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Samenvatting deel 1 keuzedeel paardenkliniek
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In deze samenvatting staat alle theorie beschreven die wij moesten leren voor de toets van het eerste deel van het keuzedeel paardenkliniek.
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KeuzedeelPaardenkliniek
PAR – V4B
Samenvatting | Deel 1
Lotte Houtepen & Roos Egberts
,Inhoud
Module 1. Anatomie en het skelet.........................................................................................................7
Module 2. Kreupelheidsonderzoek......................................................................................................11
Module 3. Hoefaandoeningen.............................................................................................................18
Module 4. Gewrichtsaandoeningen.....................................................................................................27
Artritis Itis – ontsteking van een gewricht...................................................................................27
J D = Degenerative Joint Disease..................................................................................27
Artrose D
OC(D) Osteochondrose, Osteochondrosis Dissecans...................................................................27
Artritis...........................................................................................................................................27
Septisch (met bacteriën):..............................................................................................................27
1. verwonding...............................................................................................................................27
2. bloed Infectie............................................................................................................................27
3. dierenarts.................................................................................................................................27
A - septisch (zonder bacteriën):....................................................................................................27
1. verrekking +..............................................................................................................................27
2. verstuiking ++ Trauma..............................................................................................................27
3. uit de kom +++.........................................................................................................................27
Septische artritis...........................................................................................................................27
Verschijnselen...............................................................................................................................27
overvuld (doorbreken naar buiten >> pus, septisch!)...................................................................27
warm............................................................................................................................................27
pijnlijk...........................................................................................................................................27
kreupelheid...................................................................................................................................27
Therapie:.......................................................................................................................................27
Spoelen gewricht met fysiologische zoutoplossing.......................................................................27
AB in gewricht...............................................................................................................................27
AB in spier, bloedvat of oraal........................................................................................................27
Pijnstillers / ontstekingsremmers.................................................................................................27
Verband........................................................................................................................................27
RUST.............................................................................................................................................27
Prognose:......................................................................................................................................27
Matig............................................................................................................................................27
Veulenziekte (poly – artritis).........................................................................................................28
- Navel of darm >> bloed >> gewrichten (darm / longproblemen)...............................................28
Therapie……..................................................................................................................................28
1
,Preventie:.....................................................................................................................................28
Ontsmetten navel.........................................................................................................................28
Biest..............................................................................................................................................28
Stal hygiëne..................................................................................................................................28
A septische artritis (zonder bacteriën)..........................................................................................28
Ernst van beschadiging wordt bepaald door................................................................................28
mate van trauma:.........................................................................................................................28
A. verrekking +..............................................................................................................................28
B. verstuiking ++...........................................................................................................................28
C. uit de kom +++..........................................................................................................................28
......................................................................................................................................................28
Beschadiging van diverse gewrichtsstructuren.............................................................................28
Kapsel...........................................................................................................................................28
Banden.........................................................................................................................................28
Kraakbeen.....................................................................................................................................28
( bot, spieren, bloedvaten, zenuwen )..........................................................................................28
Varieert van licht oprekken tot complete verscheuring...............................................................28
In principe in alle gewrichten voorkomen meest in koot, kroon en hoefgewricht.......................28
Verschijnselen (afh. van de ernst):...............................................................................................29
overvulling....................................................................................................................................29
warm?...........................................................................................................................................29
pijnlijkheid?..................................................................................................................................29
Kreupelheid; vaak plots tijdens/na het werk ‘verstappen’...........................................................29
Diagnose: ……….............................................................................................................................29
Therapie:.......................................................................................................................................29
Koeling acute fase........................................................................................................................29
RUST.............................................................................................................................................29
Pijnstillers / ontstekingsremmers.................................................................................................29
Steunverband...............................................................................................................................29
Stappen.........................................................................................................................................29
Vaak na 2-4 dagen geen verschijnselen........................................................................................29
meer,............................................................................................................................................29
Beste om na ca 10 – 14 dagen van stap >> draf >> normaal werk................................................29
Atrose...........................................................................................................................................29
Degeneratie = afname weefsel in hoeveelheid en kwaliteit.........................................................29
2
, - duidelijk gevolgen voor het functioneren van het kraakbeenweefsel >> afname schokdemping
......................................................................................................................................................29
Joint = gewricht............................................................................................................................29
Disease = ziekte / aandoening......................................................................................................29
Gewrichtsslijtage, een chronische degeneratieve aandoening.....................................................29
Kraakbeen is opgebouwd uit kraakbeencellen (chondrocyten) die in een kraakbeen matrix
liggen............................................................................................................................................29
Kraakbeen matrix wordt aangemaakt door de kraakbeencellen zelf en bestaat uit.....................29
Collageen (bindweefselvezels) die als een soort netje alles bij elkaar houden.............................29
Proteoglycanen en water maken het kraakbeen veerkrachtig.....................................................29
Chronische gewrichtsaandoening.................................................................................................30
In 1e instantie aantasting van het kraakbeen (degeneratie)........................................................30
In 2e instantie gevolgen voor onderliggend botweefsel (m.n. gewrichtsranden) en weke delen
(kapsels / banden) gewricht.........................................................................................................30
Oorzaken artrose..........................................................................................................................30
Overbelasting................................................................................................................................30
Afwijkende beenstand..................................................................................................................30
Gewrichtsinfecties........................................................................................................................30
Breuken........................................................................................................................................30
Ouderdom....................................................................................................................................30
Veranderingen gewricht:..............................................................................................................30
Botnieuwvorming gewrichtsranden ( intra art/caps) > haken of punten.....................................30
Verdikkingen aan kapsels / banden..............................................................................................30
(Subchondraal bot: atrofie, cysten)...............................................................................................30
Gevolgen voor gewricht................................................................................................................30
Pijn bij beweging...........................................................................................................................30
Bewegingsbeperking / gewrichtsstijfheid.....................................................................................30
Verschijnselen:.............................................................................................................................30
Overvulling gewricht.....................................................................................................................30
Wisselende kreupelheid...............................................................................................................30
Startkreupelheid !.........................................................................................................................30
(NB; röntgenopname >> vernauwde gewrichtsspleet...................................................................30
Voorkeursplaatsen artrose...........................................................................................................30
Spat:..............................................................................................................................................30
Sprong..........................................................................................................................................30
2 distale rij tarsaalbeentjes !! mediale zijde.................................................................................30
3
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