Deze samenvatting bevat alle lessen en gastlessen van het vak vasculaire pathologie. Het document is volledig en omvat ook afbeeldingen uit de les die kunnen helpen bij het studeren.
Vasculaire pathologie
Inhoud
Inleiding ....................................................................................................................................... 3
Gastcollege vasculaire pathologie: arteriële vaatlijden .................................................................. 7
Hoofdstuk 1: Semeiologie van het arteriële stelsel............................................................................. 7
Hoofdstuk 2: atherosclerose ............................................................................................................... 9
Hoofdstuk 3: Arteriële insufficiëntie van de supra-aortische vaten ................................................. 13
Symptomatisch perifeer arterieel vaatlijden - KNGF richtlijn ....................................................... 20
Hoofdstuk 1: perifeer arterieel vaatlijden (PAV) ............................................................................... 20
Anatomie lymfevaten ................................................................................................................. 28
Bovenste extremiteit ......................................................................................................................... 28
Onderste extremiteit ......................................................................................................................... 30
Lymfestelsel - oedeem ................................................................................................................ 31
Behandeling van perifeer lymfeoedeem ...................................................................................... 43
Zin en onzin van MLD ................................................................................................................. 49
Nomenclatuur en wetgeving ....................................................................................................... 50
Diagnostiek ........................................................................................................................................ 51
International society of lymphology - consensus .............................................................................. 52
A: general considerations .................................................................................................................. 55
B: staging of lyphodema .................................................................................................................... 56
C: diagnose ........................................................................................................................................ 57
D: behandeling .................................................................................................................................. 57
E en F: onderzoeksagenda en conclussie .......................................................................................... 58
Blended learning – lymfosomen en anatomie.............................................................................. 59
Inleiding tot de kankerrevalidatie en KNGF richtlijn – blended learning........................................ 63
Inleiding tot de kankerrevalidatie ..................................................................................................... 63
KNGF richtlijn oncologie .................................................................................................................... 71
Inleiding tot oncologie - gastles .................................................................................................. 75
Lymfechirurgie – gastles ............................................................................................................. 87
Oncologie en lymfologie – gastles sport gynaecoloog .................................................................. 93
Lipoedeem ................................................................................................................................101
Introductie ....................................................................................................................................... 101
Klinische presentatie ....................................................................................................................... 101
Pathofysiologie ................................................................................................................................ 102
, Lipolymfeoedeem............................................................................................................................ 103
Overzichtstabel................................................................................................................................ 103
Diagnose van lipoedeem ................................................................................................................. 103
Behandeling .................................................................................................................................. 105
Littekentherapie........................................................................................................................106
Inleiding ........................................................................................................................................... 106
Wondheling ..................................................................................................................................... 107
Classificatie van littekens volgens uiterlijke kenmerken ................................................................. 109
Behandeling door de kine ............................................................................................................... 111
Behandelplan................................................................................................................................... 114
WPO .........................................................................................................................................117
Manuele lymfedrainage .................................................................................................................. 117
Bandage ........................................................................................................................................... 131
,Inleiding
Homeostase
= een evenwicht (goede verhouding), meer bepaald de vochthuishouding in ons lichaam. Zonder
evenwicht ontstaan er zwellingen en dit komt van het lymfestelsel: lymfeoedeem.
We bespreken het vsculaire systeem (arterioveneuze) en het lymfesysteem
Het (cardio)vasculaire systeem
Leren!
Het lymfesysteem volgt grotendeels de benamingen van het veneuze stelsel. Leren!
, Vanuit longen naar hart → rondgepompt → afh van noden van organen/spieren gebeurt er
uitwisseling tussen zuurstofarm en zuurstofrijk bloed.
Absorptie thv veneuze gedeelte; filtratie thv arteriële gedeelte van microvasculair bed (niet de
volledige inhoud kan terug geabsorbeerd worden door het veneuze deel, daarvoor dient het
lymfestelsel). Het lymfestelsel speelt de grootste rol op vlak van absorptie van overtollig vocht
Probleem met lymfestelsel: vocht kan niet weg want absorptie is verstoord
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