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Samenvatting Semiologie thoracale endoscopie $4.92   Add to cart

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Samenvatting Semiologie thoracale endoscopie

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Samenvatting Semiologie thoracale endoscopie, gegeven door Prof Dooms

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  • July 31, 2024
  • 4
  • 2023/2024
  • Summary
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Semiologie van thoracale endoscopie
Endobronchiale semiologie
= verandering van normale functie en/of morfologie herkennen
 stellen van zekerheidsdiagnose na integratie in klinische context

Diagnostische bronchoscopie
Larynx
- Obstructief longlijden: overdreven glottis adductie bij expiratie
o COPD, astma
- Vocal cord dysfunctie: glottis adductie bij inspiratie
- Gastro-oesofagale reflux: eryhtreem/oedeem mucosae ts arythenoiden
- Tumor
o Benigne: papilloom -hemangioom – chondroom - lipoom
o Maligne: spinocellulair carcinoom
- Neurologische aandoeningen met parese/paralyse stemband(en)
- Inflammatoire aandoening +/- autoimmuun stoornis
- Infectie : oedeem, erytheem, ulceratie (vb tuberculose)
- idiopathische subglottis tracheastenose

Tracheobronchiale boom
- Inhoud LW:
o weinig en translucent vocht (normaal)
o Overvloedig mat muceus vocht (mucineus adenocarcinoom)
o overvloedig rozig schuim (longoedeem)
o overvloedig opaak vocht (alveolaire proteïnose)
o beperkte heldere kleverige secreties (asthma bronchiale)
o matige grijsbruine viskeuze secreties (chronische bronchitis)
o overvloedig etterige secreties (bacteriële infectie)
o bloederig vocht of vers bloed (inflammatie, maligne tumor)
- kleur mucosa:
o Normaal= rozig glanzend glad, witte kraakbeenringen, kleine bloedvaatjes
- Diffuus wit-rode/donkerrood door vasculaire congestie
o Bloedvaatjes niet meer afzonderlijk te herkennen (oedeem)
o Inflammatoire reactie tgv infectie, toxische agentia, …
- gezwollen witte mucosa (oedeem >> vaatjes) : asthma
- dunne witte mucosa met zichtbare klierbuizen : chronische bronchitis

Integriteit mucosa
Focaal vs uitgebreid  lumen normaal vs vernauwd
- uitgebreid oedeem en vaattekening mucosae: bronchitis
- uitgebreide mucosale ulceratie: vb. sarcoidose, infectie
- focale reactieve aanwas of granulatieweefsel: vreemd lichaam
- focale doorbraak lymfeklier: anthracosilicose, TBC
- focale mucosale ulceratie, polipoide structuur, … : maligne letsel

Ziekteaantasting in omringende structuren
Indirecte tekenen :

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