Summary
Samenvatting Differentiaal diagnose schouderpijn
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- Institution
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Diagnostisch landschap schouderpijn; handig voor klinische consultvoering
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By: catherinaakporherhe • 1 year ago
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SchouderpijnBinnencirkel
Myocardinfarct
Diafragmaprikkeling (maagperforatie, EUG, subfrenisch abces…)
Longembolie
Longtoptumor
Botmetastase (mamma of prostaatCa)
RA
Polymyalgia rheumatica
Septische bursitis/arthritis
Angina pectoris
Avasculaire necrose
Buitencirkel
Gerefereerde pijn (galblaas, hart, pancreatitis, cholecystitis…)
Artrose
Frozen shoulder
Beperking van passief bewegingsonderzoek in alle richtingen van >50% meer dan 3 maanden
Instabiliteit schoudergewricht
Spierscheur, ligamentscheur
Cervicale problematiek
Bicepspeestendinitis/scheur
Rotator cuff problemen
Anamnese
Maligniteit in VG – metastasen
Gewrichtsaandoeningen – systeemaandoening
Gestoorde nachtrust/nachtelijke pijn? ontstekingscomponent
ALARMSYMPTOMEN
Trauma – fractuur, luxatie of cuffruptuur
Acuut ontstane pijn met thoracale drukgevoelens/kortademigheid – hartinfarct of longembolie
Buikpijn – gerefereerde pijn
Gewichtsverlies, koorts, malaise – infectie (septische artritis) of maligniteit (metastase)
Uitstraling naar de hand/arm – cervicale hernia
Lichamelijk onderzoek
Geen passieve beperkingen; pijnlijk Passieve bewegingsbeperkingen
abductietraject of pijn aan het einde van de -abductie
abductie -exorotatie
-combinatie van beide
Aandoeningen/irritatie van subacromiale ruimte Aandoeningen/irritatie van gewricht/
gewrichtkapsel zoals frozen shoulder of
glenohumerale artrose
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