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Samenvatting alle illness scripts - diagnostiek 7b (2024)

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  • March 23, 2024
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Illness scripts diagnostiek 7b

Illness scripts diagnostiek 7b.................................................................................................................1
Rode vlaggen anamnese....................................................................................................................3
Illness script: Epicondylitis lateralis....................................................................................................4
Illness script: Epicondylitis medialis...................................................................................................5
Illness script: Entrapment neuropathie n. medialis............................................................................6
Illness script: Entrapment neuropathie n. ulnaris..............................................................................7
Illness script: Entrapment neuropathie n. radialis..............................................................................8
Illness script: Intersectiesyndroom (roeierspols)................................................................................9
Illness script: M. de Quervain (kappersduim)..................................................................................10
Illness script: Distorsie art. Manus...................................................................................................11
Illness script: Mediale instabiliteit art. Cubiti (werperselleboog).....................................................12
Ilness script: Meniscusproblematiek................................................................................................13
Illness script: Kruisbandletsel...........................................................................................................14
VKB..................................................................................................................................................14
AKB..................................................................................................................................................14
Illness script: Letsel van de collaterale ligamentaire structuren van het art. genus.........................15
Illness script: Patellofemorale klachten (PFI)....................................................................................16
Illness script: Patellofemorale klachten (Jumpers knee)..................................................................17
Illness script: Zweepslag kuit............................................................................................................19
Illness script: achillespeesruptuur....................................................................................................20
Illness script: achillespees tendinopathie........................................................................................21
Illness script: posterieur impingement enkel (os trigonum).............................................................23
Illness script: diepe veneuze trombose............................................................................................24
Illness script: aspecifieke lage rugklachten......................................................................................25
Illness script: Lumbosacrale radiculopathie (o.b.v. HNP)..................................................................27
Illness script: Lumbale kanaalstenose..............................................................................................28
Illness script: Trochanter major pijnsyndroom.................................................................................29
Illness script: Adductoren tendinopathie.........................................................................................30
Illness script: Claudicatio intermittens.............................................................................................31
Illness script: Arthrose art. coxae.....................................................................................................32
Illness script: Maligniteit LWK..........................................................................................................33
Illness script: Liesbreuk....................................................................................................................34
Illness script: Referred pain abdomen (nier/ blaas).........................................................................35
Illness script: Labrumlaesie art. humeri...........................................................................................36

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,Illness script: SLAP laesie.................................................................................................................37
Illness script: Tendinopathie rotator cuff.........................................................................................38
Illness script: SAPS (impingement art. Humeri)................................................................................39
Illness script: Radiculopathie cervicale wervelkolom.......................................................................40
Illness script: KANS klachten (Richtlijn KANS)..................................................................................41
Illness script: Referred pain internen (hart/ longen -> maligniteit/ infarct).....................................43
Illness script: Complex regionaal pijnsyndroom (CRPS)....................................................................45
Illness script: s/n inversietrauma enkel............................................................................................46
Illness script: Shin splints.................................................................................................................48
Illness script: Jumpers knee.............................................................................................................49
Illness script: diabetische perifere neuropathie...............................................................................50
Illness script: Lumbosacraal radiculair syndroom (segmenten)........................................................52
Illness script: zweepslag hamstring..................................................................................................54
Illness script: gonarthrose (- artritis)................................................................................................55
Illness script: Jichtartritis..................................................................................................................56
Illness script: Bacteriële artritis........................................................................................................57
Illness script: Patellofemoraal pijnsyndroom (PFPS)........................................................................58
Illness script: Rotator cuff ruptuur...................................................................................................60
Illness script: insertietendinopathie m. triceps brachii....................................................................61
Illness script: Radiculopathie cervicale wervelkolom (segmenten)..................................................62
Illness script: AC- problematiek........................................................................................................64
Illness script: Reumatoïde artritis....................................................................................................65
Illness script: Sesamoïditis metatarsale I..........................................................................................66
Illness script: Fascitis plantaris.........................................................................................................67
Illness script: Stressfractuur os metatarsale V..................................................................................68
Illness script: Fractuur art. talocruralis.............................................................................................69
Illness script: Distorsie art. manus...................................................................................................70
Illness script: Skiduim.......................................................................................................................71
Illness script: CMC 1 artrose............................................................................................................72
Illness script: TFCC-problematiek.....................................................................................................73
Illness script: Fractuur polsregio......................................................................................................74




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,Rode vlaggen anamnese
Rode vlaggen (= biomedische risicofactoren) kunnen tekenen/symptomen zijn die kunnen duiden op
een ernstige pathologie. Voorbeelden:
- Recent trauma
- Recent onverklaarbaar gewichtsverlies (> 5 kg/maand)
- Langdurig gebruik corticosteroïden
- Maligne aandoeningen in voorgeschiedenis
- Algemeen onwelbevinden (koorts, zweten)
- Nachtelijke pijn en zweten
- Uitgebreide neurologische tekenen en symptomen
- Constante pijn die niet afneemt in rust of bij verandering van positie

Specifiek voor rugpijn rode vlag:
- Eerste keer lage rugpijn na 50 jaar (geen musculoskeletale pijn)
- Onder de 18 jaar ook (reuma onderliggend mogelijk; kans bij kinderen is lager en minder
aannemelijk)

Specifiek voor neurologisch beeld lumbaal:
- Vraag uit of iemand in de schaamregio gevoelsverlies heeft, in het geval dat dit zo is
moet je de patiënt zo snel mogelijk doorverwijzen, aandoening van cauda equina kan tot
incontinentie leiden.




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, Illness script: Epicondylitis lateralis

Pathologie/etiologie Pijn en ontsteking van de extensorpezen die aanhechten op het
laterale epicondyl. Kan ontstaan door herhaalde bewegingen van
pols en onderarm (overbelasting en microtrauma kunnen
ontstaan), incorrecte techniek, overmatige kracht.
Overbelastingsblessure.
Epidemiologie Meestal tussen 30 en 50 jaar. Iets vaker mannen dan vrouwen.
Jaarlijkse prevalentie = 1-3% van de volwassenen.
Tijd/beloop Gepaste behandeling binnen aantal weken herstel. 80% is (bijna)
genezen na een half jaar, 90% na een jaar. Rust nemen is
belangrijk, verminderen van activiteiten die de pijn verergeren.
Regelmatige ijzen kan zwelling en ontsteking verminderen,
meerdere keren per dag gedurende 10-15 minuten, gedurende
enkele weken in het begin. Rekoefeningen, spierversterkende
oefeningen kunnen de functie herstellen/verbeteren.
Signs/symptoms Pijn rond epicondylus lateralis, extensie en pronatie geven
klachten, bovenhands pakken/tillen pijnlijk, uitstraling onderarm,
voornamelijk dominante zijde, belastingafhankelijke pijn bij
provocatie.
Sneltests Inspectie, (specifieke) palpatie, Mill test, Cozens test, Maudsley
test




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