Op aanraden van mijn medestudenten verkoop ik nu mijn samenvattingen! In deze samenvatting maak ik veel gebruik van afbeeldingen, tabellen en opsommingen. Hierdoor hoef je geen lange lappen saaie en ingewikkelde tekst te lezen. In deze samenvatting staat alle stof van de boeken, colleges, sessies e...
,Inhoud
Neurologie ............................................................................................................................................... 5
IC: Lokaliseren in de neurologie .......................................................................................................... 6
Plaatsen in het zenuwstelsel die een rol spelen bij het lopen......................................................... 6
IC: Wegrakingen................................................................................................................................... 9
Epilepsie......................................................................................................................................... 11
IC: Plotselinge neurologische uitval................................................................................................... 14
Het cerebrovasculaire systeem...................................................................................................... 14
Beroerte ......................................................................................................................................... 15
Neurologisch denken ..................................................................................................................... 17
IC: Neuroradiologie............................................................................................................................ 19
Traumatische bloedingen .............................................................................................................. 20
CgAB: Neurologie............................................................................................................................... 23
Casus 1: Polyneuropathieën .......................................................................................................... 23
Casus 2: MS en aanverwante aandoeningen................................................................................. 25
Casus 3: Hoofd- en aangezichtspijn ............................................................................................... 26
Neuropathische pijn ...................................................................................................................... 30
CgA-PV: Traumatisch hoofdhersenletsel............................................................................................ 31
Hoofd- en hersenletsel .................................................................................................................. 31
PV: Onderzoek van de hersenzenuwen ............................................................................................. 34
PV: Onderzoek van motoriek, tonus en reflexen ............................................................................... 39
PV: Onderzoek van de sensibiliteit .................................................................................................... 42
PV: Onderzoek van coördinatie en balans ......................................................................................... 46
PV: Onderzoek van een patiënt met een verlaagd bewustzijn .......................................................... 49
CC: Neurologische klachten ............................................................................................................... 54
Hoofdpijn ....................................................................................................................................... 55
Geleidelijk ontstane spierzwakte in 1 extremiteit ......................................................................... 55
Geleidelijk progressieve uitval in 1 lichaamshelft ......................................................................... 58
Rug ......................................................................................................................................................... 60
CgAB: Klachten van(uit) de rug .......................................................................................................... 60
Casus 1: Pijn in het been ............................................................................................................... 60
Casus 2: Lage rugpijn ..................................................................................................................... 62
Casus 3: Pijn in de nek met uitstraling naar de rechterarm .......................................................... 64
PV: Onderzoek van de rug ................................................................................................................. 65
Beweging ............................................................................................................................................... 69
2
, IC: Houding en beweging................................................................................................................... 69
Lage rugpijn ................................................................................................................................... 69
Schouderklachten .......................................................................................................................... 71
IC: Radiologie musculoskeletaal ........................................................................................................ 77
CgAB: Orthopedie, reumatologie en revalidatie ............................................................................... 79
Dikke knie zonder trauma .............................................................................................................. 79
Meerdere dikke, pijnlijke gewrichten ............................................................................................ 80
Pijn in de lies .................................................................................................................................. 82
Beleid ............................................................................................................................................. 83
CgAB: Niet-aangeboren hersenletsel................................................................................................. 84
Hogere hersenfuncties .................................................................................................................. 84
Prognose na hoofd-hersenletsel.................................................................................................... 85
Traumatisch hersenletsel ............................................................................................................... 86
Neurorevalidatie ............................................................................................................................ 86
PV: Onderzoek van de schouder........................................................................................................ 88
Goniometrie .................................................................................................................................. 92
PV: Onderzoek van de heup .............................................................................................................. 94
PV: Onderzoek van de knie ................................................................................................................ 97
CC: Klachten van een extremiteit .................................................................................................... 103
Pijnlijke knie na een trauma ........................................................................................................ 103
Pijn in de schouder zonder trauma ............................................................................................. 105
Stijve, pijnlijke gewrichten en peri-articulaire structuren ........................................................... 107
Psychiatrie ........................................................................................................................................... 112
IC: Introductie psychiatrische diagnostiek ....................................................................................... 112
Psychiatrische tractusanamnese ................................................................................................. 113
Psychiatrisch onderzoek .............................................................................................................. 115
IC: Behandeling van psychose ......................................................................................................... 122
IC: Middelengebruik en verslaving .................................................................................................. 126
CgAB: Psychiatrie ............................................................................................................................. 128
Suïcidepreventie training............................................................................................................. 128
Angst ............................................................................................................................................ 128
Depressie ..................................................................................................................................... 134
CgA-PV: Psychiatrisch onderzoek..................................................................................................... 137
CC: Psychiatrische klachten ............................................................................................................. 139
Prikkelbaarheid, onrust en somberheid ...................................................................................... 139
3
, Pijnlijke, stijve nek en slaapklachten ........................................................................................... 140
Droge handen .............................................................................................................................. 142
DSM-5 .............................................................................................................................................. 143
Oog ...................................................................................................................................................... 146
CgAB: Oogheelkunde ....................................................................................................................... 146
Verhoogde oogboldruk ................................................................................................................ 146
Gezichtsvelduitval ........................................................................................................................ 147
Rood oog...................................................................................................................................... 148
Beleid ........................................................................................................................................... 152
PV: Oogheelkunde ........................................................................................................................... 153
CC: Klachten van het zien ................................................................................................................ 162
Een brandend rood oog ............................................................................................................... 162
Vlekken voor het oog................................................................................................................... 162
(sub)acute visusdaling van één oog............................................................................................. 162
Beleid ........................................................................................................................................... 164
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