Alle theorie M1 KTC Beweging samenvatting/uitwerking
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Course
M1 KTC Beweging
Institution
Rijksuniversiteit Groningen (RuG)
Samenvatting/Uitwerking van alle theorie die in 2023/2024 hoort bij het KTC blok Beweging. Alle ziektebeelden die in de onderwijssessies voorbij komen zijn uitgewerkt, alsook alle besproken klinisch redeneren sessies en bijbehorende DDs. Op basis van dit bestand heb ik de toets gehaald!
Theorie-bestand Beweging
Inhoudsopgave
DEEL 1: NEUROLOGIE..................................................................................................................................... 5
Interactief college “Lokaliseren in de neurologie” – Loopstoornissen en Parkinson..........................................5
Klinisch redeneren: loopstoornissen.....................................................................................................................5
Categorisatie/Terminologie bij verlammingen.....................................................................................................6
Cerebellaire loopstoornis – 3 veelvoorkomende oorzaken...................................................................................7
Extrapiramidale loopstoornis – veelvoorkomende oorzaak.................................................................................7
Centrale loopstoornis – veelvoorkomende oorzaak.............................................................................................7
Ziekte van Parkinson............................................................................................................................................7
Parkinsonisme......................................................................................................................................................8
CgAB sessie Neurologie: polyneuropathie, multipele sclerose, hoofdpijn........................................................9
Polyneuropathie...................................................................................................................................................9
Neuropathische pijn: behandeling.....................................................................................................................10
Multipele Sclerose..............................................................................................................................................11
Hoofdpijn............................................................................................................................................................11
Overzicht........................................................................................................................................................11
De pathogenese van migraine.......................................................................................................................16
Triptanen........................................................................................................................................................16
Interactief college “Wegrakingen”................................................................................................................ 18
Theorie/Indeling van ziektebeelden bij “Wegraking”........................................................................................18
Wat is bewustzijnsverlies/wegraking?...........................................................................................................18
DD/Verschillende oorzaken van bewustzijnsverlies......................................................................................18
Klinisch Redeneren: hypothese-toetsende vragen bij bewustzijnsverlies.....................................................19
Syncope: verder uitgewerkt...........................................................................................................................19
Epilepsie: verder uitgewerkt..........................................................................................................................19
Herseninfarct......................................................................................................................................................21
De termen TIA en CVA...................................................................................................................................21
Samengevat...................................................................................................................................................21
Hersenbloeding..................................................................................................................................................21
Hersenbloedingen en neurologische uitval...................................................................................................22
Verschillende soorten hersenbloedingen/Indeling van hersenbloedingen...................................................22
Kan je de verschillende hersenbloedingen klinisch/op basis van symptomen onderscheiden?...................22
Subarachnoïdale bloeding.............................................................................................................................23
Subduraal hematoom....................................................................................................................................23
Epiduraal hematoom.....................................................................................................................................24
Uit de PV “sensibiliteit”: tractus spinothalamicus en achterstrengen.............................................................25
CC Neurologische klachten........................................................................................................................... 26
Casus 1: klapvoet................................................................................................................................................26
Klapvoet.........................................................................................................................................................26
1
, Overige notities die ik bij deze casus geleerd heb.........................................................................................27
Casus 2: geleidelijk progressieve uitval in één lichaamshelft.............................................................................27
Klinisch Redeneren: DD bij uitval in één lichaamshelft.................................................................................27
Casus 3: Hoofdpijn..............................................................................................................................................28
Het verschil tussen primaire en secundaire hoofdpijn..................................................................................28
De alarmverschijnselen bij hoofdpijn............................................................................................................28
Verschil tussen hoofdpijn bij een systemische infectie en bij een meningitis...............................................28
College “Neuroradiologie”............................................................................................................................ 29
DAI: Diffuse Axonal Injury...................................................................................................................................29
Hersenherniaties................................................................................................................................................29
Notities tijdens het college.................................................................................................................................29
Interactief College “Plotselinge neurologische uitval”...................................................................................31
Casus van dit college..........................................................................................................................................31
Klinisch redeneren: (sub)acute neurologische uitval.........................................................................................33
DEEL 2: RUG EN BEWEGING.......................................................................................................................... 35
Anatomie..................................................................................................................................................... 35
Anatomie van de schouder.................................................................................................................................35
Botten in de schouder....................................................................................................................................35
Gewrichten in de schouder............................................................................................................................37
Bursae............................................................................................................................................................37
Spieren in het schoudergewricht...................................................................................................................38
Basisstof...................................................................................................................................................... 40
Welke zenuwwortels horen bij welke reflexen?..................................................................................................40
Popeye sign.........................................................................................................................................................40
Het “capsulair patroon”.....................................................................................................................................40
Achtergrond: indeling van reuma en spondylo-artritis......................................................................................41
Klinisch Redeneren: gewrichtspijn in het algemeen...........................................................................................42
Klinisch redeneren: lage rugpijn.........................................................................................................................43
Klinisch redeneren: pijn in één schouder............................................................................................................44
Indeling van níet-traumatische schouderklachten........................................................................................44
DD schouderpijn............................................................................................................................................44
Klinisch redeneren: pijn in meerdere schouders.................................................................................................45
Klinisch Redeneren: traumatisch knieletsel........................................................................................................46
Unhappy triad....................................................................................................................................................47
DEEL 3: PSYCHIATRIE.................................................................................................................................... 65
Interactief college “Introductie psychiatrische diagnostiek”..........................................................................67
CgAB Psychiatrie.......................................................................................................................................... 69
Klinisch redeneren: somberheid.........................................................................................................................69
DD van somberheid.......................................................................................................................................69
Angstklachten.....................................................................................................................................................69
Wanneer spreken we van een angststoornis? (ipv puur ‘angstklachten’).....................................................69
Soorten angststoornissen..............................................................................................................................69
Paniekstoornis................................................................................................................................................70
Gegeneraliseerde angststoornis....................................................................................................................70
Specifieke fobie..............................................................................................................................................70
Obsessieve-Compulsieve Stoornis.................................................................................................................71
Depressieve klachten..........................................................................................................................................72
Depressie.......................................................................................................................................................72
Bipolaire stoornis...........................................................................................................................................73
Interactief College “Behandeling van Psychose”............................................................................................75
Psychotische stoornissen...............................................................................................................................75
Anti-psychotica..............................................................................................................................................76
CC Psychiatrie.............................................................................................................................................. 79
Overspanning en Burn-out............................................................................................................................79
DEEL 4: OOGHEELKUNDE.............................................................................................................................. 80
Basisstof...................................................................................................................................................... 80
Loop van de gezichtsbanen/de pupilreflex.........................................................................................................80
De conjunctiva....................................................................................................................................................80
De tarsale plaat..................................................................................................................................................81
Aanmaak en afvoer van oogbolvocht................................................................................................................82
3
, Klinisch Redeneren: verhoogde oogdruk............................................................................................................83
Klinisch Redeneren: centraal scotoom...............................................................................................................84
Klinisch Redeneren: (sub)acute (i.e. max een paar dagen) visusdaling.............................................................84
Klinisch Redeneren: vlekken en flitsen zien........................................................................................................85
Klinisch Redeneren: rood oog.............................................................................................................................86
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