VGT voorjaar 2010 KIND
84 <ul><li>Voorafgaand aan een X-colon bij verdenking </li></ul><ul><li>op Morbus Hirschsprung moet u afzien van </li></ul...
84 <ul><li>absence of the ganglion cells that innervate the colon. </li></ul><ul><li>The denervated colon spasms and cause...
84 <ul><li>Boys:girls = 4:1 </li></ul><ul><li>associated with Down syndrome in 5% of cases. </li></ul><ul><li>Patients wit...
84 <ul><li>Voorafgaand aan een X-colon bij verdenking  </li></ul><ul><li>op Morbus Hirschsprung moet u afzien van </li></u...
85 <ul><li>Een bronchogene cyste heeft een </li></ul><ul><li>infradiafragmale arteriële bloedvoorziening. </li></ul><ul><l...
85 <ul><li>Bronchogenic cysts occur secondary to abnormal budding of the tracheobrochial tree during development </li></ul...
85 <ul><li>Bronchogenic cysts are almost always solitary lesions </li></ul><ul><ul><li>multiple bronchogenic cysts are ver...
85 <ul><li>Sequestration   </li></ul><ul><ul><li>area of congenital abnormal pulmonary tissue that does not have a normal ...
85 <ul><li>Een bronchogene cyste heeft een </li></ul><ul><li>infradiafragmale arteriële bloedvoorziening. </li></ul><ul><l...
86 <ul><li>Een bekende complicatie van taaislijm ziekte </li></ul><ul><li>(of cystic fibrosis) is een pneumothorax. </li><...
86 <ul><li>Genetic disease that most commonly affects the respiratory and gastrointestinal tracts. </li></ul><ul><li>In th...
86 <ul><li>Radiography may be normal at young ages but eventually demonstrates </li></ul><ul><ul><li>Hyperinflation; incre...
86 <ul><li>Een bekende complicatie van taaislijm ziekte </li></ul><ul><li>(of cystic fibrosis) is een pneumothorax. </li><...
87 <ul><li>Een normale X-thorax bij een kind met een </li></ul><ul><li>asthma-exacerbatie is een zeldzaamheid.  </li></ul>...
87 <ul><li>Plain radiographs are not commonly used to make a diagnosis of asthma </li></ul><ul><li>Radiographs often are n...
87 <ul><li>Een normale X-thorax bij een kind met een </li></ul><ul><li>asthma-exacerbatie is een zeldzaamheid.  </li></ul>...
88 <ul><li>Een mengbeeld van atelectase en </li></ul><ul><li>Hyperinflatie is typisch voor de X-thorax </li></ul><ul><li>v...
88 <ul><li>Intrapartum or intrauterine aspiration of meconium </li></ul><ul><li>Usually secondary to stress, such as hypox...
88 <ul><li>Radiographic findings include  hyperinflation  and  asymmetric lung densities  that tend to have a ropy appeara...
88 <ul><li>Een mengbeeld van atelectase en </li></ul><ul><li>Hyperinflatie is typisch voor de X-thorax </li></ul><ul><li>v...
89 <ul><li>De “moderator band” bevindt zich in het </li></ul><ul><li>rechter ventrikel.  </li></ul><ul><li>A. Juist B. Onj...
89 <ul><li>The septomarginal trabecula (moderator band)  in the right ventricle  passes from the interventricular septum t...
89 <ul><li>De “moderator band” bevindt zich in het </li></ul><ul><li>rechter ventrikel.  </li></ul><ul><li>Juist </li></ul>
90 <ul><li>Een persisterende open ductus arteriosus is </li></ul><ul><li>meestal asymptomatisch. </li></ul><ul><li>Als er ...
90 <ul><li>While some cases of PDA are asymptomatic, common </li></ul><ul><li>symptoms include: </li></ul><ul><li>Tachycar...
Categorization of congenital heart disease <ul><li>Blue </li></ul><ul><li>Decreased flow </li></ul><ul><ul><li>Normal hear...
90 <ul><li>Een persisterende open ductus arteriosus is </li></ul><ul><li>meestal asymptomatisch. </li></ul><ul><li>Als er ...
91 <ul><li>Een rechter aberrante arteria subclavia </li></ul><ul><li>geeft een impressie op de achterzijde van </li></ul><...
91 <ul><li>Most common thoracic arterial anomaly </li></ul><ul><li>Rarely causes symptoms </li></ul><ul><li>Last vessel fr...
91 <ul><li>Een rechter aberrante arteria subclavia </li></ul><ul><li>geeft een impressie op de achterzijde van </li></ul><...
92 <ul><li>Invaginaties zijn vaker colo-colisch dan </li></ul><ul><li>ileocoecaal. </li></ul><ul><li>A. Juist B. Onjuist C...
92 <ul><li>Intussusception is the telescoping of a segment of bowel into an adjacent segment </li></ul><ul><li>Great major...
92 <ul><li>Invaginaties zijn vaker colo-colisch dan </li></ul><ul><li>ileocoecaal. </li></ul><ul><li>Onjuist </li></ul>
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Vgt voorjaar 2010 kind deel1

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Vgt voorjaar 2010 kind deel1

  1. 1. VGT voorjaar 2010 KIND
  2. 2. 84 <ul><li>Voorafgaand aan een X-colon bij verdenking </li></ul><ul><li>op Morbus Hirschsprung moet u afzien van </li></ul><ul><li>darmvoorbereiding. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  3. 3. 84 <ul><li>absence of the ganglion cells that innervate the colon. </li></ul><ul><li>The denervated colon spasms and causes a functional obstruction. </li></ul><ul><ul><li>affected portions of colon are small therefore in calibre </li></ul></ul><ul><ul><li>more proximal, normally innervated colon is dilatated secondary to the obstruction. </li></ul></ul><ul><li>there are no skip leasions. </li></ul><ul><li>Most patients (90%) present in the neonatal period with failure to pass meconium. </li></ul><ul><ul><li>However, patients can present later in life with problems related to constipation. </li></ul></ul>
  4. 4. 84 <ul><li>Boys:girls = 4:1 </li></ul><ul><li>associated with Down syndrome in 5% of cases. </li></ul><ul><li>Patients with Hirschsprung disease may present with associated colitis. </li></ul><ul><li>In patients who are suspected to have Hirschsprung disease and are ill , contrast enemas should be avoided. </li></ul><ul><li>Definitive diagnosis is obtained by rectal biopsy </li></ul><ul><li>Treatment by surgical resection of the denervated segment. </li></ul>
  5. 5. 84 <ul><li>Voorafgaand aan een X-colon bij verdenking </li></ul><ul><li>op Morbus Hirschsprung moet u afzien van </li></ul><ul><li>darmvoorbereiding. </li></ul><ul><li>Juist </li></ul>
  6. 6. 85 <ul><li>Een bronchogene cyste heeft een </li></ul><ul><li>infradiafragmale arteriële bloedvoorziening. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  7. 7. 85 <ul><li>Bronchogenic cysts occur secondary to abnormal budding of the tracheobrochial tree during development </li></ul><ul><li>Occur in the lung parenchyma or the middle mediastinum. </li></ul><ul><ul><li>Mediastinal lesions are reportedly more common, making up between 65% tot 90% of cases of bronchogenic cysts. </li></ul></ul><ul><li>When bronchogenic cysts occur in the lungs, they are most commonly central in location, often in a perihilar distribution. </li></ul>
  8. 8. 85 <ul><li>Bronchogenic cysts are almost always solitary lesions </li></ul><ul><ul><li>multiple bronchogenic cysts are very uncommon. </li></ul></ul><ul><li>Compression of the distal trachea or bronchi is not uncommon. </li></ul><ul><li>They can be quite large. </li></ul><ul><li>They appear as well-defined cystic structures on imaging. </li></ul><ul><li>Like sequestrations, they do not contain air until they become infected and therefore may appear as well-defined soft tissue attenuation or cystic air-fluid-containing masses. </li></ul>
  9. 9. 85 <ul><li>Sequestration </li></ul><ul><ul><li>area of congenital abnormal pulmonary tissue that does not have a normal connection to the bronchial tree </li></ul></ul><ul><ul><li>characteristic imaging feature is demonstration of an anomalous arterial supply to the abnormal lung via a systemic artery arising from the aorta . </li></ul></ul><ul><ul><li>The most common location is within the left lower lobe. </li></ul></ul>
  10. 10. 85 <ul><li>Een bronchogene cyste heeft een </li></ul><ul><li>infradiafragmale arteriële bloedvoorziening. </li></ul><ul><li>Onjuist </li></ul>
  11. 11. 86 <ul><li>Een bekende complicatie van taaislijm ziekte </li></ul><ul><li>(of cystic fibrosis) is een pneumothorax. </li></ul><ul><li>Een spanningspneumothorax is hiervoor </li></ul><ul><li>kenmerkend. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  12. 12. 86 <ul><li>Genetic disease that most commonly affects the respiratory and gastrointestinal tracts. </li></ul><ul><li>In the respiratory system, abnormally viscous mucus leads to airway obstruction and infection that causes bronchitis and bronchiectasis. </li></ul><ul><li>Children may initially present with recurrent respiratory tract infections. </li></ul>
  13. 13. 86 <ul><li>Radiography may be normal at young ages but eventually demonstrates </li></ul><ul><ul><li>Hyperinflation; increased peribronchial markings; mucus plugging; bronchiectasis; </li></ul></ul><ul><ul><li>prominent hilar areas because of a combination of </li></ul></ul><ul><ul><ul><li>lymphadenopathy secondary to the chronic inflammation </li></ul></ul></ul><ul><ul><ul><li>enlarged central pulmonary arteries related to the development of pulmonary arterial hypertension </li></ul></ul></ul><ul><li>Chest radiography is used to monitor the disease and evaluate for complications during acute exacerbations. </li></ul><ul><li>Such complications include focal pneumonia, pneumothorax , and pulmonary haemorrhage. </li></ul>
  14. 14. 86 <ul><li>Een bekende complicatie van taaislijm ziekte </li></ul><ul><li>(of cystic fibrosis) is een pneumothorax. </li></ul><ul><li>Een spanningspneumothorax is hiervoor </li></ul><ul><li>kenmerkend. </li></ul><ul><li>Onjuist </li></ul>
  15. 15. 87 <ul><li>Een normale X-thorax bij een kind met een </li></ul><ul><li>asthma-exacerbatie is een zeldzaamheid. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  16. 16. 87 <ul><li>Plain radiographs are not commonly used to make a diagnosis of asthma </li></ul><ul><li>Radiographs often are normal </li></ul><ul><ul><li>and visible abnormalities in this disease usually are nonspecific. </li></ul></ul><ul><li>Radiography also has limited usefulness in patients with an established diagnosis of asthma who suffer an acute attack . </li></ul>
  17. 17. 87 <ul><li>Een normale X-thorax bij een kind met een </li></ul><ul><li>asthma-exacerbatie is een zeldzaamheid. </li></ul><ul><li>Onjuist </li></ul>
  18. 18. 88 <ul><li>Een mengbeeld van atelectase en </li></ul><ul><li>Hyperinflatie is typisch voor de X-thorax </li></ul><ul><li>van een neonaat met meconiumaspiratie. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  19. 19. 88 <ul><li>Intrapartum or intrauterine aspiration of meconium </li></ul><ul><li>Usually secondary to stress, such as hypoxia, and more often occurs in term of postmature neonates. </li></ul><ul><li>The aspirated meconium causes both </li></ul><ul><ul><li>obstruction of small airways secondary to its tenacious nature </li></ul></ul><ul><ul><li>chemical pneumonitis </li></ul></ul><ul><li>The degree of respiratory failure can be severe. </li></ul>
  20. 20. 88 <ul><li>Radiographic findings include hyperinflation and asymmetric lung densities that tend to have a ropy appearance and a perihilar distribution. </li></ul><ul><li>Commonly there are areas of hyperinflation alternating with areas of atelectasis. </li></ul><ul><li>Pleural effusions can be present. </li></ul><ul><li>Because of the small-airway obstruction by the meconium, air-block complications are common, whith pneumothorax, occurring in 20 to 40% of cases. </li></ul>
  21. 21. 88 <ul><li>Een mengbeeld van atelectase en </li></ul><ul><li>Hyperinflatie is typisch voor de X-thorax </li></ul><ul><li>van een neonaat met meconiumaspiratie. </li></ul><ul><li>Juist </li></ul>
  22. 22. 89 <ul><li>De “moderator band” bevindt zich in het </li></ul><ul><li>rechter ventrikel. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  23. 23. 89 <ul><li>The septomarginal trabecula (moderator band) in the right ventricle passes from the interventricular septum to the base of the anterior papillary muscle. </li></ul><ul><li>The important feature of this trabecula is that it carries the right branch of atrioventricular bundle (RBB) in its substance. </li></ul><ul><ul><li>This ensures early contraction of papillary muscles so that chordae tendinae are already taut before the ventricular contraction begins. </li></ul></ul><ul><li>From its attachments it was thought to prevent overdistension of the ventricle, and was named the &quot;moderator band&quot;. </li></ul>
  24. 24. 89 <ul><li>De “moderator band” bevindt zich in het </li></ul><ul><li>rechter ventrikel. </li></ul><ul><li>Juist </li></ul>
  25. 25. 90 <ul><li>Een persisterende open ductus arteriosus is </li></ul><ul><li>meestal asymptomatisch. </li></ul><ul><li>Als er wel symptomen zijn, staat cyanose </li></ul><ul><li>op de voorgrond. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  26. 26. 90 <ul><li>While some cases of PDA are asymptomatic, common </li></ul><ul><li>symptoms include: </li></ul><ul><li>Tachycardia </li></ul><ul><li>respiratory problems </li></ul><ul><li>shortness of breath </li></ul><ul><li>continuous machine-like murmur </li></ul><ul><li>enlarged heart </li></ul><ul><li>Left subclavicular thrill </li></ul><ul><li>Bounding pulse </li></ul><ul><li>Widened pulse pressure (= systolic – diastolic mmHg) </li></ul><ul><li>Patients typically present in good health, with normal respirations and heart rate. </li></ul><ul><li>Poor growth </li></ul>
  27. 27. Categorization of congenital heart disease <ul><li>Blue </li></ul><ul><li>Decreased flow </li></ul><ul><ul><li>Normal heart size </li></ul></ul><ul><ul><ul><li>Tetralogy of Fallot </li></ul></ul></ul><ul><ul><li>Giant heart size </li></ul></ul><ul><ul><ul><li>Ebstein anomaly </li></ul></ul></ul><ul><ul><ul><li>Pulmonary atresia with intact ventricular septum </li></ul></ul></ul><ul><ul><li>Increased flow </li></ul></ul><ul><ul><ul><li>Truncus arteriosus </li></ul></ul></ul><ul><ul><ul><li>Total anomalous pulmonary venous return </li></ul></ul></ul><ul><ul><li>Variable flow </li></ul></ul><ul><ul><ul><li>D-transposition of the great arteries </li></ul></ul></ul><ul><ul><ul><li>Tricuspis atresia </li></ul></ul></ul><ul><li>Pink </li></ul><ul><li>Increased pulmonary arterial flow and left tot right shunt </li></ul><ul><ul><li>VSD, ASD, PDA, atrioventricular canal </li></ul></ul><ul><li>Increased pulmonary venous flow </li></ul><ul><ul><li>CHF in the newborn </li></ul></ul><ul><li>Normal pulmonary flow </li></ul><ul><ul><li>Obstructive lesions </li></ul></ul><ul><ul><ul><li>Coarctation of the aorta </li></ul></ul></ul><ul><ul><ul><li>Aortic stenosis </li></ul></ul></ul><ul><ul><ul><li>Pulmonary artery stenosis </li></ul></ul></ul><ul><ul><li>Postsurgery </li></ul></ul>
  28. 28. 90 <ul><li>Een persisterende open ductus arteriosus is </li></ul><ul><li>meestal asymptomatisch. </li></ul><ul><li>Als er wel symptomen zijn, staat cyanose </li></ul><ul><li>op de voorgrond. </li></ul><ul><li>Onjuist </li></ul>
  29. 29. 91 <ul><li>Een rechter aberrante arteria subclavia </li></ul><ul><li>geeft een impressie op de achterzijde van </li></ul><ul><li>de oesofagus. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  30. 30. 91 <ul><li>Most common thoracic arterial anomaly </li></ul><ul><li>Rarely causes symptoms </li></ul><ul><li>Last vessel from the arch and extends dorsal to trachea and esophagus </li></ul><ul><li>Dorsal diagonal impression on the esophagus </li></ul>
  31. 31. 91 <ul><li>Een rechter aberrante arteria subclavia </li></ul><ul><li>geeft een impressie op de achterzijde van </li></ul><ul><li>de oesofagus. </li></ul><ul><li>Juist </li></ul>
  32. 32. 92 <ul><li>Invaginaties zijn vaker colo-colisch dan </li></ul><ul><li>ileocoecaal. </li></ul><ul><li>A. Juist B. Onjuist C. Weet niet </li></ul>
  33. 33. 92 <ul><li>Intussusception is the telescoping of a segment of bowel into an adjacent segment </li></ul><ul><li>Great majority of cases are ileocolic (90%) </li></ul><ul><li>Lymphoid hyperplasia is the cause in the vast majority </li></ul><ul><li>The classic clinical triad is </li></ul><ul><ul><li>abdominal pain </li></ul></ul><ul><ul><li>currant-jelly stool </li></ul></ul><ul><ul><li>palpable abdominal mass </li></ul></ul><ul><li>Most patients are </li></ul><ul><li>6 months to 2 years. </li></ul>
  34. 34. 92 <ul><li>Invaginaties zijn vaker colo-colisch dan </li></ul><ul><li>ileocoecaal. </li></ul><ul><li>Onjuist </li></ul>

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