Problemen Van Klinische Genetica, Verloskunde, Pediatrie En Adolescentie
Summary
Samenvatting Pediatrie - Problemen van Kind en Adolescent
21 views 0 purchase
Course
Problemen Van Klinische Genetica, Verloskunde, Pediatrie En Adolescentie
Institution
Universiteit Gent (UGent)
Dit is een samenvatting van de lessen, PPT met notities en foto's. Alles dat je moet kennen staat er overzichtelijk in. Als je tight-budget bent, mag je mij altijd sturen via FB en dan kunnen we een aangepaste prijs bespreken (Liana Kirkov)!
Problemen Van Klinische Genetica, Verloskunde, Pediatrie En Adolescentie
All documents for this subject (4)
Seller
Follow
lianakirkov
Reviews received
Content preview
Pediatrie
• Voorbeeldvraag: Lisa w op 28w ZS geboren via vaginale bevalling omwille van incompetente
cervix bij mama. De ouders komen bij u omdat ze ongerust zijn over de evolutie op lange
termijn. Welke van de volgende elementen tijdens de neonatale intensieve zorgen periode zal
best correleren met de klinische outcome over 5 jaar?
o A. Toediening van surfactant
o B. Retinopathie graad I
o C. Apnoe van de prematuur
o D. Periventriculaire leukomalacie
o Opl:
• Epidemiologie NIET kennen, WEL een idee hebben (wat komt veel voor en wat minder)
Inhoud
1. Rechten van het kind ..................................................................................................................... 22
2. Algemeen....................................................................................................................................... 22
3. Normale ontwikkeling van het kind .............................................................................................. 23
3.1 Grove motoriek (mediaan) .................................................................................................... 24
3.2 Reflexen (mediaan) ............................................................................................................... 25
3.3 Fijen motoriek en visus (mediaan) ........................................................................................ 25
3.4 Taal, spraak, gehoor (mediaan) ............................................................................................. 25
3.5 Sociale vaardigheden (mediaan) ........................................................................................... 25
3.6 Alarmtekenen ........................................................................................................................ 26
3.6.1 Gehoor afwijkingen ....................................................................................................... 26
3.6.2 Visus afwijkingen ........................................................................................................... 27
4. De pasgeborene............................................................................................................................. 28
4.1 Definities................................................................................................................................ 28
4.2 Wat heb je nodig voor een succesvolle zwangerschap ......................................................... 29
4.2.1 Preconceptuele zorg ...................................................................................................... 29
4.2.2 Prenatale diagnostiek .................................................................................................... 29
4.2.3 Foetale geneeskunde .................................................................................................... 30
4.2.4 Maternele risicofactoren voor foetus ........................................................................... 30
4.3 Intra-uteriene infecties.......................................................................................................... 31
4.3.1 Toxoplasmose (toxoplasma gondii = parasiet) .............................................................. 31
4.3.2 Congenitaal rubella syndroom ...................................................................................... 32
4.3.3 Cytomegalie ................................................................................................................... 32
4.3.4 Varicella zoster .............................................................................................................. 32
4.3.5 Syfilis .............................................................................................................................. 32
4.4 Opvang pasgeborenen .......................................................................................................... 33
1
, 4.5 Antropometrie bij de geboorte ............................................................................................. 34
4.5.1 IUGR: foetus die zijn groeipotentieel niet bereikt heeft ............................................... 34
4.5.2 Macrosome baby (te grote baby) .................................................................................. 34
4.6 Routine onderzoek bij de pasgeborene ................................................................................ 35
4.6.1 Afwijkingen die spontaan verdwijnen ........................................................................... 35
4.6.2 Significante afwijkingen ................................................................................................. 35
A. Naevus flammeus .............................................................................................................. 35
B. Caverneus hemangioom .................................................................................................... 36
C. Afwijkingen ontdekt bij routine onderzoek....................................................................... 36
4.7 Preventie ............................................................................................................................... 36
4.7.1 Medicatie: vitamine K .................................................................................................... 36
4.7.2 Neonatale screening ...................................................................................................... 36
4.8 Geboortetrauma.................................................................................................................... 37
4.8.1 Weke delen letsels......................................................................................................... 37
4.8.2 Zenuwletsels .................................................................................................................. 38
4.8.3 Fracturen ....................................................................................................................... 38
4.9 Icterus .................................................................................................................................... 38
4.10 Aangeboren afwijkingen........................................................................................................ 40
4.10.1 Hernia diafragmatica ..................................................................................................... 40
4.10.2 Gespleten lip en verhemelte ......................................................................................... 40
4.10.3 Pierre-Robin syndroom ................................................................................................. 40
4.10.4 Slokdarmatresie............................................................................................................. 40
4.10.5 Dunne darmobstructie .................................................................................................. 41
4.10.6 Dikke darmobstructie .................................................................................................... 41
4.10.7 Omfalocoele/ Gastroschisis ........................................................................................... 41
5. Pathologie van de pasgeborene .................................................................................................... 41
5.1 Perinatale asfyxie .................................................................................................................. 41
5.1.1 Oorzaken asfyxie ........................................................................................................... 42
5.1.2 Behandeling, preventie en prognose ............................................................................ 42
5.2 Pathologie van de prematuur................................................................................................ 43
5.2.1 Respiratory Distress Syndroom (vroeger: hyaliene membranen ziekte) ...................... 43
5.2.2 Apnoe en bradycardie ................................................................................................... 43
5.2.3 Voeding, metabolisme en infecties ............................................................................... 44
5.2.4 Intracraniële letsels ....................................................................................................... 44
A. Bloedingen ......................................................................................................................... 44
B. Ischemische letsels ............................................................................................................ 44
2
, 5.2.5 Necrotiserende enterocolitis ......................................................................................... 44
5.2.6 Retinopathie (ROP) ........................................................................................................ 45
6. Groei en puberteit ......................................................................................................................... 45
6.1 De 4 fasen van groei .............................................................................................................. 45
6.2 Antropometrische parameters .............................................................................................. 46
6.3 Puberteit ................................................................................................................................ 46
6.3.1 Meisjes: puberteitskenmerken...................................................................................... 46
6.3.2 Jongens: puberteitskenmerken ..................................................................................... 47
6.4 Groeistoornissen ................................................................................................................... 47
6.4.1 Kleine gestalte ............................................................................................................... 47
A. Primaire oorzaak van groeiretardatie ............................................................................... 48
B. Secundaire oorzaak van groeiretardatie ........................................................................... 48
C. Aanpak groeiretardatie ..................................................................................................... 49
D. Behandeling groeiretardatie ............................................................................................. 50
E. Wanneer doorverwijzen .................................................................................................... 50
6.4.2 Grote gestalte ................................................................................................................ 50
A. Primaire oorzaken van grote gestalte ............................................................................... 50
B. Secundaire oorzaken van grote gestalte ........................................................................... 51
C. Idiopathisch ....................................................................................................................... 51
D. Diagnose grote gestalte ..................................................................................................... 51
E. Behandeling grote gestalte ............................................................................................... 51
6.4.3 Abnormale hoofdomtrek ............................................................................................... 51
6.4.4 Abnormale puberteitsontwikkeling............................................................................... 52
A. Pubertas Praecos (vroege puberteit) ................................................................................ 52
B. Vertraagde puberteit ......................................................................................................... 53
6.4.5 Stoornissen in geslachtsdifferentiatie ........................................................................... 53
6.5 Examenvraag ......................................................................................................................... 54
7. Kleine gestalte en groei ................................................................................................................. 54
7.1 Kleine gestalte ....................................................................................................................... 55
7.1.1 Skeletdysplasie .............................................................................................................. 55
7.1.2 Wie verwijzen ................................................................................................................ 55
7.1.3 Genetische consultatie .................................................................................................. 55
7.2 Groei ...................................................................................................................................... 56
7.2.1 Normale lengtegroei...................................................................................................... 56
A. Normale lengtegroei.......................................................................................................... 56
B. Samenvatting normale lengtegroei ................................................................................... 57
3
, 7.2.2 Oorzaken groeivertraging en kleine lengte ................................................................... 57
8. Voeding.......................................................................................................................................... 59
8.1 Nutritionele kwetsbaarheid .................................................................................................. 59
8.2 Voeding zuigeling .................................................................................................................. 59
8.2.1 Borstvoeding.................................................................................................................. 59
A. Voordelen borstvoeding .................................................................................................... 59
B. Nadelen borstvoeding ....................................................................................................... 60
C. Verloop borstvoeding ........................................................................................................ 61
8.2.2 Kunstvoeding ................................................................................................................. 61
8.2.3 Bijvoeding ...................................................................................................................... 62
A. Introductie gluten en andere ............................................................................................ 62
B. Bijvoeding en allergie ........................................................................................................ 62
8.2.4 Supplementen bij gezonde kinderen............................................................................. 63
8.2.5 Bijzondere voedingen .................................................................................................... 63
8.3 Failure to thrive ..................................................................................................................... 63
8.3.1 Oorzaken failure to thirve ............................................................................................. 64
A. Onvoldoende voedselinname............................................................................................ 64
B. Onvoldoende retentie ....................................................................................................... 64
C. Malabsorptie ..................................................................................................................... 64
D. Verhoogde energiebehoeften ........................................................................................... 64
E. Inadequaat gebruik nutriënten ......................................................................................... 64
8.3.2 Uitwerking failure to thrive ........................................................................................... 65
8.4 Malnutritie............................................................................................................................. 65
8.4.1 Diagnose ondervoeding................................................................................................. 65
8.4.2 Therapie ondervoeding ................................................................................................. 65
8.4.3 Marasmus en Kwashiorkor ............................................................................................ 65
8.4.4 Deficiënties .................................................................................................................... 66
8.4.5 Rachitis: vitD deficiëntie ................................................................................................ 66
8.5 Obesitas ................................................................................................................................. 67
9. Infectieziekten ............................................................................................................................... 67
9.1 Kind met koorts ..................................................................................................................... 67
9.2 Virale infecties ....................................................................................................................... 68
9.2.1 Mazelen ......................................................................................................................... 68
A. Kliniek mazelen .................................................................................................................. 69
B. Verwikkelingen mazelen: bij ondervoeding en immuundeficiëntie.................................. 69
C. Diagnose, behandeling en preventie mazelen .................................................................. 69
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lianakirkov. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.80. You're not tied to anything after your purchase.
