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Samenvatting pediatrie: De Wachter 2019
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Samenvatting van pediatrie lessen professor De Wachter
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PEDIATRIE CURSUSProf De Wachter
2017-2018
ZOURAB CODE ©
1 MARE
,Inhoudstabel
Inleiding ........................................................................................................................... 3
Hoofstuk I ......................................................................................................................... 3
Groei........................................................................................................................................ 3
Obesitas ................................................................................................................................. 12
Preventie ............................................................................................................................... 14
Afweersysteem: samenstelling ............................................................................................... 19
Kinderziekten ......................................................................................................................... 20
Inentingen, vaccinaties ........................................................................................................... 26
Hoofdstuk II: Longziekten ................................................................................................ 28
Allergie .................................................................................................................................. 28
Astma .................................................................................................................................... 35
Chronische respiratoire aandoeningen .................................................................................... 53
Respiratoire urgenties ............................................................................................................ 62
Hoofdstuk III: Sport ......................................................................................................... 68
Sporten bij het gezonde kind .................................................................................................. 68
Sporten bij het zieke kind ....................................................................................................... 70
Hoofdstuk IV: Kindercardiologie ...................................................................................... 79
Foetale versus postnatale bloedsomloop ................................................................................ 79
Tekens bij hartafwijkingen ...................................................................................................... 81
Atrium Septum Defect (ASD)................................................................................................... 82
Persisterende foetale circulatie............................................................................................... 82
Ventrikel Septum Defect (VSD) ............................................................................................... 82
Pulmonaal Stenose (PS) .......................................................................................................... 83
Aorta Stenose (AS) ................................................................................................................. 83
Coarctatio – aortae................................................................................................................. 83
Tetralogie van fallot ............................................................................................................... 83
Transpositie grote vaten ......................................................................................................... 84
Clubbing = trommelstokvingers .............................................................................................. 84
Hoofdstuk V: Gewrichtsaandoeningen ............................................................................ 85
Aandoeningen vanuit ‘het systeem’ ........................................................................................ 85
PRA versus RA ........................................................................................................................ 85
Andere ziekten die gewrichtsproblemen kunnen geven ........................................................... 86
Hoofdstuk VI: Gastro- oesophagale reflux ....................................................................... 87
, Definitie GOR (GERD) ............................................................................................................. 87
GOR ≠ regurgiteren of braken ................................................................................................ 87
Ziektetekens van GOR ............................................................................................................ 87
Verband met respiratoire aandoeningen ................................................................................. 88
Diagnose ................................................................................................................................ 88
Respiroire kine en GOR-bevorderende (verergerende) technieken........................................... 88
Respiroire kine en GOR-vermijdende (vermindering) technieken ............................................. 88
Behandeling van GOR ............................................................................................................. 88
Hoofdstuk VII: Kindermishandeling ................................................................................. 90
Definitie ................................................................................................................................. 90
Incest/seksueel misbruik ........................................................................................................ 90
Geweld en kinderen – geschiedenis ........................................................................................ 90
Vormen .................................................................................................................................. 91
Lichamelijke mishandeling ...................................................................................................... 91
Lichamelijke (medische) verwaarlozing ................................................................................... 92
Emotionele verwaarlozing ...................................................................................................... 92
Emotionele mishandeling ....................................................................................................... 92
Seksueel misbruik .................................................................................................................. 92
Münchhausen by proxy (MBP) ................................................................................................ 92
Risicofactoren bij kinderen ..................................................................................................... 93
Risicofactoren bij ouders ........................................................................................................ 93
Achtergronden ....................................................................................................................... 93
Diagnose van mishandeling .................................................................................................... 93
Een medische diagnose? ......................................................................................................... 93
SIS: Shaken Infant Syndrome .................................................................................................. 94
Houding hulpverlener bij mishandeling ................................................................................... 95
Hulpverlener en mishandeling ................................................................................................ 95
Deontologie ........................................................................................................................... 96
Hulpverlening......................................................................................................................... 97
Vertrouwenscentra kindermishandeling (VK) in Vlaanderen .................................................... 97
Melden aan VK ....................................................................................................................... 97
Wat na een melding?.............................................................................................................. 98
VK als gemandateerde voorziening ......................................................................................... 98
Hulpverlening bij mishandeling ............................................................................................... 98
, Inleiding
Interne geneeskunde van het kind (0-18 jaar)
Onderscheid kind – volwassen:
Het Kind Volwassene
Groeistadia Geen groeistadia
Ontwikkelingsstadia Ontwikkeling?
Kind = geheel Deeldisciplines
Genetische factoren > omgevingsfactoren Genetische factoren < omgevingsfactoren
(ongewild)
1 ziektebeeld Sub - disciplines, meerdere ziektebeelden
Preventieve rol Supportieve rol
Verschillende groiestadia
Groeistadia Tijd
Embryo < 8 weken
Foetus Leefbaar vanaf 24 weken
Neonaat, pasgeborene (=newborn) < 1 maand
Zuigeling (= infant ) 1 maand – 12 maand (1 jaar)
Peuter (= toddler) 12 maand (1 jaar) – 36 maand (3 jaar)
Kleuter ( = early child) 3 jaar – 6 jaar
Kind ( = child) 6 jaar – 12 jaar
Puber, adolescent 12 jaar – 18 jaar
Volwassene 18 jaar –
Hoofstuk I
Groei
Definitie:
Groei is een vorm van maturatie die een toename van de afmetingen tot gevolg heeft tot
volwassen afmetingen bereikt zijn.
Er is een overlap met ontwikkeling, namelijk veranderingen in functie van een organisme ->
maturatie tot volwassen stadium.
Fysische groei en ontwikkeling:
Groei
Veranderingen lichaamsbouw
Intellectuele groei en ontwikkeling
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