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Kindergeneeskunde > Les 21 - Nefrologie en urologie > Flashcards

Les 21 - Nefrologie en urologie Flashcards

1
Q

kenmerken Potter syndroom

A

bilaterale agenese / bilaterale MCDK
-> oligohydramnios -> hoofdafwijkingen
pulmonale hypoplasie
afwijkende ledematen

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2
Q

pathogenese MCDK

A

fout in embryogenese -> falen connectie urether -> urine kan niet afgevoerd worden -> nier gaat cystisch uitzetten

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3
Q

symptomen bilaterale MCDK

A

Potter syndroom
afwijkende grootte
BD stijgt

meestal niet leefbaar

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4
Q

symptomen unilaterale MCDK

A

andere nier neemt het over, meestal geen problemen

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5
Q

symptomen ARPKD

A

Potter syndroom

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6
Q

symptomen ADPKD

A

gestegen BD
CKD
extrarenale cysten
aorta/cerebrale aneurysmata

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7
Q

oorzaken hydronefrose

A

post urethraklep -> bilat hydronefrose

VU-stenose -> unilat hydronefrose

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8
Q

behandeling hydronefrose

A

foetale nefrostomie (bilat)

postpartale nefrostomie/HK (unilat)

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9
Q

symptomen hydronefrose

A

vergrote blaas

oligohydramnios

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10
Q

pathogeen UWI

A

E. Coli

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11
Q

symptomen LUWI

A 
geen/lichte koorts
dysurie
pollakisurie
abdominale pijn
WBC esterase+
nitriet+
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12
Q

behandeling LUWI

A

AB PO

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13
Q

symptomen HUWI

A

hoge koorts
braken
ziekte,, anorexie, lethargie

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14
Q

behandeling UWI

A

<3m ->hospitalisatie, IV AB, vocht

> 3m

  • HUWI: PO AB + opvolging
  • LUWI: PO AB
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15
Q

VU reflux

A

bij de hogere graden profylactische AB geven

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16
Q

bij secundaire enuresis denken aan

A

psychologisch

DM

17
Q

beleid bij enuresis

A

urine nakijken
echo
plasdagboek

18
Q

symptomen nefrotisch syndroom

A

proteinurie
laag serum albumine
oedemen

19
Q

complicaties nefrotisch syndroom

A

hypovolemie
trombose
infectie
hypercholesterol

20
Q

behandeling nefrotisch syndroom

A

CS+ behandel complicaties

  • vocht + prot
  • vaccinatie
  • statines
21
Q

tekens Henoch Schönlein

A 
= vasculitis
petechien/purpura
GI problemen 
microscopisch hematurie
artritis
proteinurie
22
Q

behandeling Henoch Schonlein

A

opvolgen + pijnstilling

23
Q

oorzaken hematurie

A 
henoch schonlein
post infectieuze GN
SLE
IgA GN
Alport
24
Q

oorzaak HUS

A

EHEC (Shigella like toxin)

25
Q

symptomen HUS

A 
abdominale pijn
bloederige diarree
koorts
convulsies
lethargie
26
Q

behandeling HUS

A

hydrateren
dialyse
transfusie
plasma-exchange

27
Q

symptomen chronisch nierfalen

A

gestegen creatinine

stoornissen vochthuishouding, EPO, Ca

28
Q

behandeling chronisch nierfalen

A

dialyse

transplantatie

Kindergeneeskunde (21 decks)

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