Diagnostiek UWI, hepatitis en chronische diarree Flashcards

aanvullend onderzoek

1
Q

1e test bij verdenking UWI

A

dipstick

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2
Q

Dipstick positief

A

behandelen

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3
Q

Dipstick negatief

A

(leukocyten test) dip slide of urinesdiment

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4
Q

Urinesediment negatief

A

geen UWI

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5
Q

Urinesediment positief

A

behandelen

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6
Q

indicaties kweek UWI

A

controle therapie bij tekenen van weefsel invasie en cystitis
UWI opgelopen in ziekenhuis
Cystitis bij: 2x therapie falen (C1), 1x therapie falen (kwetsbare ouderen), kinderen (<12 jaar), recidief en hoog risico groep

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7
Q

indicatie aanvullend onderzoek diarree

A

chronisch beloop of alarmsymptomen (koorts, dysenterie en immuun-gecomprimeerd)

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8
Q

kweek diarree indicatie

A

bacterien (SSCY, BEHALVE clostridium difficile)

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9
Q

PCR diarree indicatie

A

virussen en parasieten

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10
Q

Microscopie diarree indicaties

A

parasieten

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11
Q

Serologie diarree indicaties

A

entamoeba

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12
Q

antigeen test diarree indicaties

A

clostridium difficile

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13
Q

Enzym test diarree indicaties

A

clostridium difficile

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14
Q

ASAT + ALAT verhoogd

A

hepatocellulaire schade

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15
Q

GGT + AF verhoogd

A

schade aan galgangen

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16
Q

GGT verhoogd

A

alcohol als oorzaak

17
Q

bilirubine

18
Q

glucose

A

verlaag (hypoglycaemie)

19
Q

albumine

A

verlaagd (ascitis)

20
Q

INR

A

stollingsproblemen

21
Q

ammoniak

A

hepatische encephalopathie

22
Q

HbsAg

A

positief als je besmet bent met echte virus

23
Q

HBV DNA

A

virale load (indicatie van hoe ernstig de infectie is)

23
Q

Anti-Hbc

A

anti-stof tegen de core van het virus (ineffectief om infectie te bestrijden)

23
Q

Anti-Hbs

A

anti-stof tegen envelop (effectief om infectie te bestrijden)