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Samenvatting Echografie Periode 5 $3.74
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Samenvatting Echografie Periode 5

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Leerdoelen Periode 5: • De topografische anatomie en de ligging van de lever beschrijven; • Het gevraagde ziektebeeld in eigen woorden omschrijven; • Omschrijven hoe het ziektebeeld zich echografisch presenteert; • De gegevens op de aanvraag interpreteren zodat er bewuste keuzes worden gema...

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  • February 25, 2019
  • 26
  • 2018/2019
  • Summary

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Echografie P5:
001:
Klinisch redeneren:
Definitie: koppelen van eigen interpretaties en observaties aan medische kennis
VALTIS:
- Voorgeschiedenis
- Aard
- Locatie
- Tijd
- Intensiteit
- Samenhang


Lever: dextra craniaal in de patiënt
- Linker leverkwab
- Rechter leverkwab
- Lobus caudatus
- Lobus quadratus
- Interlobaire fissuur (lig.venosum)
o Lobus caudatus

- Ligamentum teres (v.umbilicalis)
o Lobus quadratus


Anatomie:
- Links < rechts
- Ligamentum falciforme
- Bloedvaten en galwegen worden niet gebruikt
- Lobus quadratus behoort bij rechter leverkwab
Vena cava inferior is startpunt voor het onderzoek

,Scantechniek:
- Nuchter
- Drie richtingen minimaal
- Diafragma volledig afbeelden
- Besef waar de beperkingen van je onderzoek liggen
- Subcostaal, intercostaal, linker zijligging
Doel: iedere cm3 van de lever beoordelen
Sagittaal en transversaal + oblique en/of intercostaal
- Links
- Rechts
- Diafragma
- Lobus caudatus en quadratus
Ademcommando / bolle buik
Procedure herhalen in linker zijligging
Gebruik de vena cava inferior als startpunt

, Beeldherkenning:
- Leverparenchym
o Homogeen

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