Casus 26 Flashcards

1
Q

Je bent huisarts en op je spreekuur komt een 28-jarige man met klachten van terugkerend brandend maagzuur.

A
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2
Q

DD

A
  • peptisch ulcus
  • reflux oesophagus
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3
Q

oorzaken peptisch ulcus

A
  • helicobacter pylori infectie
  • NSAID’s zoals ibuprofin en diclofenac
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4
Q

risicofactoren peptisch ulcus

A
  • roken
  • eerder peptisch ulcus
  • mannen > 25
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5
Q

peptisch ulcus symptomen

A
  • maagpijn die erger wordt op lege maag
  • misselijkheid
  • zuurbranden
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6
Q

hoe kan h.pylori worden aangetoond?

A
  • C13 ureumademtest
  • fecestest
  • gastroscopie met biopten
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7
Q

behandeling peptisch ulcus

A
  • h.pylori infectie antibiotica
  • nsaid’s stoppen en gata vanzelf weg

anders carcinoom of maagbloeding

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8
Q

reflux oesophagus oorzaken

A
  • LES dysfunctie
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9
Q

reflux oesophagus risicofactoren

A
  • roken
  • overgwicht
  • nsaid’s
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10
Q

reflux oesophagus klachten

A

zuurbranden erger bij liggen

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11
Q

reflux oesophagus behandeling

A

PPI’s

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12
Q
A
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