THUISTOETS
MK 2.4C
Anamnese afname
Naam Student
Studentnummer
Naam Docent
Studiegidsnummer:
Klas
Datum: 2-05-2021
, Inhoudsopgave
CONSULTFASE.....................................................................................................................1
SPECIËLE ANAMNESE..........................................................................................................2
VOORGESCHIEDENIS:..................................................................................................................................................2
AARD:.....................................................................................................................................................................2
LOKALISATIE:............................................................................................................................................................2
TIJD:.......................................................................................................................................................................2
INTENSITEIT:.............................................................................................................................................................2
SAMENHANG:...........................................................................................................................................................2
OVERIG:..................................................................................................................................................................3
HYPOTHESE TOETSENDE VRAGEN + TRACTUS ANAMNESE...................................................4
ALGEMENE SYMPTOMEN.............................................................................................................................................4
TRACTUS CIRCULATORIUS............................................................................................................................................4
TRACTUS RESPIRATORIUS............................................................................................................................................4
TRACTUS DIGESTIVUS.................................................................................................................................................4
TRACTUS UROGENITALIS.............................................................................................................................................4
HORMONAAL STELSEL.................................................................................................................................................5
BLOED.....................................................................................................................................................................5
TRACTUS LOCOMOTORIUS...........................................................................................................................................5
HUID.......................................................................................................................................................................5
ZINTUIG- EN ZENUWSTELSEL........................................................................................................................................5
PSYCHISCH...............................................................................................................................................................5
VOORGESCHIEDENIS...................................................................................................................................................5
INTOXICATIES............................................................................................................................................................6
MEDICIJNEN.............................................................................................................................................................6
VERBLIJF BUITENLAND................................................................................................................................................6
ALLERGIEËN..............................................................................................................................................................6
PSYCHOSOCIALE OMSTANDIGHEDEN..............................................................................................................................6
FAMILIEANAMNESE....................................................................................................................................................6
DIFFERENTIAALDIAGNOSE...................................................................................................7
LICHAMELIJK ONDERZOEK...................................................................................................7
AANVULLEND ONDERZOEK.................................................................................................7
DIAGNOSE...........................................................................................................................7
BEHANDELING.....................................................................................................................7
Een vrouwelijke patiënt van 75 jaar presenteert zich met pijn op de borst klachten.
Consultfase
Wat is de reden van de komst?
MK 2.4C
Anamnese afname
Naam Student
Studentnummer
Naam Docent
Studiegidsnummer:
Klas
Datum: 2-05-2021
, Inhoudsopgave
CONSULTFASE.....................................................................................................................1
SPECIËLE ANAMNESE..........................................................................................................2
VOORGESCHIEDENIS:..................................................................................................................................................2
AARD:.....................................................................................................................................................................2
LOKALISATIE:............................................................................................................................................................2
TIJD:.......................................................................................................................................................................2
INTENSITEIT:.............................................................................................................................................................2
SAMENHANG:...........................................................................................................................................................2
OVERIG:..................................................................................................................................................................3
HYPOTHESE TOETSENDE VRAGEN + TRACTUS ANAMNESE...................................................4
ALGEMENE SYMPTOMEN.............................................................................................................................................4
TRACTUS CIRCULATORIUS............................................................................................................................................4
TRACTUS RESPIRATORIUS............................................................................................................................................4
TRACTUS DIGESTIVUS.................................................................................................................................................4
TRACTUS UROGENITALIS.............................................................................................................................................4
HORMONAAL STELSEL.................................................................................................................................................5
BLOED.....................................................................................................................................................................5
TRACTUS LOCOMOTORIUS...........................................................................................................................................5
HUID.......................................................................................................................................................................5
ZINTUIG- EN ZENUWSTELSEL........................................................................................................................................5
PSYCHISCH...............................................................................................................................................................5
VOORGESCHIEDENIS...................................................................................................................................................5
INTOXICATIES............................................................................................................................................................6
MEDICIJNEN.............................................................................................................................................................6
VERBLIJF BUITENLAND................................................................................................................................................6
ALLERGIEËN..............................................................................................................................................................6
PSYCHOSOCIALE OMSTANDIGHEDEN..............................................................................................................................6
FAMILIEANAMNESE....................................................................................................................................................6
DIFFERENTIAALDIAGNOSE...................................................................................................7
LICHAMELIJK ONDERZOEK...................................................................................................7
AANVULLEND ONDERZOEK.................................................................................................7
DIAGNOSE...........................................................................................................................7
BEHANDELING.....................................................................................................................7
Een vrouwelijke patiënt van 75 jaar presenteert zich met pijn op de borst klachten.
Consultfase
Wat is de reden van de komst?