Summary
Minor comprehensive care and anatomy volledige tentamenstof samenvatting
- Course
- Institution
Een volledige samenvatting van alle tentamenstof!
[Show more]
Seller
Follow
djaynafolmer
Content preview
InhoudsopgaveColoncarcinoom ......................................................................................................................................... 3
Rectumcarcinoom....................................................................................................................................... 6
Peritonitis carcinomatosis → uitgezaaide darmkanker naar het peritoneum ................................................. 9
Oesophaguscarcinoom.............................................................................................................................. 12
Endometriose........................................................................................................................................... 14
Genderchirurgie ....................................................................................................................................... 17
Neuro-endocriene tumoren van de dunne darm ........................................................................................ 18
Kinderchirurgie ......................................................................................................................................... 20
HPB.......................................................................................................................................................... 26
Pancreas ............................................................................................................................................................. 31
Galwegkanker .................................................................................................................................................... 32
Galblaaskanker................................................................................................................................................... 33
HCC (hepatocellulair carcinoom......................................................................................................................... 33
Portale hypertensie en levercirrose ........................................................................................................... 38
Darmbloedingen (bleeding of the lower GI) ............................................................................................... 41
Acute buik ................................................................................................................................................ 43
Obstipatie ................................................................................................................................................ 47
Aorta aneurysma ...................................................................................................................................... 49
Perifeer arterieel vaatlijden ...................................................................................................................... 55
Carotis pathologie .................................................................................................................................... 57
Dissectie .................................................................................................................................................. 61
Shared decision making + slecht nieuws gesprek ........................................................................................ 64
ACP .......................................................................................................................................................... 65
Awareness palliatieve zorg in de populatie ................................................................................................ 66
Veel voorkomende klachten in de palliatieve fase ...................................................................................... 66
End-of-life trajectories .............................................................................................................................. 67
Generalist en specialist palliatieve zorg ..................................................................................................... 70
,Pallialine richtlijnen .................................................................................................................................. 70
,Coloncarcinoom
• Klachten anamnese →
o Vermoeidheid → anemie door bloedverlies
o Obstipatie → door obstructie
o Bloedverlies of slijm bij ontlasting
o Buikpijn
o Ontlastingsfrequentie verandering
o Consistentie verandering
• DD-anemie → vaak enige klacht van coloncarcinoom
o Bloedverlies
▪ Coloncarcinoom
• Vaak microcytaire anemie
▪ Menstruatie (moet het wel heel heftig zijn)
▪ Ulcus (ulcus pepticum of collitis ulcerosa etc.)
o Bloedafbraak (hemolytisch)
▪ Auto-immuun
▪ Medicatie
▪ Infectie
▪ Kunstklep
▪ Enzym of membraanafwijking
o Aanmaakstoornis
▪ Vit B12 def
▪ Tekort aan EPO
▪ Medicatie
▪ Beenmergziekten
• Lichamelijk onderzoek
o Liezen → lymfeklieren
o Buik
▪ Zwellingen
▪ Littekens
▪ Hernia
▪ Spleno/hepatomegalie
o Anus
▪ Fistels
▪ Hemorroïden
▪ Fissura
▪ Skintags
o Rectaal Toucher
▪ Bloed
▪ Tumor
▪ Kringspier spanning
▪ Vulling
▪ Prostaat
• LAB
o Hb
• Endoscopie (colonscopie) + biopt bij afwijking
o Pathologie → maligne of benigne (fistels, poliep)
, o Inflammatoire afwijkingen (crohn, ulcerosa)
o Via colonscopie kun je inkt injecteren zodat je de tumor nog tijdens de
operatie kunt terugvinden
• Complicaties colonscopie
o Darmperforatie
o Miltruptuur
o Sedatie
o Ruptuur
o Hartinfarct
o Post-poliepectomie syndroom
• Pathologie
o Vaak adenocarcinoom, slecht ongedifferentieerd
• Beeldvorming
o PET-CT → FDG kijken of er actieve cellen zijn + actieve klieren (stadiering) +
afstandsmetastase (vaak in lever)
o CT-scan
o MRI (rectum, lever)
• TNM-stadiering
o T → tot in welke laag groeit het door
o N → aangedane klieren
o M → metastase op afstand (vaak lever)
•
• Metastase van een coloncarcinoom zijn vaak in de lever, dit komt doordat het bloed
vanuit de darmen naar de vena porta richting de lever gaat (hematogene
verspreiding)
• Synchroon → tumor en metastase zijn beide tegelijk ontdekt
• Metachroon → primaire tumor is eerst ontdekt, jaren erna pas metastase
• Operatie coloncarcinoom
o Afhankelijk van locatie → links, rechts, transversus, sigmoid
o Hemicolectemie links/rechts, sigmoidresectie of transversusectomie
o Radicale tumorresectie (hemicolectemie) + mesenterium + lymfevaten
verwijderen + omliggende organen verwijderen (indien aangedaan)
• Na operatie gaat de tumor naar de patholoog
o TNM-stadiering bepalen
o Radicale resectie ja/nee → R0 is radicaal, R1 microscopisch inradicaal, R2
macroscopisch inradicaal
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 djaynafolmer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.02. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now