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2016 | OriginalPaper | Hoofdstuk

51. Oedeem, voeten

eerste hoofdstuk lezen

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

Uitgeverij: Bohn Stafleu van Loghum

Gepubliceerd in: Diagnostiek van alledaagse klachten

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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.

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Titel

Oedeem, voeten

Boek

Diagnostiek van alledaagse klachten

Print ISBN: 978-90-368-1154-5

Elektronisch ISBN: 978-90-368-1274-0

https://doi.org/10.1007/978-90-368-1274-0

DOI

https://doi.org/10.1007/978-90-368-1274-0_51

Auteurs:

S. O. Hobma
P. J. M. J. Bessems
E. J. P. Lamfers
M. M. J. Schuurmans

Uitgeverij

Bohn Stafleu van Loghum

Volgnummer

Hoofdstuknummer