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WC Differentiaal diagnostiek kortademigheid. $3.20
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WC Differentiaal diagnostiek kortademigheid.

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WC Differentiaal diagnostiek kortademigheid.

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  • October 12, 2022
  • 3
  • 2021/2022
  • Class notes
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  • Wc differentiaal diagnostiek kortademigheid
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WC Di erentiaal diagnostiek
kortademigheid
Casus: meneer 68 jaar.
Doorverwezen door de huisarts. VG: paroxysmaal AF, hypertensie, 40 pakjaren.
Geleidelijk ontstane dyspneu
Inhalatie medicatie met werkdiagnose COPD, geen e ect.

Aan welke diagnose denk je?
a) COPD
b) Hartfalen
c) Anemie
d) Systeemziekte
—> Kan nog niets uitsluiten, te weinig info. Maak je scope niet gelijk te nauw! COPD door
pakjaren, hartfalen door AF, misschien anemie door CRC?

Gegevens Conclusie: Interventie
:
Bron Bevindingen Ernst DD Mechanis
me
A priori Langzaam ontstaan, Klinkt niet COPD, chronische Verhoogde Poli
informatie PAF roken ernstig longziekte, ademarbeid afwachten
hartfalen (AF?)
Observatie Tachypnoe vanuit Valt tegen Zuurstofgebr Anamnese
wachtkamer, neemt af ek?
bij rust. Geen cyanose,
normaal bewustzijn
Anamnese Geleidelijk in Verontrustend Longziekte LO
maanden, geen trap
lopen, droge hoest
LO 16/min, lopen 30 Longziekte
min, 90% saturatie
bij kamerlucht, geen
verhoogde CVD,
regulair en equaal,
normaal ademgeruis,
jn crepiteren
basaal, geen
souf es normale cor,
geen perifeer
LAB oedeem
Bloedgas: Niet goed Mismatch V/Q
respiratoire alkalose
met hypoxemie

HB 9,8, NT-proBNP,
BNP 60, CRP, BSE,
Leuko’s, nierfunctie
normaal,
leverwaarden
normaal

Beeldvormi ECG X-thorax
ECG, Sterk afwijkend Fibrose passend Ernst —>
ng X thorax bij UIP spirometri
e
Normaal ECG
Functietest Spirometrie Ex
en
High resolution CT




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