- Samenvatting van de te kennen hoofdstukken voor het examen gynaecologie en verloskunde.
- In deze samenvatting het handboek gynaecologie, zie ook mijn smv van verloskunde.
- Mooi en overzichtelijk samengevat. In puntjes.
,INleiding.............................................................................................................................. 3
Hoofdstuk 3: Cyclusstoornissen..........................................................................................4
Definities......................................................................................................................... 4
Pathofysiologie cyclusstoornissen....................................................................................4
Oorzaken oligoamenorroe................................................................................................ 4
Diagnose van amenorroe................................................................................................. 8
Hoofdstuk 5: Aandoeningen van de vulva en vagina........................................................13
Diagnostiek.................................................................................................................... 13
ALLERGISCHE EN IRRITATIEVE HUIDREACTIES: CONTACTDERMATITIS...........................13
INFECTIEUZE VULVAIRE AANDOENINGEN......................................................................14
CHRONISCHE INFLAMMATOIRE VULVAIRE AANDOENINGEN...........................................16
TROFISCH/HORMONAAL: ander hoofdstuk (16 = NK).....................................................18
vulvaire pijnaandoeningen geassocieerd aan VULVODYNIE OF NEURALGIE...................18
Premaligne en maligne aandoeningen van de vulva......................................................18
NEOPLASIE – VAGINACARCINOOM..................................................................................22
Hoofdstuk 6: Aandoeningen van de cervix........................................................................24
BENIGNE AANDOENINGEN............................................................................................. 24
PREVENTIE VAN BAARMOEDERHALSKANKER.................................................................26
INVASIEF CERVIXCARCINOOM........................................................................................29
Hoofdstuk 7: Aandoeningen van de uterus.......................................................................33
inleiding......................................................................................................................... 33
klinisch onderzoek......................................................................................................... 33
MYOMA UTERI................................................................................................................ 33
ADENOMYOSIS............................................................................................................... 37
ENDOMETRIUMHYPERPLASIE......................................................................................... 37
ENDOMETRIUMCARCINOOM........................................................................................... 38
Hoofdstuk 8: Adnexiële pathologie...................................................................................42
INLEIDING...................................................................................................................... 42
BENIGNE OVARIELE MASSA............................................................................................ 43
BENIGNE NIET-OVARIELE MASSA...................................................................................45
PRIMAIRE MALIGNE OVARIEEL........................................................................................ 45
hoofdstuk 11: Endometriose............................................................................................. 52
DEFINITIE....................................................................................................................... 52
PATHOGENESE............................................................................................................... 52
PREVALENTIE................................................................................................................. 52
DIAGNOSE...................................................................................................................... 52
SPONTANE EVOLUTIE..................................................................................................... 54
BEHANDELING............................................................................................................... 54
1
,Hoofdstuk 12: BEKKENBODEMPROBLEMATIEK..................................................................57
MUSCULAIR APPARAAT.................................................................................................. 57
bindweefselapparaat: ligamenten en fascia...................................................................57
BEZENUWING BEKKENBODEM.......................................................................................57
BESCHADIGING OF VERSLAPPING VAN DE LEVATOR ANI...............................................58
VATBAARHEID VOOR GENITALE PROLAPS EN URINE-INCONTINENTIE............................58
GENITALE PROLAPS....................................................................................................... 58
URINAIRE INCONTINENTIE.............................................................................................. 60
hoofdstuk 14: Senologie................................................................................................... 62
ANATOMIE...................................................................................................................... 62
diagnose:....................................................................................................................... 62
GOEDAARDIGE AFWIJKINGEN VAN DE BORST................................................................64
PREMALIGNE AANDOENINGEN.......................................................................................66
INVASIEF MAMMACARCINOOM.......................................................................................67
GEMETASTASEERDE BORSTKANKER..............................................................................72
hoofdstuk 17: vruchtbaarheid, vruchtbaarheidsstoornissen en -behandeling...................74
definitie van onvruchtbaarheid......................................................................................74
voorwaarden voor vruchtbaarheid en oorzaken van verminderde vruchtbaarheid........74
Diagnostiek.................................................................................................................... 76
Vruchtbaarheidsbehandelingen.....................................................................................81
technieken..................................................................................................................... 84
complicaties bij vruchtbaarheidsbehandelingen............................................................85
Pre-implantatie genetische diagnostiek.........................................................................87
2
, INLEIDING
- Examen: 50 vragen
o GEEN gis correctie
o 2 tot 4 opties, 1 correct onderwerp
- Een vast verdeling
o 1/20 taak 1
o 1/20 taak 2
o 18/20 MCQ
- TIPS
o Concept selectie
GOED kijken naar de vraag
Bv. Wat is PPROM
o Prelabour → voor 37 weken
o Prerupture → dus nog geen contracties enzo
Situatiebeschrijving‼
o Foto’s kennen van de ppt
Verbanden leggen
Interpreteren
Principe toepassen
Voorspelling oorzaak/effect
o (!) bij 37 weken ben je NIET meer te vroeg
Beeld
Indien iets niet overeen komt tussen slide en boek → boek telt
3
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