Skip to main content
Top

2022 | OriginalPaper | Hoofdstuk

8. De huid en lymfeklieren

Auteurs : Dr. J. A. H. Eekhof, Drs. R. J. M. Claessen

Gepubliceerd in: Fysische diagnostiek

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Dit hoofdstuk beschrijft waar de arts op moet letten bij het onderzoek van de huid en lymfeklieren. Bij de huid let je op alle waarneembare aspecten van de huid, zoals kleur (o.a. cyanose, icterus, roodheid), huidafwijkingen (bloedingen, petechiën, purpura, ecchymose of hematoom), littekens, striae, jeuk ofwel pruritus, krabeffecten, beharing (haaruitval, hypertrichose en hirsutisme), afwijkingen aan handen, vingers en nagels, oedeem, huidturgor en huidvochtigheid. Ten slotte wordt beschreven hoe de lymfeklieren worden onderzocht en welke verschillende waarnemingen je kunt doen bij palpatie ervan de lymfeklieren. Daarbij is er speciale aandacht is er voor lymfadenopathie.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988;124(6):869–71.CrossRef Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988;124(6):869–71.CrossRef
2.
go back to reference Sheth TN, Choudhry NK, Bowes M, Detsky AS. The relation of conjunctival pallor to the presence of anemia. J Gen Intern Med. 1997;12:102–6.CrossRef Sheth TN, Choudhry NK, Bowes M, Detsky AS. The relation of conjunctival pallor to the presence of anemia. J Gen Intern Med. 1997;12:102–6.CrossRef
4.
go back to reference McGee S. Evidence-based physical diagnosis E-book. 5th ed. Philadelphia: Elsevier; 2021. McGee S. Evidence-based physical diagnosis E-book. 5th ed. Philadelphia: Elsevier; 2021.
5.
go back to reference Nardone DA, Roth KM, Mazur DJ, McAfee JH. Usefulness of physical examination in detecting the presence or absence of anemia. Arch Intern Med. 1990;150:201.CrossRef Nardone DA, Roth KM, Mazur DJ, McAfee JH. Usefulness of physical examination in detecting the presence or absence of anemia. Arch Intern Med. 1990;150:201.CrossRef
6.
go back to reference Jones AE, Aborn LS, Kline JA. Severity of emergency department hypotension predicts adverse hospital outcome. Shock. 2004;22:410–4.CrossRef Jones AE, Aborn LS, Kline JA. Severity of emergency department hypotension predicts adverse hospital outcome. Shock. 2004;22:410–4.CrossRef
7.
go back to reference Gjorup T, Hendriksen C, Bugge PM, Jensen AM. Global assessment of patients – a bedside study. II. Inter-observer variation and frequency of clinical findings. J Intern Med. 1990;228:147–50. Gjorup T, Hendriksen C, Bugge PM, Jensen AM. Global assessment of patients – a bedside study. II. Inter-observer variation and frequency of clinical findings. J Intern Med. 1990;228:147–50.
8.
go back to reference Barnett HB, Holland JG, Josenhans WT. When does central cyanosis become detectable? Clin Invest Med. 1982;5:39–43.PubMed Barnett HB, Holland JG, Josenhans WT. When does central cyanosis become detectable? Clin Invest Med. 1982;5:39–43.PubMed
9.
go back to reference Goss GA, Hayes JA, Burdon JG. Deoxyhaemoglobin concentrations in the detection of central cyanosis. Thorax. 1988;43:212–3.CrossRef Goss GA, Hayes JA, Burdon JG. Deoxyhaemoglobin concentrations in the detection of central cyanosis. Thorax. 1988;43:212–3.CrossRef
10.
go back to reference Espinoza P, Ducot B, Pelletier G, Attali P, Buffet C, David B, et al. Interobserver agreement in the physical diagnosis of alcoholic liver disease. Dig Dis Sci. 1987;32:244–7.CrossRef Espinoza P, Ducot B, Pelletier G, Attali P, Buffet C, David B, et al. Interobserver agreement in the physical diagnosis of alcoholic liver disease. Dig Dis Sci. 1987;32:244–7.CrossRef
11.
go back to reference Sillevis Smitt JH, Van Everdingen JJE, Van der Horst HE, et al. Dermatovenereologie voor de eerste lijn. 10e druk. Houten: Bohn Stafleu van Loghum; 2017. Sillevis Smitt JH, Van Everdingen JJE, Van der Horst HE, et al. Dermatovenereologie voor de eerste lijn. 10e druk. Houten: Bohn Stafleu van Loghum; 2017.
13.
go back to reference Compernolle T. Eerste hulp bij kindermishandeling en het Struisarts-syndroom. Tijdschr Kindergeneeskd. 1996;64(4):168–79. Compernolle T. Eerste hulp bij kindermishandeling en het Struisarts-syndroom. Tijdschr Kindergeneeskd. 1996;64(4):168–79.
14.
go back to reference McTavish JR, Gonzalez A, Santesso N, et al. Identifying children exposed to maltreatment: a systematic review update. BMC Pediatr. 2020;20(1):113.CrossRef McTavish JR, Gonzalez A, Santesso N, et al. Identifying children exposed to maltreatment: a systematic review update. BMC Pediatr. 2020;20(1):113.CrossRef
16.
go back to reference Velez N, Khera P, English JC 3rd. Eyebrow loss: clinical review. Am J Clin Dermatol. 2007;8:337–46.CrossRef Velez N, Khera P, English JC 3rd. Eyebrow loss: clinical review. Am J Clin Dermatol. 2007;8:337–46.CrossRef
17.
go back to reference Van Zuuren EJ, Pijl H. Hirsutisme. Ned Tijdschr Geneeskd. 2007;151:2313–8.PubMed Van Zuuren EJ, Pijl H. Hirsutisme. Ned Tijdschr Geneeskd. 2007;151:2313–8.PubMed
18.
go back to reference Talley NJ, O’Connor S. Clinical examination. A systematic guide to physical diagnosis. 8e druk. Churchill Livingstone Elsevier; 2018. Talley NJ, O’Connor S. Clinical examination. A systematic guide to physical diagnosis. 8e druk. Churchill Livingstone Elsevier; 2018.
19.
go back to reference Spicknall KE, Zirwas MJ, English JC 3rd. Clubbing: an update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance. J Am Acad Dermatol. 2005;52:1020–8.CrossRef Spicknall KE, Zirwas MJ, English JC 3rd. Clubbing: an update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance. J Am Acad Dermatol. 2005;52:1020–8.CrossRef
20.
go back to reference Boron FBE. Medical physiology. Philadelphia, PA: Elsevier Saunders; 2005. Boron FBE. Medical physiology. Philadelphia, PA: Elsevier Saunders; 2005.
21.
go back to reference Dorrington KL. Skin turgor: do we understand the clinical sign? Lancet. 1981;1(8214):264–6.CrossRef Dorrington KL. Skin turgor: do we understand the clinical sign? Lancet. 1981;1(8214):264–6.CrossRef
22.
go back to reference Chassagne P, Druesne L, Capet C, et al. Clinical presentation of hypernatremia in elderly patients: a case control study. J Am Geriatr Soc. 2006;54(8):1225–30.CrossRef Chassagne P, Druesne L, Capet C, et al. Clinical presentation of hypernatremia in elderly patients: a case control study. J Am Geriatr Soc. 2006;54(8):1225–30.CrossRef
23.
go back to reference De Loor JD, Zietse R, De Jongh TOH. Onderzoek naar dehydratie. Ned Tijdschr Geneeskd. 2010;154:2334–6. De Loor JD, Zietse R, De Jongh TOH. Onderzoek naar dehydratie. Ned Tijdschr Geneeskd. 2010;154:2334–6.
24.
go back to reference Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? JAMA. 2004;291:2746–54.CrossRef Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated? JAMA. 2004;291:2746–54.CrossRef
25.
go back to reference Moore KL. Clinically oriented anatomy. 7e druk. Baltimore/Philadelphia: Lippincott Williams & Wilkins; 2013. Moore KL. Clinically oriented anatomy. 7e druk. Baltimore/Philadelphia: Lippincott Williams & Wilkins; 2013.
26.
go back to reference Al-Mulhim AS, Al-Ghamdi AM, Al-Marzooq YM, et al. The role of fine needle aspiration cytology and imprint cytology in cervical lymphadenopathy. Saudi Med J. 2004;25:862–5.PubMed Al-Mulhim AS, Al-Ghamdi AM, Al-Marzooq YM, et al. The role of fine needle aspiration cytology and imprint cytology in cervical lymphadenopathy. Saudi Med J. 2004;25:862–5.PubMed
Metagegevens
Titel
De huid en lymfeklieren
Auteurs
Dr. J. A. H. Eekhof
Drs. R. J. M. Claessen
Copyright
2022
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2787-4_8