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Samenvatting Urologie pathologie & fysiologie doelstellingen schema $5.93
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Samenvatting Urologie pathologie & fysiologie doelstellingen schema

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De doelstelling van dit thema heb ik samengevat in een schema/tabel Alle te kennen ziektes worden besproken aan de hand van pathofysiologie, symptomen, diagnostiek, behandeling en farmacologische behandeling

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  • December 27, 2021
  • 11
  • 2021/2022
  • Summary
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Pathologie en Farmacologie Urologie lesdoelstellingen
Pathologie Wat? symptomen diagnostiek behandeling farma

Urineweginfec Ontstekingsreactie Laag: 1. Urineonderzoek: Laag: Laag:
ties door bacterie - Acute cystitis - WBC, nitrieten en - Urinaire Nitrofurantoine
(cystitis & - Koorst,dysurie, ET wijzen op anticonsepticum (furadantine)
pyelonefritis) Pollakisurie, infectie - Soms Abx
urgency, Hoog:
Onderbuikpijn 2. Dipstick - VEEL DRINKEN (spoelen) Levoflaxacine &
Hoog: - Positieve - koorts: mid-stream Ciprofloxacine (PO)
- Acute urinekweek urinestaal
pyelonefritis - >12j: scaring onderzoek
- Hoge koorst, 3. Hoge UWI:
rillingen, - bloedkweek Hoog:
malaise, rugpijn, (uro sepsis) - Blind starten Abx IV
pijn thv (antibiogram)
nierloges bij
percussie


Nefrolithiase Calium of urinezuur - Soms geen - Urineonderzoek: Nierkoliek: 1. Hyoscylbro
( nierstenen) steenvorming - Nierkoliek zure urine pH - Vochtiname beperken mide
- Te weinig - UWI - Echo: 1. Cholersterol med. (buscopan)
vochtinname - Hematurie hydronefrose = spasmolyticum Bultylhyosci
- Te hoge - RX abdomen/IVP ne
plasmaconcentr - CT 2. NSAID 2. Diclofenac
atie (Voltaren)
Nierstenen:
- ESWL (= extra-corporrele
shock wave lithotripsy
- Evaculatie van kleien

, stenen
- Cystoscopie+
verwijdering
- Heelkunde
Preventief:
Preventie: water drinken, Allopurinol
minder calcium inname ( vlees), (urinezuurconcentr
minder alcohol atie dalen)
Bicarbonaat (urine
te alkaliniseren)

Acute Bacteriele ontsteking Zoals cystitis maar - Geen rectaal - Blind starten met Abx, Quinolones (14d)
prostatitis van de prostaat erger touche urinestraal
- Lage rugpijn en Labo: Levoflaxacine &
hoge koorts - urine: pyurie & Ciprofloxacine
- Warm ei in bacteriurie - Ziekenhuisopname IV (PO)
rectum - bloed: abx
inflammatieGeste Chlamidia:
gen PSA Azithromycine +
- Echo: zwelling Contact tracing
prostaat + abces
chronische Chron. Ontsteking vd - Langzaam - Rectaal toche Geen goed behandeling
prostatitis prostaat plassen - Urine onderzoek Abx
- Moeilijk - Zaad onderzoek
uitplassen
- Nadruppelen
- Freq plassen
- Vage pijn aan
genitale
- Vage mictie last
urethritis Optsteking van de 1. Man: Klinisch onderzoek: rood Abx eerst tegen 1. Ceftriaxon

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