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CRUX 4 voorbereiding tentamen

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Een lijst die goed is om nog is door te nemen voor je tentamen, een soort stamplijst met handige feitjes om nog is door te nemen voor het tentamen

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  • October 19, 2021
  • 4
  • 2020/2021
  • Other
  • Unknown
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Stofwisseling 2

● Congenitale bijnierhyperplasie
● Morbus quervain
● Hashimoto: anti tpo
● Graves: anti tsh
● Bijschildklier: calcium en fosfaat
● Acromegalie, gh producerend hypofyseadenoom
● Orale glucose tolerantie test. Onderdrukken gh door hyperglykemie is nromaal
● Insuline tolerantie test: laag bloedsuiker dan zou gh moeten stijgen
● Weinig gh: concentrstie stoornis, afname spiermasse, toename vetmassa met
dislipedmie
● Hypogonadisme
● Syndroom van kallman: anosmie of hyposmie, deletie kal1 gen MRI
● Sydroom klinefelter: 47xxy, add, kleinentestis, lang uiterlijk vrouwlijk, laag iq,
comborbiditeiten
● Dopamine remt propactine
● Prolactine remt pulsatiele afgifte gnrh en dus lh en fsh
● Metformine remt de afbraak van lactaat in de cel lactaatacidose verergeren
● Keto acidose: ph onder 7,3 hyperlgykemie ketonen in urine behandeling: kalium
controle, vocht, insuline
● Zachte exsudaten ischemie, harde eiwitten
● Simms classificstie diabetische voet
● Risicofactor disbetische voet is vitamine tekort
● Hypoglykemie onder 3,9: eerst adrenerge (trillen, eetlust) dan neuroglycopene
symtpomen. De adrenegre kunnen bij verl hypo’s wegvallen of later optrden. Neuro blijft
hetzelfde. Ernstig: betaceltranspoantatie elke paar maanden tot 2 jaar
● Insuline behoeft neemt na week 30 zwanger toe. 70-80% van zwangerscjap diabeet
krijgt later tpe 2
● Achalasie: motoriek stoornis, niet vloeibaar en niet vast, verlies inhibitoire innervatoe
plexus myentericus, spiertjes continu gespannen. Afwezigenperistaltiek en afwezige les
relaxatie (manometrie)
● Los angeles classificstie; ersnt reflux oesophagitis erosie groote en hoeveel plooien
betrokken
● Disgnose reflux oa door proefbehandeling ppi (werkt pas na dagen tot welen maar wel
langdurig)
● Nsaid: prostagladinesynthase remmer, prostaglandine normaal voor laagej dover het
maagslijmvlies
● Chirurgie reflux. Toupet en nissen. Touper minder bijwerking. Jiet meer boeren en
overgeven: flatulentie en bloating
● Barret: metaplasie plaveisel wordt cilinder, incl slijmbeker is het intestinale metaplasie.
Premaligne, adenocarcinoom

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