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Summary

Korte samenvatting reumatologie

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Een korte samenvatting over de verschillende onderdelen van het vak reuma met de verschillen en gelijkenissen duidelijk naast elkaar

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  • January 9, 2018
  • 3
  • 2016/2017
  • Summary

1  review

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By: ccmdc • 6 year ago

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Osteoartrose Reumatoide artritis Spondyloartitis = Jicht
spondylartropathie
Soort pijn Mechanisch (met laaggradige Inflammatoir Inflammatoir inflammatoir
synovitis)
Frequentie > 20% (1/5) 1/100 1/100 1/100
Geslacht Vrouw > man Vrouw > man Man > vrouw Man > vrouw
Leeftijd > 65 j (degeneratief) Piek tussen 50-60j 16-40j > 40 j
Bloed Reumafactor en anti ccp aanwezig Reumafactor afwezig
Gewrichten Monoarticulair Polyarticulair, symmetrisch Pauciarticulair, vooral grote Monoarticulair, typisch MTP
gewrichten OL, asymmetrisch
Meest aangetast Knie, heup, hand (minder: Handen en voeten zonder DIP’s, Bevat spondylitis ankylosans,
schouder, elleboog MCP) geen aantasting ruggenwervels psoriasis artritis, artritis
enkel C1 C2 mogelijk (=synoviaal) geassocieerd met inflammatoir
darmlijden, reactieve artritis,
uveitis, enthesitis +
inflammatoire rugpijn
Andere - Radiografie: gewrichtsspleet - Begeleidende symptomen: - HLA b27 + - Neerslag van urinezuurkristallen
vernauwing, sclerose en a. Hand: carpal tunnel, - Daktilitis gelinkt aan in synovium
osteofyten tenovaginitis en springvinger, psoriasis - Dolor, rubor, calor functio laesae
- Risicofactoren: leeftijd, peesruptuur, nodules, vasculitis - 3 rode vlaggen: last van
vrouw, statiekafwijking, b. Voet: pes planovalgus, halx darmen, oog( unilaterale
repetitieve belasting,… valgus, hamertenen pijn + visusdaling), huid
- Desiquilibrium tussen c. Risico op meer infecties
katabole en anabole - Risico op meer infecties
processen - Geassocieerd met
- Bijzondere vorm: DISH = cardiovasculaire aandoeningen
forestier
Therapie - Spierversterkend - CV uithouding: 60-80% HRmax, - Warm up: step exercise +
- ROM 30min, 3 à 5/week stretch
- Stretching - Spierkracht: 60-80% Rm, 8-12 - 20 min step exercise
- Proprioceptieve oefeningen herhalingen, 2 à 3/week - Cool down: 10 min
- Aerobe activiteiten - GWgezondheid (stretch): 10-15 pulmonale oefeningen +
- Stabilisatie oefeningen min, 2/week stretch
- Balance: op regelmatige basis

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