Summary

Samenvatting Kind en ontwikkeling; deel 1

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Kind en ontwikkeling 1 (1034GENGE3)

Institution
Universiteit Antwerpen (UA)

Samenvatting van het vak Kind en ontwikkeling 1. Ik ben naar alle lessen gegaan. Ik heb dit vak moeten opsplitsen in 3 documenten omdat het te groot was. In de voorbeeldpagina vind je een overzicht van de hoofdstukken in dit deel.

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Uploaded on February 9, 2025
Number of pages 192
Written in 2024/2025
Type Summary

kind ontwikkeling
anamnese
klinisch onderzoek
zuigeling
pasgeborene
geneeskunde
bachelor 3
embryologie
ontwikkeling zenuwstelsel
dysmorfologie
adaptatie na de geboorte
vaccinatie
embryologische ur
ua

Institution
Universiteit Antwerpen (UA)
Education
Geneeskunde
Course
Kind en ontwikkeling 1 (1034GENGE3)

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Kind en ontwikkeling volledig

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1. Summary - Casussen kind & ontwikkeling
2. Summary - Kind en ontwikkeling; deel 1
3. Summary - Kind en ontwikkeling: deel 2
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INHOUDSTAFEL
1° INLEIDING ........................................................................................................................................................ 4
INHOUDELIJK DOEL ....................................................................................................................................................... 4
2° ANAMNESE & KLINISCH ONDERZOEK ZUIGELING & KIND................................................................................... 5
ANAMNESE ................................................................................................................................................................. 5
LICHAMELIJK ONDERZOEK............................................................................................................................................... 7
DAARNA ................................................................................................................................................................... 13
BELANGRIJK .............................................................................................................................................................. 13
3° EMBRYOLOGIE & ONTWIKKELING ZENUWSTELSEL .......................................................................................... 14
ONTWIKKELING VAN HET BREIN ...................................................................................................................................... 14
ONTWIKKELINGSDOMEINEN .......................................................................................................................................... 16
ALGEMENE PRINCIPES ................................................................................................................................................. 20
ALARMSIGNALEN ....................................................................................................................................................... 20
OEFENVRAGEN .......................................................................................................................................................... 22
4° ADAPTATIE NA DE GEBOORTE ......................................................................................................................... 25
GEBOORTEGEWICHT & LENGTE ...................................................................................................................................... 25
DE GEBOORTE ........................................................................................................................................................... 27
TRANSITIE ................................................................................................................................................................ 30
TAKE HOME MESSAGES ............................................................................................................................................... 37
5° DYSMORFOLOGIE .......................................................................................................................................... 38
GENETICUS .............................................................................................................................................................. 38
TIJDSPAD VAN GENETISCHE COUNSELING .......................................................................................................................... 39
AANGEBOREN AFWIJKINGEN.......................................................................................................................................... 39
DYSMORFOLOGISCH ONDERZOEK .................................................................................................................................. 42
GENETISCHE TESTEN BIJ AANGEBOREN AFWIJKINGEN ........................................................................................................... 46
CASUS MILA.............................................................................................................................................................. 49
TAKE HOME MESSAGE .................................................................................................................................................. 50
6° VACCINATIES ................................................................................................................................................. 51
VACCINATIE SCHEMA VOOR KINDEREN ............................................................................................................................. 51
MOMENTEEL BESCHIKBARE VACCINS ............................................................................................................................... 52
EXANTHEMATEUZE ZIEKTES ........................................................................................................................................... 54
7° EMBRYOLOGIE UROGENITALE AFWIJKINGEN .................................................................................................. 61
NIEREN ................................................................................................................................................................... 61
LAGERE URINEWEGEN.................................................................................................................................................. 62
CONGENITALE AFWIJKINGEN ......................................................................................................................................... 63
8° FARMACODYNAMIEK PASGEBORENE .............................................................................................................. 68
FARMACOKINETIEK ..................................................................................................................................................... 68
FARMACODYNAMIEK ................................................................................................................................................... 73
PRENATALE EXPOSITIE MET EFFECT OP NEONATI .................................................................................................................. 73
WAAROM BEPAALDE MEDICATIE NIET BIJ KINDEREN? ............................................................................................................ 74
BESLUIT................................................................................................................................................................... 75
9° CIRCULATOIRE VERANDERINGEN & CONGENITALE HARTAANDOENINGEN ...................................................... 76
ETIOLOGIE................................................................................................................................................................ 76
EMBRYOLOGIE........................................................................................................................................................... 76
TIMING .................................................................................................................................................................... 78
KLINISCHE PRESENTATIE .............................................................................................................................................. 78
AANVULLEND ONDERZOEK............................................................................................................................................ 80
VOORNAAMSTE AFWIJKINGEN ........................................................................................................................................ 81
CONCLUSIES ............................................................................................................................................................ 90
10° ONTWIKKELING VAN DE NIERFUNCTIE .......................................................................................................... 91
RENALE DOORBLOEDING .............................................................................................................................................. 91
TUBULAIRE FUNCTIE .................................................................................................................................................... 93

, ZUURBASE REGELING .................................................................................................................................................. 94
GEVOLGEN VAN DE FYSIOLOGISCHE PROCESSEN ................................................................................................................ 95
11° ICTERUS VAN DE PASGEBORENE ................................................................................................................... 96
BILIRUBINE ............................................................................................................................................................... 96
INDIRECTE HYPERBILIRUBINEMIE .................................................................................................................................... 97
DIRECTE HYPERBILIRUBINEMIE ....................................................................................................................................... 99
CHOLESTASE ............................................................................................................................................................ 99
ALARMSIGNALEN BIJ ICTERUS NEONATORUM.................................................................................................................... 100
BEHANDELING ........................................................................................................................................................ 100
CONCLUSIE ............................................................................................................................................................ 101
12° EVALUATIE VAN ONTWIKKELING ................................................................................................................. 102
HOE? ................................................................................................................................................................... 102
FORMELE ONTWIKKELINGS SCREENING .......................................................................................................................... 102
FORMELE ONTWIKKELINGSTESTING (ASSESSMENT) ............................................................................................................ 104
13A° ANATOMIE & FYSIOLOGIE TRACTUS DIGESTIVUS ....................................................................................... 106
ONDERDELEN VAN DE TRACTUS DIGESTIVUS .................................................................................................................... 106
FUNCTIES MAAG-DARMKANAAL EN LEVER........................................................................................................................ 106
AANDOENINGEN LEVER.............................................................................................................................................. 111
CONCLUSIE ............................................................................................................................................................ 112
13B° GI-KINDERCHIRURGIE .............................................................................................................................. 113
EMBRYOLOGIE......................................................................................................................................................... 113
BUIKWAND DEFECTEN ............................................................................................................................................... 113
ANDERE BUIKWANDDEFECTEN ..................................................................................................................................... 114
AFWIJKINGEN GI-STELSEL .......................................................................................................................................... 116
14° SEMIOLOGIE GI-STELSEL NEONAAT ............................................................................................................. 128
GI SYMPTOMEN NEONAAT........................................................................................................................................... 128
BRAKEN ................................................................................................................................................................. 128
BLOED .................................................................................................................................................................. 131
GEEN STOELGANG IN DE EERSTE DAGEN ......................................................................................................................... 132
STARTPUNT GASTROINTESTINAAL ONDERZOEK.................................................................................................................. 132
DISTALE OBSTRUCTIE ................................................................................................................................................ 135
15° GROEI ........................................................................................................................................................ 137
GROEI ................................................................................................................................................................... 137
REGULATIE VAN DE GROEI POSTNATAAL .......................................................................................................................... 139
EVALUATIE VAN DE GROEI (KLINISCH EINDEXAMEN!!).......................................................................................................... 141
OORZAKEN KLEIN GESTALTE ........................................................................................................................................ 143
GROOT GESTALTE: OORZAKEN ..................................................................................................................................... 147
BEHANDELING GROTE GESTALTE ......................................................................................................................... 149
16A° VOCHT- DEHYDRATATIE – GASTROENTERITIS ............................................................................................ 150
WATER/ VOCHT ....................................................................................................................................................... 150
BEOORDELING HYDRATATIETOESTAND !!......................................................................................................................... 151
VORMEN VAN DEHYDRATATIE ....................................................................................................................................... 152
ACUTE GASTROENTERITIS ........................................................................................................................................... 152
PRESISTERENDE DIARREE (CHRONISCH) ......................................................................................................................... 155
16B° BORSTVOEDING ....................................................................................................................................... 158
ANATOMIE VAN DE BORST ........................................................................................................................................... 158
FYSIOLOGIE VAN DE LACTATIE ...................................................................................................................................... 158
BEGELEIDEN VAN DE BORSTVOEDING............................................................................................................................. 158
PROBLEMEN MET DE BORSTVOEDING ............................................................................................................................. 159
VOORDELEN VAN DE BORSTVOEDING VOOR MOEDER EN KIND .............................................................................................. 161
COMPLICATIES VAN BORSTVOERING .............................................................................................................................. 162
OVERIGE ASPECTEN .................................................................................................................................................. 162
17° VOEDING VAN HET GEZONDE KIND ............................................................................................................ 165
FLESVOEDING ......................................................................................................................................................... 165

, DIVERSIFICATIE........................................................................................................................................................ 167
VOEDING BIJ PEUTERS & KLEUTERS ............................................................................................................................... 169
PEUTERDIARREE ...................................................................................................................................................... 172
VOEDING BIJ LAGERE SCHOOLKINDEREN ........................................................................................................................ 173
VOEDING BIJ ADOLESCENTEN ...................................................................................................................................... 173
18° ABNORMALE ONTWIKKELING ...................................................................................................................... 174
ABNORMALE ONTWIKKELING ....................................................................................................................................... 174
EVALUATIE & BENADERING KIND MET VERTRAAGDE ONTWIKKELING ........................................................................................ 175
COGNITIE: INTELLIGENTIE ........................................................................................................................................... 179
MOTORISCHE ONWIKKELING ....................................................................................................................................... 179
SPRAAK- EN TAALONTWIKKELING .................................................................................................................................. 182
SOCIAAL-EMITIONELE ONTWIKKELING & GEDRAG .............................................................................................................. 182
SCHOOLSE VAARDIGHEDEN ........................................................................................................................................ 184
SLAAPSTOORNISSEN ....................................................................................................................................... 185
INLEIDING .............................................................................................................................................................. 185
CASUISTIEK ............................................................................................................................................................ 185
WIGGEDOOD = SIDS ................................................................................................................................................ 190
LEERDOELEN .......................................................................................................................................................... 192

, 1° INLEIDING
INHOUDELIJK DOEL
Fysiologie en Pathofysiologie van het zich ontwikkelende kind
✓ Aanpassingen ah extra-uteriene leven
✓ Postnatale zorg en preventie
✓ Ontwikkelingsfysiologie
✓ neuromotoor en cognitief
✓ voeding
✓ groei en puberteit
✓ zindelijkheid

Toch al wat dokteren
- Aanpassingsproblemen: icterus
- Abnormale ontwikkeling herkennen
- Pathologie hogere luchtwegen
- Exantheemziekten en vaccinatieschema
- Aangeboren afwijkingen: hart, nieren, GIT en hun presentatie (anamnese en KO)
- Voedingsproblemen en gastroenteritis
- Groeistoornissen
- Urineweginfecties en zindelijkheid

Doelstellingen = praktisch toepassen !

In pediatrie: pasgeborenen is tot 4 weken

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