Diagnose-Lehrbuch für Heilpraktiker (eBook)

Anamnese, Untersuchung, Labor und Differenialdiagnose

Margit Allmeroth (Autor)

eBook Download: PDF

2011 | 4. Auflage
336 Seiten
Sonntag (Verlag)
978-3-8304-9274-0 (ISBN)

Infos

Kurz und knapp - aber doch verständlich - das relevante Wissen zur Diagnostik für die Heilpraktikerprüfung. Alles Wichtige von der klinischen Anamneseerhebung über die körperlichen Untersuchungsmethoden bis hin zur laborchemischen Differenzialdiagnose. Die mündlichen, körperlichen und labortechnischen Befunde werden jeweils differenzialdiagnostisch dokumentiert. Mit dem Fragentrainer das spezielle Wissen für die Prüfung lernen.

Studium Kommunikationswissenschaften Tätigkeit in Werbeagenturen Seit 1995 Heilpraktikerin mit eigener Praxis und Dozentin in mehreren HP-Schulen Lektorin und Dozentin eines Fernstudienganges Ab 1999 Eröffnung einer eigenen Heilpraktiker-Schule in Düsseldorf. www.heilpraktiker-ausbildung-duesseldorf.de Autorin des Titels: Kompendium für die Heilpraktiker-Prüfung, Sonntag, 4. A. 2007

Inhalt

Inhaltsverzeichnis 1
Klassische Anamneseerhebung mit differenzial-diagnostischen Überlegungen 4
1 12
Anamneseerhebung 3 12
1.1 12
Aufnahme der persönlichen Daten 3 12
1.2 13
Abklärung eines dringend therapiebedürftigen Geschehens 4 13
1.3 13
Ermittlung der aktuellen Symptomatik 4 13
1.4 14
Verschaffung eines Systemüberblicks 5 14
1.5 15
Psychosoziale Aspekte 6 15
1.6 16
Medikamentenanamnese 7 16
1.7 17
Die Frage nach Vorerkrankungen 8 17
1.8 17
Familienanamnese 8 17
1.9 18
Auslandsanamnese 9 18
2 19
Differenzialdiagnostische Überlegungen 10 19
2.1 19
Fieber 10 19
2.1.1 22
Fiebertypen 13 22
2.2 24
Nachtschweiß 15 24
2.3 24
Schmerzen 15 24
2.3.1 25
Rückenschmerzen 16 25
2.3.2 26
Kopfschmerzen 17 26
2.3.3 28
Thoraxschmerzen 19 28
2.3.4 30
Bauchschmerzen 21 30
2.3.5 32
Extremitätenschmerzen 23 32
2.4 35
Veränderung des Körpergewichts 26 35
2.4.1 35
Gewichtszunahme 26 35
2.4.2 37
Gewichtsverlust 28 37
2.5 39
Essverhalten 30 39
2.5.1 39
Appetitlosigkeit (Anorexie) 30 39
2.5.2 41
Heißhunger 32 41
2.6 41
Übelkeit/Erbrechen 32 41
2.6.1 43
Bluterbrechen (Hämatemesis) 34 43
2.7 44
Stuhlverhalten 35 44
2.7.1 45
Diarrhoe 36 45
2.7.2 47
Obstipation 38 47
2.7.3 49
Farbveränderungen des Stuhls 40 49
2.7.3.1 49
Melaena (Teerstuhl) 40 49
2.7.3.2 49
Hämatochezie (Blutstuhl) 40 49
2.7.3.3 50
Dunkler Stuhl 41 50
2.7.3.4 50
Entfärbter bzw. heller Stuhl 41 50
2.8 51
Trinkverhalten 42 51
2.8.1 51
Polydipsie 42 51
2.8.2 52
Vermindertes Trinkverhalten 43 52
2.9 52
Urinverhalten 43 52
2.9.1 52
Polyurie 43 52
2.9.2 53
Anurie 44 53
2.9.3 53
Nykturie 44 53
2.9.4 54
Farbveränderungen des Urins 45 54
2.10 55
Atemnot (Dyspnoe) 46 55
2.11 56
Husten 47 56
2.12 58
Sputum 49 58
2.13 59
Schluckbeschwerden (Dysphagie) 50 59
Körperliche Untersuchungsmethoden mit differenzialdiagnostischen Überlegungen 61
1 64
Überprüfung der Vitalzeichen 56 64
1.1 64
Blutdruckmessung 56 64
1.2 67
Pulsprüfung 59 67
1.3 67
Atemfrequenz 59 67
1.4 67
Körpertemperatur 59 67
2 68
Kopf und äußerer Hals 60 68
2.1 68
Schädel 60 68
2.1.1 71
Untersuchung der Nervenaustrittspunkte (N. trigeminus) 63 71
2.1.2 72
Palpation der Arteria temporalis 64 72
2.1.3 72
Perkussion der Schädelkalotte 64 72
2.2 73
Mund und Rachen 65 73
2.2.1 74
Lippen 66 74
2.2.2 75
Mundschleimhaut 67 75
2.2.3 76
Zunge 68 76
2.2.4 77
Rachen 69 77
2.3 78
Augen 70 78
2.3.1 79
Augenlider 71 79
2.3.2 80
Konjunktiven/Skleren 72 80
2.3.3 81
Augenbulbi (Augäpfel) 73 81
2.3.4 82
Pupille 74 82
2.3.5 83
Augenbulbi 75 83
2.4 85
Ohren 77 85
2.4.1 87
Palpation des Tragus und des Mastoids 79 87
2.4.2 87
Hörweitenprüfung 79 87
2.4.3 87
Differenzierung zwischen Schallleitungs- und Schallempfindungsstörungen 79 87
2.4.4 90
Prüfung der Tubendurchlässigkeit 82 90
2.4.5 91
Gleichgewichtstest 83 91
2.5 92
Nase und Nasennebenhöhlen 84 92
2.5.1 93
Palpation der Nasennebenhöhlen 85 93
2.6 94
Äußerer Hals 86 94
2.6.1 96
Palpation der Schilddrüse 88 96
2.6.2 97
Auskultation der Schilddrüse 89 97
2.6.3 98
Auskultation der Gefäße 90 98
2.6.4 98
Prüfung der Halswirbelsäulenmotilität 90 98
3 99
Thorax 91 99
3.1 99
Der knöcherne Thorax und Lunge 91 99
3.1.1 103
Die Suche nach schmerzhaften Bereichen 95 103
3.1.2 103
Die Beurteilung der Atemexkursion 95 103
3.1.3 104
Die Beurteilung des Stimmfremitus 96 104
3.1.4 107
Beurteilung des Klopfschalls 99 107
3.1.5 109
Prüfung der respiratorischen Verschieblichkeit der Lungengrenzen 101 109
3.1.6 110
Die Abgrenzung der Lungen von umgebenen Organen 102 110
3.1.7 111
Rasselgeräusche und pleurale Nebengeräusche 103 111
3.1.8 112
Vesikulär- und Bronchialatmen 104 112
3.1.9 113
Bronchophonie 105 113
3.2 114
Herz 106 114
3.2.1 115
Palpation des Herzspitzenstoßes 108 115
3.2.2 116
Relative und absolute Herzdämpfung 109 116
3.2.3 118
Herztöne 111 118
3.2.4 119
Herzgeräusche 112 119
3.2.5 120
Herzfrequenz 113 120
3.2.6 122
Pulsdefizit 116 122
3.3 122
Die Untersuchung der Brust 116 122
3.3.1 122
Weibliche 116 122
3.3.1.1 124
Palpation der Mamma 118 124
3.3.1.2 125
Palpation der Achselhöhle 119 125
3.3.2 126
Männliche 120 126
4 127
Abdomen 121 127
4.1 127
Verdauungsorgane 122 127
4.1.1 130
Leichte Palpation 124 130
4.1.2 131
Tiefe Palpation 125 131
4.1.3 131
Palpation der Leber 125 131
4.1.4 133
Palpation der Gallenblase 127 133
4.1.5 134
Palpation bei Verdacht auf Appendizitis 127 134
4.1.6 137
Palpation der Milz 131 137
4.1.7 139
Nachweis von Aszites 133 139
4.1.8 140
Mechanischer Ileus 134 140
4.1.9 141
Paralytischer Ileus 135 141
4.2 142
Urogenitalsystem 136 142
4.2.1 142
Harnsystem 136 142
4.2.1.1 143
Palpation der Nieren 137 143
4.2.1.2 144
Palpation der ableitenden Harnwege 138 144
4.2.1.3 145
Perkussion der Nieren 139 145
4.2.1.4 146
Perkussion der Harnblase 140 146
4.2.2 147
Geschlechtsorgane 141 147
5 148
Peripheres Gefäßsystem 142 148
5.1 148
Arterien 142 148
5.1.1 149
Prüfung der Hauttemperatur 143 149
5.1.2 149
Pulsprüfung 143 149
5.1.3 154
Testverfahren bei Verdacht auf Durchblutungsstörungen 148 154
5.2 156
Venen 150 156
5.2.1 157
Verdacht auf Phlebothrombose 151 157
5.2.2 158
Verdacht auf chronisch venöse Insuffizienz 152 158
6 160
Lymphknoten 154 160
6.1 161
Die Lymphknoten des Halses und Kopfes 155 161
6.2 162
Axilläre Lymphknoten 156 162
6.3 164
Inguinale Lymphknoten 158 164
7 166
Bewegungsapparat 160 166
7.1 166
Wirbelsäule 160 166
7.1.1 167
Seitenansicht 161 167
7.1.2 168
Rückseitige Ansicht 162 168
7.1.3 168
Vorderansicht 162 168
7.1.4 168
Palpation der Dornfortsätze 162 168
7.1.5 169
Palpation der paravertebralen Muskulatur 163 169
7.1.6 169
Überprüfung des Geradestandes 163 169
7.1.7 170
Perkussion der Dornfortsätze 164 170
7.1.8 171
Stauchung der Wirbelsäule 165 171
7.1.9 171
Testverfahren zur Beweglichkeit der Wirbelsäule 165 171
7.2 174
Gelenke 168 174
7.2.1 176
Schultergelenk 170 176
7.2.2 176
Ellenbogengelenk 170 176
7.2.3 176
Handgelenk 170 176
7.2.4 176
Fingergelenke 170 176
7.2.5 177
Hüftgelenk 171 177
7.2.6 177
Kniegelenk 171 177
7.2.7 177
Fuß- und Zehengelenke 171 177
7.2.8 178
Überprüfung der Temperatur 172 178
7.2.9 178
Palpation des Schultergelenks 172 178
7.2.10 178
Palpation des Ellenbogengelenks 172 178
7.2.11 178
Palpation des Handgelenks 172 178
7.2.12 178
Palpation der Fingergelenke 172 178
7.2.13 179
Palpation des Hüftgelenks 173 179
7.2.14 179
Palpation des Kniegelenks 173 179
7.2.15 181
Palpation der Fuß- und Zehengelenke 175 181
7.2.16 182
Beweglichkeitsprüfung bestimmter Gelenke 176 182
8 183
Nervensystem 177 183
8.1 183
Psychischer Befund 177 183
8.2 184
Körperlicher Befund 178 184
8.2.1 185
Untersuchung des Gangverhaltens 179 185
8.2.2 188
Untersuchung der Hirnnerven 182 188
8.2.3 192
Untersuchung der Reflexe 186 192
8.2.4 198
Untersuchung der Motorik 192 198
8.2.5 208
Untersuchung der Sensibilität 202 208
8.2.6 209
Spezielle Methoden 203 209
9 211
Haut und Hautanhangsgebilde 205 211
9.1 211
Haut 205 211
9.2 216
Haut- und Schweißdrüsen 210 216
9.3 217
Nägel 211 217
9.4 217
Haare 211 217
Laborchemische Differenzialdiagnose 219
1 220
Hämatologische und klinisch-chemische Laborparameter 214 220
2 222
Entzündungsparameter 216 222
2.1 222
Blutkörperchensenkungsgeschwindigkeit (BSG) 216 222
2.2 224
C-reaktives Protein (CRP) 218 224
3 225
Hämatologische Untersuchungen 219 225
3.1 225
Erythrozyten 219 225
3.2 225
Leukozyten 219 225
3.3 227
Thrombozyten 221 227
3.4 228
Mittlerer korpuskulärer Hämoglobingehalt (MCH) 222 228
3.5 228
Mittleres korpuskuläres Volumen (MCV) 222 228
3.6 229
Mittlere korpuskuläre Hämoglobin-Konzentration (MCHC) 223 229
3.7 229
Hämatokrit (HKT) 223 229
3.8 229
Hämoglobin (Hb) 223 229
3.9 230
Retikulozyten 224 230
4 231
Blutausstrichdifferenzierung 225 231
4.1 231
Neutrophile Granulozyten 225 231
4.2 232
Basophile Granulozyten 226 232
4.3 232
Eosinophile Granulozyten 226 232
4.4 233
Lymphozyten 227 233
4.5 233
Monozyten 227 233
5 235
Weitere wichtige Laborparameter 229 235
5.1 235
Leberenzyme 229 235
5.1.1 235
Gamma Glutamyltransferase (g-GT) 229 235
5.1.2 235
Glutamat-Pyruvat-Transaminase (GPT) 229 235
5.1.3 236
Glutamat-Oxalazetat-Transaminase (GOT) 230 236
5.1.4 236
Glutamat-Dehydrogenase (GLDH) 230 236
5.1.5 237
Cholinesterase (CHE) 231 237
5.1.6 237
Leuzin-Aminopeptidase (LAP) 231 237
5.2 238
Pankreasenzyme 232 238
5.2.1 238
Alpha-Amylase 232 238
5.2.2 238
Lipase 232 238
5.3 240
Kardiale Diagnostik 234 240
5.3.1 240
Cardiales Troponin T (cTnT) 234 240
5.3.2 240
Creatinkinasen (Gesamtaktivität) = Gesamt CK 234 240
5.3.2.1 241
CK-MB 235 241
5.3.3 241
Lactat-Dehydrogenase (LDH) 235 241
5.3.3.1 242
Alphahydroxybutyrat-Dehydrogenase (a-HBDH) 236 242
5.4 243
Nierenfunktion 236 243
5.4.1 243
Kreatinin 236 243
5.4.2 243
Harnstoff 236 243
5.5 244
Lipidstoffwechsel/Harnsäure 237 244
5.5.1 244
Triglyceride 237 244
5.5.2 244
Cholesterin 237 244
5.5.3 245
Low density lipoprotein (LDL) 238 245
5.5.4 245
High density lipoprotein (HDL) 238 245
5.5.5 245
Very low density lipoprotein (VLDL)/Chylomikronen 238 245
5.5.6 246
Harnsäure 239 246
5.6 247
Proteine 240 247
5.6.1 247
Protein gesamt 240 247
5.6.2 248
Albumin 241 248
5.6.3 248
Alpha1- und Alpha2-Globuline 241 248
5.6.4 249
Beta-Globuline 242 249
5.6.5 249
Gamma-Globuline 242 249
5.7 250
Serumelektrolyte 243 250
5.7.1 250
Natrium 243 250
5.7.2 251
Kalium 244 251
5.7.3 252
Calcium 245 252
5.8 253
Tumormarker 247 253
5.8.1 254
Carcinoembryonales Antigen (CEA) 247 254
5.8.2 254
Alpha-Fetoprotein (AFP) 247 254
5.8.3 254
Prostataspezifisches Antigen (PSA) 248 254
5.8.4 254
CA 19–9 248 254
5.9 254
Phosphatasen 248 254
5.9.1 254
Saure Phosphatase 248 254
5.9.2 255
Alkalische Phosphatase 249 255
5.10 256
Leberstoffwechsel 250 256
5.10.1 256
Bilirubin gesamt 250 256
5.11 257
Glukosestoffwechsel 251 257
5.11.1 257
Glucose 251 257
BookmarkLevel: 8BookmarkPageNumber: 258BookmarkBeginBookmarkTitle: Oraler Glukose Toleranztest (OGTT) 252BookmarkLevel: 9BookmarkPageNumber: 258BookmarkBeginBookmarkTitle: Spezielles Prüfungs- und PraxiswissenBookmarkLevel: 2BookmarkPageNumber: 261BookmarkBeginBookmarkTitle: 1BookmarkLevel: 3BookmarkPageNumber: 262BookmarkBeginBookmarkTitle: Fragentraining zur Anamnese und Differenzial-diagnose 264BookmarkLevel: 4BookmarkPageNumber: 262BookmarkBeginBookmarkTitle: 2BookmarkLevel: 3BookmarkPageNumber: 271BookmarkBeginBookmarkTitle: Lösungen 273BookmarkLevel: 4BookmarkPageNumber: 271BookmarkBeginBookmarkTitle: 3BookmarkLevel: 3BookmarkPageNumber: 272BookmarkBeginBookmarkTitle: Fragentraining zur körperlichen Untersuchung und Differenzialdiagnose 274BookmarkLevel: 4BookmarkPageNumber: 272BookmarkBeginBookmarkTitle: 4BookmarkLevel: 3BookmarkPageNumber: 291BookmarkBeginBookmarkTitle: Lösungen 293BookmarkLevel: 4BookmarkPageNumber: 291BookmarkBeginBookmarkTitle: 5BookmarkLevel: 3BookmarkPageNumber: 293BookmarkBeginBookmarkTitle: Fragentraining zu Labor und Differenzialdiagnose 295BookmarkLevel: 4BookmarkPageNumber: 293BookmarkBeginBookmarkTitle: 6BookmarkLevel: 3BookmarkPageNumber: 306BookmarkBeginBookmarkTitle: Lösungen 308BookmarkLevel: 4BookmarkPageNumber: 306BookmarkBeginBookmarkTitle: AnhangBookmarkLevel: 2BookmarkPageNumber: 307BookmarkBeginBookmarkTitle: 1BookmarkLevel: 3BookmarkPageNumber: 308BookmarkBeginBookmarkTitle: Sachverzeichnis 311BookmarkLevel: 4BookmarkPageNumber: 308BookmarkBeginBookmarkTitle: 2BookmarkLevel: 3BookmarkPageNumber: 309BookmarkBeginBookmarkTitle: Literaturverzeichnis 317BookmarkLevel: 4BookmarkPageNumber: 309BookmarkBeginBookmarkTitle: 3BookmarkLevel: 3BookmarkPageNumber: 310BookmarkBeginBookmarkTitle: Über die Autorin 319BookmarkLevel: 4BookmarkPageNumber: 310BookmarkBeginBookmarkTitle:BookmarkLevel: 1BookmarkPageNumber: 102BookmarkBeginBookmarkTitle: Allm_310ff.pdfBookmarkLevel: 1BookmarkPageNumber: 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708.654PageMediaBeginPageMediaNumber: 326PageMediaRotation: 0PageMediaRect: 0 0 539 737PageMediaDimensions: 539 737PageMediaCropRect: 28.3465 28.3465 510.654 708.654PageLabelBeginPageLabelNewIndex: 1PageLabelStart: 1PageLabelNumStyle: UppercaseRomanNumeralsPageLabelBeginPageLabelNewIndex: 11PageLabelStart: 1PageLabelNumStyle: DecimalArabicNumeralsTitle: 3830493215Subject:Keywords:Author: HmailCreator: PDFCreator 3.3.0.2468Producer: PDFCreator 3.3.0.2468CreationDate: Mon Nov 19 16:33:04 2018ModDate: Mon Nov 19 16:33:04 2018Tagged: noForm: nonePages: 326Encrypted: noPage size: 482.308 x 680.308 ptsPage rot: 0File size: 2747097 bytesOptimized: noPDF version: 1.4 258
Oraler Glukose Toleranztest (OGTT) 252 258
Spezielles Prüfungs- und Praxiswissen 261
1 262
Fragentraining zur Anamnese und Differenzial-diagnose 264 262
2 271
Lösungen 273 271
3 272
Fragentraining zur körperlichen Untersuchung und Differenzialdiagnose 274 272
4 291
Lösungen 293 291
5 293
Fragentraining zu Labor und Differenzialdiagnose 295 293
6 306
Lösungen 308 306
Anhang 307
1 308
Sachverzeichnis 311 308
2 309
Literaturverzeichnis 317 309
3 310
Über die Autorin 319 310
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Allm_310ff.pdf 1
Inhalt 320
Klassische Anamneseerhebung mit differenzial-diagnostischen Überlegungen 323

Produkt-Details

• Erscheint lt. Verlag: 1.10.2011
• Verlagsort: Stuttgart
• Sprache: deutsch
• Themenwelt: Medizin / Pharmazie ► Naturheilkunde
• Schlagworte: Anamnese • Anamneseerhebung • Blutdiagnostik • Diagnose • Differenzialdiagnose • Heilpraktiker • Heilpraktikerausbildung • Heilpraktikerprüfung • Heilpraxis • Herzerkrankungen • HERZERKRA NKUNGEN • Komplementärmedizin • Körperliche Untersuchungen • Laboruntersuchungen • LABORUNTERSUCHUNGE N • Lehrbuch • Lungenerkrankungen • Prüfung • Prüfungsfragen • Urindiagnostik
• ISBN-10: 3-8304-9274-X / 383049274X
• ISBN-13: 978-3-8304-9274-0 / 9783830492740