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Samenvatting Metabolism & Hormones 2 - Andrologie
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Lessen: ppts + notities verwerkt - hypogonadisme man - hypogonadisme vrouw - gynaecomastie - hirsutisme
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METABOLISM & HORMONES 2Andrologie
1
,Table of Contents
1 Hypogonadisme man.................................................................................................................................. 4
Kliniek....................................................................................................................................................................4
Diagnostiek...........................................................................................................................................................4
Oorzaken...............................................................................................................................................................5
Hypogonodatroof hypogonadisme (secundair)....................................................................................................5
Kallmann syndroom en IHH..............................................................................................................................5
Verworven hypogonodatroop hypogonadisme................................................................................................7
Hypergonodatroof hypogonadisme......................................................................................................................7
Klinefelter.........................................................................................................................................................7
Anorchie............................................................................................................................................................8
Anabole steroïden............................................................................................................................................8
2 Hypogonadisme vrouw............................................................................................................................... 9
Menstruele cyclus.................................................................................................................................................9
Oestrogenen.........................................................................................................................................................9
Oorzaken.............................................................................................................................................................10
Hypogonodatroof hypogonadisme (secundair)..................................................................................................10
Hypergonodatroof hypogonadisme...................................................................................................................10
Turner syndroom............................................................................................................................................11
3 Gynaecomastie......................................................................................................................................... 12
Definitie..............................................................................................................................................................12
Epidemiologie.....................................................................................................................................................12
Differentiaaldiagnose.........................................................................................................................................12
Klinisch onderzoek..............................................................................................................................................12
Verdere onderzoeken..........................................................................................................................................12
Fysiologische gynaecomastie.............................................................................................................................12
Pathofysiologie...................................................................................................................................................13
Oorzaken pathologische gynaecomastie............................................................................................................14
Behandeling........................................................................................................................................................14
4 Hirsutisme................................................................................................................................................. 16
Definitie..............................................................................................................................................................16
Fysiopathologie...................................................................................................................................................16
Diagnose.............................................................................................................................................................16
Kliniek.............................................................................................................................................................16
Epidemiologie.................................................................................................................................................17
Oorzaken.............................................................................................................................................................17
PCOS...............................................................................................................................................................17
2
, Androgeen-secreterende ovariumtumoren...................................................................................................18
Androgeen-secreterende bijniertumoren......................................................................................................18
Non-klassieke congenitale adrenale hyperplasie...........................................................................................19
Congenitale adrenale hyperplasie..................................................................................................................19
Idiopathisch hirsutisme..................................................................................................................................19
Evaluatie.............................................................................................................................................................19
Behandeling........................................................................................................................................................19
3
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