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methodisch handelen anemie
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methodisch handelen bij anemie - differentiaaldiagnose - oorzaken - lichamelijk onderzoek - aanvullend onderzoek - beleid/behandeling
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DD MoeheidFysiologisc Somatisch Psychisch Sociaal Overig onverklaard
h
Zwangerschap Depressie Relatie of Bijwerkingen Symptoomdiagnose
Overwerkt Infectie Hart- Angststoornis gezinsprobleme medicamente ‘moeheid’
Extreme fysieke of En Gastro- Bewegings Hematologisch Tekort Neuro Surmeage n n Chronisch
inspanning viraal bacterieel Longziekte intestinaa apparaat oncologisch hormonaal metabool nutriënten musculair. Middelengebrui Werkproblemen vermoeidheidsyndroo
jetlag l k stressreacties m
somatisatie
LWI Tuberculose Dec.cordis IBD Fibromyalgi Lymfoproliferatiev DM Hypercalciemi Ijzergebre Myasthena
Hepatiti Endocarditi COPD e e aandoening Hypo/ e k gravis
s s Pulmonale Polymyalgia Ernstige anemie hyper Nierinsuff Vit D Polyneuropathi
HIV m. Lyme hypertensi rheumatica Uitgezaaide Ca Thyreoidie leverinsuff Vit B e
e Reumatoide m. Addison MS
artritis M.Cushing m. Parkinson
, DD anemie
Verminderde aanmaak Verhoogde afbraak verlies
Gebrek aan; IJzer, foliumzuur, vitamine B12 Thalassemie Bloedverlies tractus digestivus
Nierinsufficiëntie Sikkelcelanemie - Tumor
Chronische ziekte Malaria - Ulcus
Myelodysplastisch syndroom Auto-immuunhemolyse - Angiodysplasie
Leukemie Bloedtransfusie hypermenorroe
Maligne lymfoom Mechanische destructie (hartklepprothese)
Ziekte van Kahler hypersplenisme
Beenmergmetastasen
Red cell aplasia
Alcoholgebruik
hypothyreoïdie
Discriminerende vragen anemie:
Verhoogde afbraak:
Harklepprothese in VG (hemolyse door kunstklep)
Verminderde aanmaak/opname:
dieet? Veganisme? Eetlustverlies? Crohn? (Deficiente voedselinname, B12 Malabsorptie)
bloedingen of infecties? ( aanwijzingen voor beenmergfalen)
botpijn? (mergexpansie bij beenmergziekte)
Verlies:
Melena, gebruik NSAID, bloedbraken ( bloeding tractus digestivus)
Meer discriminerende vragen a.d.h.v. volgende DD Pagina
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