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Spreekuurtoets

Levenscyclus, Heelkunde, Geneeskunde

QuestionAnswer
Man met mictieklachten DD: urineretentie, LUTS/aspecifieke mictieklachten, BPH, prostaatcarcinoom, uwi, blaascarcinoom, urethrastrictuur
Pijn in de flanken DD: uwi, pyelonefritis, niersteen, uretersteen, AKI/CKI, EUG, musculoskeletale pijn, nierinfarct
Urine incontinentie bij vrouwen DD: stress incontinentie, urge incontinentie, overloop incontinentie, reflex incontinentie, uwi
Plekje op de glans DD: condylomata acuminata, peniscarcinoom, m. Zoon, m. Querat, pearly penile papules, infectieuze balanitis, herpes genitalis
Zwelling in de balzak DD: testiscarcinoom, epididymitis, hernia inguinalis (beklemd), varicocele, hydrocele, spermatocele
Hematurie DD: urotheelcelcarcinoom, niercelcarcinoom, urolithiasis, uwi, soa, prostatitis
Hevig menstrueel bloedverlies DD: endometriumcarcinoom, uterus myomatosus, endometriose, stollingsafwijking, koperspiraal, medicatie, chlamydia, PID, poliepen
Pijnlijke menstruaties DD: primaire dysmenorroe, secundaire dysmenorroe (endometriose, uterus myomatosus, adenomyose), soa, PID
Contactbloedingen DD: cervixcarcinoom, poliep, ectropion, chlamydia, atrofie, dysplasie
Bloedverlies in het 3e trimester DD: uterien (abruptio placenta, placenta praevia, vasa previa, uterusruptuur, randvenebloeding), cervicaal (partus prematuris, cervicitis, maligniteit), vaginaal (varicosis, trauma, seksueel contact)
Koorts in het kraambed DD: mastitis, stuwing, longembolie, pneumonie, endometritis, geïnfecteerd episiotomie, uwi, DVT
Climacteriële klachten DD: hyperthyreoïdie, overmatig alcoholgebruik, climacterieel, medicatie, angst/paniekstoornis
Vaginale klachten DD: candida infectie, bacteriële vaginose, lichen sclerose, soa (chlamydia, gonorroe, trichomonas), eczeem
Onregelmatige cyclus DD: normale variatie, metorragie des vierges, overgang, soa, PCOS, ovariumcyste, hypothyreoïdie
Erectiele disfunctie DD: psychogeen, somatogeen, iatrogeen, mengvorm
Dyspareunie DD: vulvodynie, vaginitis, diepe dyspareunie, soa, atrofie, trauma, lichen sclerosis, bekkenbodem
Pijn bij het plassen (kind) DD: uwi, dysfunctional voiding, VUR, obstipatie
Hoesten (kind) DD: BLWI, acute bronchiolitis, pneumonie, astma, CF, corpus alienum
Hoofdpijn (kind) DD: spanningshoofdpijn, migraine, medicatie-abstinentie, hersentumor, meningitis
Zuigeling met geelzien DD: fysiologisch (dag 3-5 max., na 10 dagen weg), pathologisch (<24u of na week 2; prehepatisch, hepatisch, posthepatisch), borstvoedingafhankelijk
Zuigeling met spugen DD: pylorushypertrofie, gastro-enteritis, gastro-oesofageale reflux, sepsis, uwi, meningitis, overvoeding, coeliakie, koemelkeiwitallergie
Buikpijn (chronisch; kind) DD: functionele buikpijn, obstipatie, coeliakie, uwi, IBD, lactose intolerantie
Bedplassen DD: psychogeen, monosymptomatisch (bedplassen staat op zichzelf), non-monosymptomatisch (ook overdag), dysfunctional voiding, geringe blaascapaciteit, spina bifida
Vermoeidheid DD: psychisch, slaaptekort, chronische ziekte (astma, CF, etc.), post-infectieus, voedingsdeficiëntie (ijzer), SOLK, chronisch vermoeidheidssyndroom
Kind met koorts DD: BLWI, uwi, meningitis, dehydratie
Kind met vlekjes DD: waterpokken (varicella zoster), 5e ziekte (parvovirus B19), 6e ziekte (humaan herpes virus-6), meningococcensepsis
Kind met diarree DD: infectieus (gastro-enteritis), uwi, coeliakie, koemelkeiwitallergie, peuterdiarree
Created by: user-1993603
 

 



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