Summary
Samenvatting Klinisch Redeneren KLR T3 Parkinson en dwarslaesie
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Samenvatting over parkinson en dwarslaesie, blok t3 klinisch redeneren
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By: 1882540 • 5 year ago
By: soosterwaal • 6 year ago
By: sukriye_lara • 6 year ago
By: cigdemdoruk • 6 year ago
This is not clinical reasoning
By: aleyxia • 7 year ago
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Content preview
KLR T3Les 5: Parkinson en dwarslaesie
Ruggenmergletsel
Dwarslaesie:
- Onderbreking van de continuïteit van het
ruggenmerg
- Jaarlijks 200-300 gevallen
- Meer mannen dan vrouwen
- Geheel of gedeeltelijk functieverlies van
motoriek en sensibiliteit
- Door trauma, bloeding, ontsteking of tumor
- Indeling:
o Hoogte: cervicaal, thoracaal, etc.
o Uitbreiding: compleet, incompleet,
conus cauda
2 fasen bij ontstaan dwarslaesie:
- Vroege fase:
o Spinale shock, waarbij:
Circulatiestoornissen kunnen optreden (vaattonus valt weg)
Overloop van de blaas
Paralytische ileus
- Latere fase:
o Decubitus
o Urineweginfectie
o Urine reflux
o Spasticiteit
o Osteoporose
o Spieratrofie
Ziekte van Parkinson(extra pirimidale ziekte)
Oorzaak is onbekend.
Er zijn pro-domale verschijnselen.
Er is altijd een beschadiging van de substantia nigra(produceert dopamine)
(basale kernen)
De dopamine productie wordt hierdoor dus weinig tot niets
Een diagnose vindt plaats op basis van karakteristieke
verschijnselen/symptomen.
Soms wordt er een dat-scan gedaan.
(Onderzoek waarbij radioactief mater-
Iaal ingespoten wordt, wat zich bindt
aan de basale kernen.)
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