Inhoudsopgave
Casus: Harry (rug) ........................................................................................................................................................................................................................................ 3
Anamnese: ..................................................................................................................................................................................................................................................... 4
Hypothesen: .................................................................................................................................................................................................................................................. 5
Onderzoeksplan ............................................................................................................................................................................................................................................. 7
Behandelplan ............................................................................................................................................................................................................................................... 10
Casus: Isabella (schouder acuut) ............................................................................................................................................................................................................... 13
Anamnese: ................................................................................................................................................................................................................................................... 14
Hypothesen: ................................................................................................................................................................................................................................................ 16
Onderzoeksplan ........................................................................................................................................................................................................................................... 17
Behandelplan: .............................................................................................................................................................................................................................................. 25
Casus: Mathijs (pols acuut) ....................................................................................................................................................................................................................... 35
Anamnese .................................................................................................................................................................................................................................................... 36
Hypothesen ................................................................................................................................................................................................................................................. 38
Onderzoeksplan ........................................................................................................................................................................................................................................... 39
Behandelplan ............................................................................................................................................................................................................................................... 46
Casus: Mees (bovenrug) ............................................................................................................................................................................................................................ 53
Anamnese: ................................................................................................................................................................................................................................................... 54
Hypothesen: ................................................................................................................................................................................................................................................ 56
Onderzoeksplan: .......................................................................................................................................................................................................................................... 57
Behandelplan: .............................................................................................................................................................................................................................................. 66
Casus: Fleur (elleboog acuut) .................................................................................................................................................................................................................... 70
Anamnese: ................................................................................................................................................................................................................................................... 71
Hypothesen: ................................................................................................................................................................................................................................................ 73
Onderzoeksplan: .......................................................................................................................................................................................................................................... 74
Behandelplan ............................................................................................................................................................................................................................................... 79
Casus: Amy (knie acuut) ............................................................................................................................................................................................................................ 87
Anamnese: ................................................................................................................................................................................................................................................... 88
Hypothesen: ................................................................................................................................................................................................................................................ 90
Onderzoeksplan ........................................................................................................................................................................................................................................... 91
Behandelplan: .............................................................................................................................................................................................................................................. 99
,Casus: Han (lies acuut) ............................................................................................................................................................................................................................ 104
Anamnese: ................................................................................................................................................................................................................................................. 105
Hypothesen: .............................................................................................................................................................................................................................................. 107
Onderzoeksplan: ........................................................................................................................................................................................................................................ 108
Behandelplan: ............................................................................................................................................................................................................................................ 115
Casus: Peter (enkel acuut) ....................................................................................................................................................................................................................... 120
Anamnese: ................................................................................................................................................................................................................................................. 121
Hypothesen: .............................................................................................................................................................................................................................................. 123
Behandelplan: ............................................................................................................................................................................................................................................ 131
,Casus: Harry (rug)
Harry (45 jaar) is trainer van het eerste elftal van Vreeswijk, hij komt toch even bij je langs omdat hij ontzettend veel last van zijn rug heeft.
Gisteren heeft hij zich tijdens zijn verhuizing vertild. Ook heeft hij 10 jaar geleden een volledige meniscectomie gehad.
Morgen moet het eerste elftal spelen. Hij zegt het volgende tegen je: "Morgen hebben we met het eerste elftal de belangrijkste wedstrijd van
het seizoen. Ik wil die twee keer 45 minuten kunnen staan om mijn team te kunnen coachen. We hebben hier namelijk het hele jaar naartoe
gewerkt."
https://cdn.nimbu.io/s/yba55wt/assets/Lage%20rugpijn%20praktijkrichtlijn.pdf
Harry heeft profiel I of profiel II.
KNGF-richtlijn:
Profiel I: Normaal beloop
Profiel II: Afwijkend beloop zonder dominante aanwezigheid van psychosociale herstel belemmerende factoren (meer focussen op
psychosociale klachten → gele vlaggen)
Profiel III: Afwijkend beloop met dominante aanwezigheid van psychosociale herstel belemmerende factoren.
, Anamnese:
Voorstellen
Procedure uitleggen
Hulpvraag uitvragen (Wat weer graag kunnen?)
Screening:
A→ Age and Allergies
M→ Medication
P→ Past illnesses and Pregnancy
L→ Last doctors check and Life style
E→ Events, health (and life) Events
Rode vlaggen:
- (Recent) trauma
- Al langer bestaande (onverklaarde)
koorts
- Langdurig gebruik corticosteroiden
- Constante pijn die niet afneemt in rust of
bij verandering van positie
- Kanker in voorgeschiedenis
- Algemeen onwelbevinden
- Nachtelijke pijn (die aanhoudt als u van houding veranderd)
- Uitgebreide neurologische tekenen en symptomen
SCEGS:
Somatische (=lichamelijke) klachten:
- LOFTIG
o Lokalisatie
o Ontstaanswijze
o Functiestoornis
o Tijdsverloop
o Intensiteit (hoe veel pijn, NRS schaal)
Casus: Harry (rug) ........................................................................................................................................................................................................................................ 3
Anamnese: ..................................................................................................................................................................................................................................................... 4
Hypothesen: .................................................................................................................................................................................................................................................. 5
Onderzoeksplan ............................................................................................................................................................................................................................................. 7
Behandelplan ............................................................................................................................................................................................................................................... 10
Casus: Isabella (schouder acuut) ............................................................................................................................................................................................................... 13
Anamnese: ................................................................................................................................................................................................................................................... 14
Hypothesen: ................................................................................................................................................................................................................................................ 16
Onderzoeksplan ........................................................................................................................................................................................................................................... 17
Behandelplan: .............................................................................................................................................................................................................................................. 25
Casus: Mathijs (pols acuut) ....................................................................................................................................................................................................................... 35
Anamnese .................................................................................................................................................................................................................................................... 36
Hypothesen ................................................................................................................................................................................................................................................. 38
Onderzoeksplan ........................................................................................................................................................................................................................................... 39
Behandelplan ............................................................................................................................................................................................................................................... 46
Casus: Mees (bovenrug) ............................................................................................................................................................................................................................ 53
Anamnese: ................................................................................................................................................................................................................................................... 54
Hypothesen: ................................................................................................................................................................................................................................................ 56
Onderzoeksplan: .......................................................................................................................................................................................................................................... 57
Behandelplan: .............................................................................................................................................................................................................................................. 66
Casus: Fleur (elleboog acuut) .................................................................................................................................................................................................................... 70
Anamnese: ................................................................................................................................................................................................................................................... 71
Hypothesen: ................................................................................................................................................................................................................................................ 73
Onderzoeksplan: .......................................................................................................................................................................................................................................... 74
Behandelplan ............................................................................................................................................................................................................................................... 79
Casus: Amy (knie acuut) ............................................................................................................................................................................................................................ 87
Anamnese: ................................................................................................................................................................................................................................................... 88
Hypothesen: ................................................................................................................................................................................................................................................ 90
Onderzoeksplan ........................................................................................................................................................................................................................................... 91
Behandelplan: .............................................................................................................................................................................................................................................. 99
,Casus: Han (lies acuut) ............................................................................................................................................................................................................................ 104
Anamnese: ................................................................................................................................................................................................................................................. 105
Hypothesen: .............................................................................................................................................................................................................................................. 107
Onderzoeksplan: ........................................................................................................................................................................................................................................ 108
Behandelplan: ............................................................................................................................................................................................................................................ 115
Casus: Peter (enkel acuut) ....................................................................................................................................................................................................................... 120
Anamnese: ................................................................................................................................................................................................................................................. 121
Hypothesen: .............................................................................................................................................................................................................................................. 123
Behandelplan: ............................................................................................................................................................................................................................................ 131
,Casus: Harry (rug)
Harry (45 jaar) is trainer van het eerste elftal van Vreeswijk, hij komt toch even bij je langs omdat hij ontzettend veel last van zijn rug heeft.
Gisteren heeft hij zich tijdens zijn verhuizing vertild. Ook heeft hij 10 jaar geleden een volledige meniscectomie gehad.
Morgen moet het eerste elftal spelen. Hij zegt het volgende tegen je: "Morgen hebben we met het eerste elftal de belangrijkste wedstrijd van
het seizoen. Ik wil die twee keer 45 minuten kunnen staan om mijn team te kunnen coachen. We hebben hier namelijk het hele jaar naartoe
gewerkt."
https://cdn.nimbu.io/s/yba55wt/assets/Lage%20rugpijn%20praktijkrichtlijn.pdf
Harry heeft profiel I of profiel II.
KNGF-richtlijn:
Profiel I: Normaal beloop
Profiel II: Afwijkend beloop zonder dominante aanwezigheid van psychosociale herstel belemmerende factoren (meer focussen op
psychosociale klachten → gele vlaggen)
Profiel III: Afwijkend beloop met dominante aanwezigheid van psychosociale herstel belemmerende factoren.
, Anamnese:
Voorstellen
Procedure uitleggen
Hulpvraag uitvragen (Wat weer graag kunnen?)
Screening:
A→ Age and Allergies
M→ Medication
P→ Past illnesses and Pregnancy
L→ Last doctors check and Life style
E→ Events, health (and life) Events
Rode vlaggen:
- (Recent) trauma
- Al langer bestaande (onverklaarde)
koorts
- Langdurig gebruik corticosteroiden
- Constante pijn die niet afneemt in rust of
bij verandering van positie
- Kanker in voorgeschiedenis
- Algemeen onwelbevinden
- Nachtelijke pijn (die aanhoudt als u van houding veranderd)
- Uitgebreide neurologische tekenen en symptomen
SCEGS:
Somatische (=lichamelijke) klachten:
- LOFTIG
o Lokalisatie
o Ontstaanswijze
o Functiestoornis
o Tijdsverloop
o Intensiteit (hoe veel pijn, NRS schaal)
