NHG-Richtlijnen
NHG-Standaard
M09
4.2
december 2014
mei 2024
H. Oren

Richtlijnen diagnostiek

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Anamnese

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Lichamelijk onderzoek

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Evaluatie

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Richtlijnen beleid

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Voorlichting

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Medicamenteuze behandeling

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Controle

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Consultatie en verwijzing

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Belangrijkste wijzigingen

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Kernboodschappen

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Inleiding

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Scope

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Buiten de scope

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Achtergronden

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Begrippen

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Otitis media acuta

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Epidemiologie

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Incidentie

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Klinisch beeld en beloop

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Risicofactoren

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Etiologie en pathofysiologie

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Richtlijnen diagnostiek

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Telefonische hulpvraag

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Anamnese

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Lichamelijk onderzoek

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Otoscopie

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Symptomen die op een complicatie kunnen wijzen

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Aanvullend onderzoek

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Evaluatie

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Richtlijnen beleid

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Voorlichting en advies

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Thuisarts

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Medicamenteuze behandeling

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Pijnstilling

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Decongestieve neusspray of -druppels

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Lidocaine-oordruppels

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Antimicrobiële behandeling

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Wanneer oraal antibioticum
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Wanneer antibioticum oordruppels
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Keuze van oraal antibioticum
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Keuze van antibioticum oordruppels
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Controle

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Controle bij een loopoor door spontane trommelvliesperforatie

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Consultatie en verwijzing

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Kinderen met alarmsymptomen

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Consultatie van of verwijzing naar een kno-arts

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Referenties

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NHG-werkgroep:
Damoiseaux RAMJ, Venekamp RP, Eekhof JAH, Bennebroek Gravenhorst FM, Schoch AG, Burgers JS, Bouma M, Wittenberg J
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