Summary
Samenvatting Reumatologie
- Course
- Institution
Samenvatting reumatologie 1ste master geneeskunde universiteit Gent. No nonsense samenvattingen, enkel wat je moet kennen.
[Show more]
Seller
Follow
lw95
Reviews received
Content preview
InhoudLes 1 diagnostsche inleiding........................................................................................................................2
Les 2 inleiding reumato................................................................................................................................3
Les 3 SpondyloArtrits AKA SpA....................................................................................................................4
Spondylits Ankylosans AKA SA aka ziekte van Bechterew.......................................................................5
IBD............................................................................................................................................................7
Psoriasis artrits........................................................................................................................................8
Spondyloartrits........................................................................................................................................9
Fibromyalgie...........................................................................................................................................10
Chronisch vermoeidheid syndroom........................................................................................................10
Les 4 Reumatoide atrits.............................................................................................................................11
RA...........................................................................................................................................................11
Polymyalgia reumatca...........................................................................................................................13
Les 5 RA mechanismen...............................................................................................................................13
Les 7 cases..................................................................................................................................................15
Les 8 juveniele chronisch artrits................................................................................................................15
Systemic onset........................................................................................................................................16
Polyartculaire onset...............................................................................................................................16
Early pauciartculaire onset....................................................................................................................16
Late pauciartculaire onset.....................................................................................................................16
Les 9 systeemscelerose..............................................................................................................................18
Systeemsclerose.....................................................................................................................................18
RAYNAUD FENOMEEN SWS EXAMEN.....................................................................................................19
Les 10 septsche artrits..............................................................................................................................19
TBC artrits..............................................................................................................................................20
Infecteuze spondyloDiscits...................................................................................................................21
TBC spondylodiscits...............................................................................................................................22
Les 11 Bindweefsel ziekten en vasculitden................................................................................................22
SLE..........................................................................................................................................................22
Polymyositssdermatomyosists..............................................................................................................24
Les 12 vasculitden......................................................................................................................................24
Arterits temporalis of reuscelarterits....................................................................................................25
, Polymalgia reumatca.............................................................................................................................26
Takayatsu................................................................................................................................................26
PAN, poly arterits nodosum...................................................................................................................26
Ziekte van wegener................................................................................................................................26
Leukecytoclastsche vasculits.................................................................................................................26
Sjogren en ant fosfolipied syndroom.....................................................................................................27
Les 13 kristal artrits...................................................................................................................................27
Jicht........................................................................................................................................................27
Chondrocalcinosis...................................................................................................................................29
Les 14 osteoartrose....................................................................................................................................30
Osteoartrose...........................................................................................................................................30
Lesje 15 osteoporose..................................................................................................................................32
Cursus inhoud.............................................................................................................................................35
Les 1 diagnostische inleiding
Sensitviteit - Positves s positves + false negatves
- Indien hoog: negatef test resultaat -> je zal het niet
hebben
- Indien laag: negatef test resultaat betekent niet
dat je de ziekte niet hebt
Specifciteit - Negatves s negatves + false positves
- Indien hoog: Positef resultaat -> je hebt de ziekte
- Indien laag: positef resultaat -> je hebt het
misschien
Aspecifek labo - CRP
- ESR
- WBC
Specifek labo - RF
1. Neemt toe met de leefijd. 30 procent van de
healthy elderly
2. Gepaard met andere ziekten: TBC, endocardits,
sjogren, SLE
3. Sensitviteit 60-70, specifciteit 50-90. Dus veel
vals positeven mogelijk
- Ant CCP
1. Hoog specifciteit: indien positef ga je het bijna
zeker hebben
2. Sensitviteit 60-70
3. Hoog positef predicteve waarde
, - ANF
1. Belangrijk bij BW ziekten
2. Aanwezig in 20-30 procent gezonde populate
3. Aanwezig in 95 procent van patenten met SLE
- ANCA
1. Aanwezig in small vessel vasculitden
2. Tegen neutrofele granulocyten
HLA B27 Labo - 5-10 procent van white people
- Verhoogd OR op SpA -> 30-100x
Labo synoviaal vocht - Bij monoartrits zwelling -> SEPTISCH TENZIJ
TEGENDEEL BEWEZEN
- Altjd puncteren
Rx - Gouden standaard
- Lage sensitviteit -> vroege letsels vinden we niet
- Goed voor erosies, artrose, extra botvorming
Echo - Vroegtjdig erosies opsporen
- Informate over infammate en structuur
Bot scintgrafe - Zeer sensitef -> indien negatef zal er wel niets aan
de hand zijn
- Specifciteit is niet zo goed
- Geen verschil tussen degeneratef of infammatoir
MRI - Zeer sensitef
- Weinig specifek
- Indicates: sacroiliits, osteomyelits
CT - Sensitef en specifek which is nice
- Goed voor botsstructurele afwijkingen
- Niet zo goed voor infammatoire kenmerken
- Vooral erosies goed opspoorbaar
Sensitviteit en specifciteit goed kennen van de onderzoekeng
Echo
Rx specifek, weinig sensitef
MRI: sensitef, weinig specifek
botscint: Sensitef, weinig specifek
CT: Ok qua beide
Les 2 inleiding reumato
Gerefereerde pijn - Is niet altjd neurologischg Onthoudeng
- Schouder last -> laterale arm pijn
, - Laterale epicondyl last -> midden voorarm
- Lumbaal zuil -> poep, been voet, billen
- Regel: gewricht boven en onder kunnen last geven
Mechanische pijnsartrose - Pijn die toeneemt naar gelang de dag
- Beter na rust, verslechterd bij bewegen
- Geen nachtelijke pijn
Infammatoir pijnsartrits - Nachtelijke pijn
- Beter bij beweging
Z patroon - Polyartriculair, meer dan 5 gewrichten
- Symmetrisch patroon
- Distale gewrichten
- Vaak bij RA
Y patroon - Pauciartculair, minder dan 5 gewrichten
- Assymetrisch patroon
- Vaak OL
- Vaak bij SpA
Monosynovits - 1 gewrichtje
- UITSLUITEN JICHT EN SEPSIS
- Als eerste manifestate systeem problems -> RA,
psoriasis, Spa etc etc
Systeem anamnese Zeer kort overlopen in de les, lees keer
Familiale anamnese Zeker bij SpA
Les 3 SpondyloArtritis AKA SpA
GOED HERHALEN
Vrije jonge leefijd allemaal gelijk
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 lw95. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $4.82. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now