Anemie ......................................................................................................................................... 43
Klachten en symptomen............................................................................................................ 43
Diagnostiek ............................................................................................................................... 43
Verlies van erytrocyten ............................................................................................................. 43
Gestoorde aanmaak van erytrocyten......................................................................................... 44
Verhoogde afbraak/hemolyse ................................................................................................... 48
Kind met gewichtsverlies .................................................................................................................. 53
Oorzaken matige gewichtstoename bij een zuigeling ................................................................ 53
Normaal voedingspatroon zuigeling .......................................................................................... 53
Digestie en opname van voedingsstoffen .................................................................................. 54
Coeliakie ................................................................................................................................... 54
Koorts bij een kind ............................................................................................................................ 55
Bovenste luchtweginfecties (neus, mond, keel, middenoren, trachea) ...................................... 57
Otitis media acuta ..................................................................................................................... 57
, Gastro-enteritis ......................................................................................................................... 57
Urineweginfecties ..................................................................................................................... 58
Kinderziekten.................................................................................................................................... 59
Difterie ......................................................................................................................................... 63
Kinkhoest ...................................................................................................................................... 63
Tetanus ......................................................................................................................................... 64
Polio ............................................................................................................................................. 64
Bof (parotitis infectiosum)............................................................................................................. 65
Mazelen ........................................................................................................................................ 65
Rode hond (rubella) ...................................................................................................................... 66
Haemophilus influenzae type B ..................................................................................................... 67
Pneumokokken ............................................................................................................................. 67
Meningokokken C ......................................................................................................................... 67
Humaan popillomavirus ................................................................................................................ 68
Kinderziekten buiten het RVP............................................................................................................ 69
Vijfde ziekte (Erythema infectiosum) ............................................................................................. 69
Zesde ziekte (Exanthema subitum) ................................................................................................ 71
Roodvonk (scarlatina) ................................................................................................................... 71
Waterpokken (Varicella zoster) ..................................................................................................... 72
Infectieziekten .................................................................................................................................. 73
Ziekenhuisinfectie ......................................................................................................................... 74
Wondinfectie ............................................................................................................................ 76
Schimmels, opportunistische infectie ............................................................................................ 79
Cryotockokkose......................................................................................................................... 79
Invasieve aspergillose................................................................................................................ 79
Candida..................................................................................................................................... 80
Lymeziekte.................................................................................................................................... 81
Erythema Migrans ..................................................................................................................... 82
Acrodermatitis chronica atrophicans (ACA) ............................................................................... 82
Neuroborelliose ........................................................................................................................ 82
Importziekten ............................................................................................................................... 83
Entamoeba histolytica ............................................................................................................... 85
Malaria ......................................................................................................................................... 86
Niet-infectieuze koorts...................................................................................................................... 88