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Samenvatting klinische chemie 1 (pathologie + oorzaken) $4.39
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Samenvatting klinische chemie 1 (pathologie + oorzaken)

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samenvatting pathologie + oorzaken ppt + cursus

Last document update: 1 year ago

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  • December 1, 2022
  • January 21, 2023
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Overzicht pathologieën klinische chemie 1


Inhoudsopgave
Hoofdstuk 3. Urine analyse..........................................................................2
Hoofdstuk 4. Elektrolyten en mineralen.........................................................3
Hoofdstuk 5. Glucose en verstoringen in het glucosemetabolisme.....................5
Hoofdstuk 6. Lipiden en lipoproteïnen...........................................................7
Hoofdstuk 7. Eiwitten.................................................................................8
Hoofdstuk 4. Elektrolyten en mineralen.......................................................13
Hoofdstuk 5. Glucose en verstoringen in het glucosemetabolisme...................17
Hoofdstuk 6. Lipiden en lipoproteïnen..........................................................19
Hoofdstuk 7. Eiwitten................................................................................21

,Hoofdstuk 3. Urine analyse

, Hoofdstuk 4. Elektrolyten en mineralen
Ziekte Addison
- Bijnierschorsinsufficiëntie  daling hormoonproductie
- Hypoaldosteronisme  daling aldosteron, Na, Cl – stijging K  ontregeling
zout – en waterhomeostase
- Tekort aan cortisol  hypoglycemie

Oorzaken
- Primair
o Auto-immuun
o Trauma
o Operatieve verwijdering bijnieren
- Secundair
o Tbc, mvc
o Metastasen
o Minder ACTH hypofyse
o Acuut stoppen cortisoltherapie

Symptomen
- Moeheid, zwakte
- Bruine huidsverkleuring
- Gewichtsverlies
- Bloeddrukdaling
- Gewrichtsklachten

Diagnostiek
- Cortisol – en ATCH – bepaling
- Aldosteron bepaling + Na, K, Cl
- Bijnierstimulatietest  inspuiten ACTH: geen reactie

Behandeling
- Corticoïdsubstitutie


Syndroom cushing
- Overproductie cortisol door bijnierschors
- Hypercortisolemie: gluconeogenese & hyperglycemie

Oorzaken
- Primair
o Thv bijnierschors
o Tumor
- Secundair
o Hypothalamus  CRH stijgt
o Hypofyse  ACTH stijgt
o Depressie

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