Summary

Samenvatting Consultvoering van alle ziektebeelden (spreekuurtoets document)

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Course
Consultvoering

Institution
Rijksuniversiteit Groningen (RuG)

Dit document bevat alle belangrijke punten voor de consultvoering van alle behandelde ziektebeelden tijdens Geneeskunde Master jaar 1. Het is hét ideale document voor de voorbereiding op de voortgangstoets!

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Uploaded on January 14, 2024
Number of pages 97
Written in 2022/2023
Type Summary

consultvoering
consult
reflectie
modelstatus
geneeskunde
heelkunde
anamnese
beweging
levenscyclus
lichamelijk onderzoek
ziekte

Institution
Rijksuniversiteit Groningen (RuG)
Education
Geneeskunde
Course
Consultvoering

lannema

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Spreekuurtoets
Voorbereiding

Inhoudsopgave

Algemeen ....................................................................................................................................................... 3
Consult ................................................................................................................................................................ 3
Reﬂec/everslag .................................................................................................................................................. 6
Modelstatus ........................................................................................................................................................ 7

Geneeskunde .................................................................................................................................................. 8
Angina pectoris ................................................................................................................................................... 8
Gejaagdheid/palpita/es ................................................................................................................................... 11
Buikpijn ............................................................................................................................................................. 11
Dyspneu ............................................................................................................................................................ 14
Vermoeidheid – harIalen ................................................................................................................................. 16
Hoesten door ACE remmer ............................................................................................................................... 21

Heelkunde .................................................................................................................................................... 23
Knobbel in de borst ........................................................................................................................................... 23
Pijn onderbuik bij vrouw ................................................................................................................................... 25
Sinusi/s ............................................................................................................................................................. 29
Duizeligheid ...................................................................................................................................................... 31
Tinnitus ............................................................................................................................................................. 32
Oorpijn .............................................................................................................................................................. 33
Verstopte neus .................................................................................................................................................. 34
Galstenen.......................................................................................................................................................... 35
Colorectaal carcinoom ...................................................................................................................................... 36
Slikklachten / reﬂux .......................................................................................................................................... 38
Diver/culi/s ...................................................................................................................................................... 41
IBD .................................................................................................................................................................... 42
PDS ................................................................................................................................................................... 44
Enkeldistorsie .................................................................................................................................................... 45
Claudica/oklachten .......................................................................................................................................... 47
Peesontsteking/ peesschede ontsteking (trigger ﬁnger)................................................................................... 50

Beweging ...................................................................................................................................................... 52
Pijn in de schouder............................................................................................................................................ 52
Pijn in de knie.................................................................................................................................................... 55

, Pijn in de elleboog ............................................................................................................................................ 56
Last van de rug ................................................................................................................................................. 57
Pijn in 1 been en rug – lumbosacraal radiculair syndroom ............................................................................... 59
Cauda equina – SPOED ..................................................................................................................................... 60
Osteoporose...................................................................................................................................................... 61
Gewrichtsklachten ............................................................................................................................................ 63
Oogklachten ..................................................................................................................................................... 64
Hoofdpijn .......................................................................................................................................................... 66
Slaapproblemen................................................................................................................................................ 70
Psychiatrie ........................................................................................................................................................ 71
Erec/ele dysfunc/e ........................................................................................................................................... 71

Levenscyclus ................................................................................................................................................. 74
Menstruele problemen ..................................................................................................................................... 74
An/concep/e .................................................................................................................................................... 74
Abnormaal vaginaal bloedverlies ..................................................................................................................... 75
Kraamvrouw met koorts ................................................................................................................................... 79
Overgangsklachten, climacterium .................................................................................................................... 80
Vaginale klachten ............................................................................................................................................. 81
Incon/nen/e ..................................................................................................................................................... 81
Prostaatklachten .............................................................................................................................................. 83
Pyelonefri/s, cys//s, UWI ................................................................................................................................ 84
Nierstenen ........................................................................................................................................................ 86
SOA ................................................................................................................................................................... 87
(Acuut) ziek kind ............................................................................................................................................... 88
Buikpijn kind ..................................................................................................................................................... 89
Gele baby .......................................................................................................................................................... 91
Luchtwegklachten kind ..................................................................................................................................... 92
Kind met vlekjes ................................................................................................................................................ 93
Sterilisa/ewens ................................................................................................................................................. 94
Seksuologie ....................................................................................................................................................... 95

SpoedcasuïsAek ............................................................................................................................................ 96
Acute buik ......................................................................................................................................................... 96
Cauda equinasyndroom .................................................................................................................................... 96
Re/nalosla/ng .................................................................................................................................................. 96

,Algemeen
Voorbereiding
- 5 minuten
- Info hardop voorlezen
- Spullen klaarleggen
- DD bedenken en hypothesetoetsende vragen – e.v.t. noteren

Mee
- Inloggegevens !!!
- Pen
- Penlight
- Reﬂexhamer
- Stethoscoop

Tijdens het consult
- Structuur consult
o Anamnese 8 min
o LO 8 min
o Beleid 4 min
- Handhygiëne

Denk aan
- SamenvaPng !!
- Handhygiëne
- Recept uitschrijven

Consult

Contactlegging

Agenda bespreken

Anamnese
- ALECOBO
o Aard
o LocaSe
§ En uitstraling
o Ernst (1-10)
§ En hinder dagelijks leven
o Chronologie
§ Verloop klachten
o Ontstaan
§ Trauma, werk, sport, spontaan
o Beïnvloeding
§ Toename klachten
§ Afname klachten

, § Dagelijks funcSoneren, slaap
o OpvaPng
§ Wat denkt paSënt zelf?
§ Eerder gehad?

è Samenva6ng

- Hulpvraag
o Wat maakt dat u vandaag met deze klacht een afspraak hee] gemaakt?
o Wat hoopte u te behalen toen u deze afspraak maakte?
o Toen u een afspraak maakte, had u toen een bepaalde gedachte?
o U bent hier vandaag bij de huisarts gekomen, wat hoopt/ verwacht u van mij/
vandaag?

- VerwachSngen
o E.g. wat is voor pt wel een goede slaap/ goede erecSe/ verbetering …?

- Algemene anamnese
o Voorgeschiedenis
o MedicaSe
o Allergieën
o Familieanamnese
o IntoxicaSes
o Sociale anamnese (gezin, partner, werk)

- Speciële anamnese/ hypothesetoetsing
o Recent dingen aangepast in leven (dieet, werk, thuissituaSe)
o Zaken die stress opleveren, hoe zit pt in vel
o Zwanger?

- Tractusanamnese
o Algemeen: ﬁt, moe, gewichtsverandering, eetlust, koorts, nachtzweten, jeuk,
slaap, stemmingsveranderingen, huidproblemen
o Tr. Circulatorius: hartkloppingen, pijn op de borst, benauwdheid bij platliggen,
veel plassen ’s nachts, dikke enkels, benauwdheid bij inspanning,
etalagebenen, duizeligheid
o Tr. Respiratorius: hoesten, kortademigheid, longproblemen (VG), slijm (kleur,
hvh), piepende ademhaling, pijn bij diep zuchten (vast/ niet vast ademhaling)
o Tr. Urogenitalis: pijn of moeite bij plassen, langzame en pijnlijke urinelozing,
frequenSe, nadruppelen, straal, bloed, seksuele anamnese;
§ Bij vrouw: menstruaSe, cyclus, duur, opvliegers, tussenSjds
bloedverlies, afscheiding, contactbloedingen, verzakkingsgevoel
o CNS en zintuigen: geheugen, concentraSe, zintuigen, kracht, gevoel, trillen,
evenwicht, beroerte, hoofdpijn, duizeligheid, doof gevoel, branderige pijn,
Sntelingen
o Tr. Locomotorius:

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Summary

Samenvatting Consultvoering van alle ziektebeelden (spreekuurtoets document)

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