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Samenvatting Vrouw als vrouw 2

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  • Course
  • Vroedkunde / verloskunde
  • Institution
  • Artesis Plantijn Antwerpen

Alle stof voor Vrouw als Vrouw 2 (collegeaantekeingen, extra info, alle te kennen stof voor examen). Inhoud: Pathologie 5 Cardiovasculair stelsel 5 1. ANAMNESE 5 2. KLINISCH ONDERZOEK 5 3. TECHNISCH ONDERZOEK 6 4. ATHEROMATOSE / ARTHERIOSCLEROSE 7 5. ANGINA PECTORIS – MYOCARD INFARCT 8 6. RITME...

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Document information

  • August 25, 2020
  • 141
  • 2020/2021
  • Summary

Subjects

  • vrouw als vrouw
  • gynaecologie
  • seksuologie

Written for

  • Artesis Plantijn Antwerpen
  • Verloskunde / Vroedkunde
  • Vroedkunde / verloskunde
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By: annabelhorst • 3 year ago

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Vrouw als vrouw 2
Inhoud
Pathologie ......................................................................................................................................................................... 5
Cardiovasculair stelsel ........................................................................................................................................................... 5
1. ANAMNESE ................................................................................................................................................................... 5
2. KLINISCH ONDERZOEK .................................................................................................................................................. 5
3. TECHNISCH ONDERZOEK............................................................................................................................................... 6
4. ATHEROMATOSE / ARTHERIOSCLEROSE ....................................................................................................................... 7
5. ANGINA PECTORIS – MYOCARD INFARCT ..................................................................................................................... 8
6. RITME- en GELEIDINGSSTOORNISSEN........................................................................................................................... 9
7. HARTFALEN ................................................................................................................................................................. 10
8. KLEPAFWIJKINGEN ...................................................................................................................................................... 10
9. ENDOCARDITIS ............................................................................................................................................................ 11
10. SHOCK ....................................................................................................................................................................... 11
11. HYPERTENSIE ............................................................................................................................................................ 13
12. HYPOTENSIE .............................................................................................................................................................. 13
13. PERIFERE VAATZIEKTEN ............................................................................................................................................ 13
14. PATHOLOGIE ADERS en LYMFEVATEN ...................................................................................................................... 14
Gastro-eneterologie (lever en galpathologie) ..................................................................................................................... 17
1. INLEIDING ................................................................................................................................................................... 17
2. TEKENS en SYMPTOMEN ............................................................................................................................................ 18
3. diagnostiek.................................................................................................................................................................. 19
4. cirrose en steatose...................................................................................................................................................... 20
5. HEPATITIS.................................................................................................................................................................... 21
6. LEVERTUMOREN ......................................................................................................................................................... 23
Urologie ............................................................................................................................................................................... 25
1. TERMINOLOGIE ........................................................................................................................................................... 26
2. nierinsufficiëntie ......................................................................................................................................................... 27
3. NEFRITIS ...................................................................................................................................................................... 29
4. URINEWEGINFECTIES .................................................................................................................................................. 30
5. urinewegobstructie..................................................................................................................................................... 31
6. URINE - INCONTINENTIE ............................................................................................................................................. 31
Immunologie ....................................................................................................................................................................... 33
1. ONDERDELEN AFWEERSYSTEEM................................................................................................................................. 33
2. AUTO-IMMUNE ZIEKTEN............................................................................................................................................. 37
3. IMMUNODEFFICIËNTIE ............................................................................................................................................... 38
4. ALLERGISCHE REACTIES .............................................................................................................................................. 39
Pneumologie........................................................................................................................................................................ 41
1. Terminologie symptomen ........................................................................................................................................... 41
2. Technische onderzoeken ............................................................................................................................................ 44
3. LONGEMBOLIE ............................................................................................................................................................ 46

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, 4. ACUTE BRONCHITIS..................................................................................................................................................... 47
5. ATELECTASE ................................................................................................................................................................ 47
6. ASTMA ........................................................................................................................................................................ 48
7. CHRONISCH OBSTRUCTIEVE LONGZIEKTE ................................................................................................................... 49
8. PNEUMONIE ............................................................................................................................................................... 50
9. MUCOVISCIDOSE ........................................................................................................................................................ 51
10. LONGTUMOREN........................................................................................................................................................ 52
Onderzoek menopauze databank .................................................................................................................................... 53
Gynaecologie ................................................................................................................................................................... 57
Hoofdstuk 1 Symptomen en onderzoeken in de gynaecologie ........................................................................................... 57
1.1 Gynaecologisch jargon .............................................................................................................................................. 57
1.2 Anamnese ................................................................................................................................................................. 57
1.3 De klachten ............................................................................................................................................................... 58
1.4 De reproductieve anamnese (p32) ........................................................................................................................... 58
1.5 Het gynaecologisch onderzoek ................................................................................................................................. 59
1.6 Synthese van de klachten en bevindingen van het onderzoek ................................................................................. 60
1.7 Diagnostische middelen ............................................................................................................................................ 60
Hoofdstuk 2 : Goedaardige aandoeningen van de vulva, vagina en cervix (p43) ................................................................ 61
2.2 Topografische afwijkingen ........................................................................................................................................ 62
2.3 Vulvaire infecties ...................................................................................................................................................... 62
2.4 Dermatosen .............................................................................................................................................................. 64
2.5 Pigmentafwijkingen .................................................................................................................................................. 64
2.6 Vaginale afwijkingen ................................................................................................................................................. 64
2.7 Goedaardige afwijkingen van de cervix uteri ............................................................................................................ 64
Hoofdstuk 3 Vaginale infecties en fluor vaginalis (p59) ....................................................................................................... 65
3.1 Fysiologische veranderingen van het vaginale secreet ............................................................................................. 65
3.4 Oorzaken van fysiologische fluor vaginalis ............................................................................................................... 65
Gynaecologische infecties .............................................................................................................................................. 65
3.5 Abnormale vaginale fluor ......................................................................................................................................... 66
Hoofdstuk 4 Gynaecologische infecties ............................................................................................................................... 67
4.1 Seksueel overdraagbare aandoeningen .................................................................................................................... 67
4.3 Pelvische infecties (PID) ............................................................................................................................................ 70
Hoofdstuk 5 Goedaardige tumoren van de uterus en adnexen (p77) ................................................................................. 70
5.1 Inleiding .................................................................................................................................................................... 70
5.2 Klinisch onderzoek .................................................................................................................................................... 71
5.3 Differentiële diagnostiek (DD) .................................................................................................................................. 71
Benigne massa’s Uterus .................................................................................................................................................. 71
Benigne massa’s tubae ................................................................................................................................................... 73
Benigne massa’s van de adnexen ................................................................................................................................... 73
Hoofdstuk 6 : menstruatiestoornissen / cyclusstoornissen ................................................................................................. 75
6.1 Terminologie ............................................................................................................................................................. 75



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, 6.2 Differentiaaldiagnose................................................................................................................................................ 76
6.3 Onderzoek bij menstruatiestoornissen ..................................................................................................................... 77
Hypo-menorroe .............................................................................................................................................................. 77
menorhagie / Hyper-menorroe ...................................................................................................................................... 77
Metrorragie .................................................................................................................................................................... 78
6.7 Dysmenorroe ............................................................................................................................................................ 78
6.8 Premenstrueel syndroom ......................................................................................................................................... 78
6.10 menopauzale transitie en de postmenopauze........................................................................................................ 79
Hoofdstuk 7 : Endometriose ................................................................................................................................................ 81
7.1 Definitie .................................................................................................................................................................... 81
7.2 Pathogenese van endometriose ............................................................................................................................... 81
7.3 Prevalentie van endometriose .................................................................................................................................. 81
7.4 Symptomen............................................................................................................................................................... 81
7.5 Diagnose van endometriose ..................................................................................................................................... 81
7.6 Behandeling .............................................................................................................................................................. 82
7.7 Evolutie ..................................................................................................................................................................... 82
Hoofdstuk 8 Buikpijn ........................................................................................................................................................... 82
Gynaecologische acute buik ........................................................................................................................................... 82
Chronische buikpijn ........................................................................................................................................................ 83
Hoofdstuk 9 : Uterovaginale prolapsus en urogynaecologische afwijking .......................................................................... 84
Bekkenbodem ................................................................................................................................................................. 84
Verschillende soorten prolapsus .................................................................................................................................... 84
Incontinentie .................................................................................................................................................................. 86
Hoofdstuk 10: Pediatrische gynaecologie ........................................................................................................................... 88
Hoofdstuk 11: Premaligne en maligne aandoeningen van de vulva en vagina.................................................................... 89
11.1 Premaligne en maligne aandoeningen van de Vulva .............................................................................................. 89
11.2 Premaligne en maligne aandoeningen van de vagina ............................................................................................. 89
Hoofdstuk 12 : premaligne en maligne aandoeningen van de cervix .................................................................................. 90
12.1 Etiopathologie......................................................................................................................................................... 90
12.2 Preventie van baarmoederhalskanker .................................................................................................................... 90
12.3 Premaligne aandoeningen cervix ............................................................................................................................ 90
12.4 cervixcarcinoom...................................................................................................................................................... 91
Hoofdstuk 13 : Premaligne en maligne aandoeningen van het endometrium .................................................................... 91
Hoofdstuk 14. Borderline tumoren van het ovarium, Ovariumcarcinoom en tubacarcinoom ............................................ 91
Borderline tumoren van het ovarium ............................................................................................................................. 91
Tubacarcinoom ............................................................................................................................................................... 92
Ovariumcarcinoom ......................................................................................................................................................... 92
Hoofdstuk 15. Trofoblasttumoren ....................................................................................................................................... 92
Complete mola ............................................................................................................................................................... 92
Partiele mola................................................................................................................................................................... 93
Persisterende trofoblast (PTD) ....................................................................................................................................... 93



3

, Hoofdstuk 17. Gynaecologische ingrepen ........................................................................................................................... 94
Cervix .............................................................................................................................................................................. 94
Uterus ............................................................................................................................................................................. 94
Bekkenbodemchirurgie................................................................................................................................................... 94
Hoofdstuk 21 senologie ....................................................................................................................................................... 95
Benigne borstpathologieen ............................................................................................................................................ 95
Maligne borstafwijkingen ............................................................................................................................................... 96
Voeding ........................................................................................................................................................................... 98
Algemene begrippen ........................................................................................................................................................... 98
Hart- en vaatziekten ............................................................................................................................................................ 99
Maag- darmkanaal............................................................................................................................................................. 104
Voeding bij kanker ............................................................................................................................................................. 109
Ondervoeding .................................................................................................................................................................... 113
Obesitas ............................................................................................................................................................................. 117
Het operatiekwartier ..................................................................................................................................................... 123
Seksuele disfunctie ........................................................................................................................................................ 129
INLEIDING ..................................................................................................................................................................... 129
DIAGNOSTIEK ................................................................................................................................................................ 131
OORZAKEN .................................................................................................................................................................... 132
INDICATIESTELLING....................................................................................................................................................... 132
ALGEMEEN OVERZICHT................................................................................................................................................. 133



3. Pathologie, zorg & begeleiding
o De student beschrijft de gynaecologische aandoeningen van vulva, vagina, cervix en uterus.
o De student beschrijft en herkent de symptomen en pathologische tekenen van de volgende stelsels; cardio-
vasculair, gastro-enterologisch, urologisch, immunologisch en pneumologisch stelsel)
o De student definieert de basisbeginselen van de klinische infectiologie.
o De student definieert de oorzaken, kenmerken en risicofactoren van een pathologische menopauze
o De student formuleert aandachtspunten en basisprincipes bij het assisteren van gynaecologische onderzoeken en
ingrepen.
o De student formuleert concrete- levensstijl en voedingsadviezen in pathologische toestanden: hart-vaat ziekten,
obesitas, kanker en ondervoeding
o De student geeft weer hoe een speculum geplaatst wordt i.f.v. het afnemen van stalen voor onderzoek.
o De student herkent de gynaecologische aandoeningen van vulva, vagina, cervix en uterus met inbegrip van
symptomen, oorzaken en gevolgen
o De student identificeert de verschillende pathologische aandoeningen van de borst
o De student legt de algemene begrippen m.b.t. de pathologie van de mens uit
o De student legt het verloop van het borstonderzoek uit met aandacht voor de beleving van de patiënt.
o De student past de aandachtspunten en principes van de complexe wondzorg toe op een praktijkgerichte casus
o De student verklaart de werking en toepassing van diagnostische middelen binnen de pathologie.
o De student verklaart voedingsbehoeften en afwijkingen in het kader van pathologische toestanden: hart- en
vaatziekten, obesitas, kanker en ondervoeding

4. Psychosociale context
o De student beschrijft en herkent de symptomen en tekenen van seksuele dysfuncties

10. Evidence-based zorg
o De student interpreteert en rapporteert de verkregen onderzoeksresultaten.
o De student past de basisprincipes van de beschrijvende statistiek toe.




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