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Gepubliceerd in:
Inleiding hoofdstuk lezen eerste hoofdstuk lezen

2011 | OriginalPaper | Hoofdstuk

50 Oedeem, voeten

Auteurs : S.O. Hobma, P.J.M.J. Bessems, E.J.P. Lamfers, M.M.J. Schuurmans

Gepubliceerd in: Diagnostiek van alledaagse klachten

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Dikke onderbenen of voeten worden vooral veroorzaakt door drukverhoging in het veneuze systeem van het been. De belangrijkste oorzaken zijn systemisch, ten gevolge van hartfalen, of lokaal ten gevolge van veneuze insufficiëntie.
Vaak wordt geen diagnose gesteld bij patiënten met oedeem. Dit komt voor een belangrijk deel doordat kenmerkende symptomen ontbreken die het mogelijk maken om alleen met anamnese en lichamelijk onderzoek tot een conclusie te komen. Aanvullend onderzoek is dan nodig, omdat de aanwezige pathologie vaak onderschat wordt. Vooral bij patiënten met cardiovasculaire klachten of risicofactoren die oedeem hebben, is de kans op hartfalen groot. De fysische diagnostiek is bemoeilijkt bij adipeuze patiënten, terwijl bij hen de kans op afwijkingen groter is. Het behandelen van oedeem met diuretica zonder diagnostiek is in alle gevallen onjuist.
vorige hoofdstuk 49 Knieklachten
volgende hoofdstuk 51 Pijn in het been
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Metagegevens
Titel
50 Oedeem, voeten
Auteurs
S.O. Hobma
P.J.M.J. Bessems
E.J.P. Lamfers
M.M.J. Schuurmans
Copyright
2011
Uitgeverij
Bohn Stafleu van Loghum
Boek
Diagnostiek van alledaagse klachten

Print ISBN: 978-90-313-8363-4

Elektronisch ISBN: 978-90-313-8364-1

Copyright: 2011

DOI
https://doi.org/10.1007/978-90-313-8364-1_51