HART- EN VAATPATHOLOGIE
9. CASUSWEEK
Inhoudsopgave
DINSDAGNAMIDDAG: TOM ADRIAENSENS........................................................3
ALGEMENE AANPAK BIJ CARDIALE URGENTIES..............................................................................3
CASUS 1 – OBSTRUCTIEVE SHOCK BIJ ZWANGERE VROUW...........................................................3
Klinische presentatie.................................................................................................... 3
ECG.............................................................................................................................. 3
Probleemlijst................................................................................................................ 4
Differentiaaldiagnose (gestructureerd)........................................................................4
RX thorax – interpretatie.............................................................................................. 4
Echo-cardiografie......................................................................................................... 4
Pathofysiologie harttamponade....................................................................................5
Eerste behandeling...................................................................................................... 6
Verdere evolutie........................................................................................................... 6
CT thorax..................................................................................................................... 6
Diagnose...................................................................................................................... 6
Behandeling................................................................................................................. 6
Kernboodschap casus 1................................................................................................ 6
CASUS 2 – CARDIOGENE SHOCK NA REANIMATIE.......................................................................7
Klinische presentatie.................................................................................................... 7
Labo............................................................................................................................. 7
ECG.............................................................................................................................. 7
Diagnose...................................................................................................................... 7
Beleid........................................................................................................................... 7
Verdere evolutie........................................................................................................... 8
Echo............................................................................................................................. 8
Beslissing..................................................................................................................... 8
SHOCKTYPES – EXAMENSAMENVATTING..........................................................................8
TAKE-HOME MESSAGES (‼️EXAMEN!)...............................................................................8
WOENSDAGVOORMIDDAG: INGE FOURNEAU.....................................................9
WAT MOET JE ABSOLUUT ONTHOUDEN (EXAMEN!)....................................................................9
CASUS 1 – ACUTE ISCHEMIE VAN HET BEEN.............................................................................9
Klinische presentatie.................................................................................................... 9
Gerichte anamnese (wat is essentieel?).......................................................................9
Klinisch onderzoek..................................................................................................... 10
Diagnose.................................................................................................................... 10
Beleid......................................................................................................................... 10
Nabehandeling........................................................................................................... 11
CASUS 2 – ACUTE MESENTERIËLE ISCHEMIE...........................................................................11
, Klinische presentatie..................................................................................................11
Differentiaaldiagnose.................................................................................................11
Klinisch onderzoek..................................................................................................... 11
Eerste onderzoeken.................................................................................................... 12
Beeldvorming............................................................................................................. 12
Diagnose.................................................................................................................... 12
Behandeling............................................................................................................... 12
Nabehandeling........................................................................................................... 12
SAMENVATTEND SCHEMA (EXAMEN!)...................................................................................13
TAKE-HOME MESSAGES................................................................................................. 13
9. CASUSWEEK
Inhoudsopgave
DINSDAGNAMIDDAG: TOM ADRIAENSENS........................................................3
ALGEMENE AANPAK BIJ CARDIALE URGENTIES..............................................................................3
CASUS 1 – OBSTRUCTIEVE SHOCK BIJ ZWANGERE VROUW...........................................................3
Klinische presentatie.................................................................................................... 3
ECG.............................................................................................................................. 3
Probleemlijst................................................................................................................ 4
Differentiaaldiagnose (gestructureerd)........................................................................4
RX thorax – interpretatie.............................................................................................. 4
Echo-cardiografie......................................................................................................... 4
Pathofysiologie harttamponade....................................................................................5
Eerste behandeling...................................................................................................... 6
Verdere evolutie........................................................................................................... 6
CT thorax..................................................................................................................... 6
Diagnose...................................................................................................................... 6
Behandeling................................................................................................................. 6
Kernboodschap casus 1................................................................................................ 6
CASUS 2 – CARDIOGENE SHOCK NA REANIMATIE.......................................................................7
Klinische presentatie.................................................................................................... 7
Labo............................................................................................................................. 7
ECG.............................................................................................................................. 7
Diagnose...................................................................................................................... 7
Beleid........................................................................................................................... 7
Verdere evolutie........................................................................................................... 8
Echo............................................................................................................................. 8
Beslissing..................................................................................................................... 8
SHOCKTYPES – EXAMENSAMENVATTING..........................................................................8
TAKE-HOME MESSAGES (‼️EXAMEN!)...............................................................................8
WOENSDAGVOORMIDDAG: INGE FOURNEAU.....................................................9
WAT MOET JE ABSOLUUT ONTHOUDEN (EXAMEN!)....................................................................9
CASUS 1 – ACUTE ISCHEMIE VAN HET BEEN.............................................................................9
Klinische presentatie.................................................................................................... 9
Gerichte anamnese (wat is essentieel?).......................................................................9
Klinisch onderzoek..................................................................................................... 10
Diagnose.................................................................................................................... 10
Beleid......................................................................................................................... 10
Nabehandeling........................................................................................................... 11
CASUS 2 – ACUTE MESENTERIËLE ISCHEMIE...........................................................................11
, Klinische presentatie..................................................................................................11
Differentiaaldiagnose.................................................................................................11
Klinisch onderzoek..................................................................................................... 11
Eerste onderzoeken.................................................................................................... 12
Beeldvorming............................................................................................................. 12
Diagnose.................................................................................................................... 12
Behandeling............................................................................................................... 12
Nabehandeling........................................................................................................... 12
SAMENVATTEND SCHEMA (EXAMEN!)...................................................................................13
TAKE-HOME MESSAGES................................................................................................. 13
