f******I
发帖数: 769 | 1
have to make sure it's primary hyperaldoteronism from aldoteronoma,
and he needs to take aldactone for about 5 weeks before the surgery |
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f******I
发帖数: 769 | 2
dose she have excessive body hair, a coarse voice, menstrual irregularities,
lots of acnes? those are all signs and symptoms with polycystica ovarian
syndrome in addition to being obese,
if she doesn't want to get pregnant then can take oral contraceptive pills
along with aldactone, otherwise she can take metformin, |
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y******n
发帖数: 8667 | 3
还真是 potassium chloride
http://en.wikipedia.org/wiki/Salt_substitute
Salt substitutes are low-sodium table salt alternatives marketed to
circumvent the risk of high blood pressure and cardiovascular disease
associated with a high intake of sodium chloride[1] while maintaining a
similar taste. They usually contain mostly potassium chloride, whose
toxicity is approximately equal to that of table salt in a healthy person (
the LD50 is about 2.5 g/kg, or approximately 190 g for a person weighing 75
... 阅读全帖 |
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J**b
发帖数: 182 | 4 1. Sarah is recovering from pneumonia. She is 93 and a resident of a local
nursing home, where she was diagnosed with behavioral and cognitive
disturbances. She is refusing food, drink and medication. Her BUN is 60
and her serum Creatinine is 1.0 . Her potassium level is 4.8.
Which of the following is most likely to be true?
A. Her serum creatinine is “normal” because her kidneys have not
been injured
B. Her renal function will return to normal with adequate rehydration
... 阅读全帖 |
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y***d
发帖数: 33 | 5 Glad there's a lot of discussion already.
Exam:
T 36.4 P 78 BP 149/87 RR 16 O2sat 98% RA
Gen – NAD
HEENT: NCAT, neck supple, EOMI, o/p clear
CV – RRR, no m/r/g, no JVD
Resp – CTA b/l, no c/r/g
Abd – hyperactive BS, soft, NT, some distension, no HSM
Ext – 4+ pitting edema up to low back. Some scaling and mild erythema noted
on bilateral lower shins.
Neuro – A&Ox3, grossly nonfocal
And to answers some questions posted above:
1. Exploratory laparoscopy showed pneumatosis intestinalis of termina... 阅读全帖 |
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y***d
发帖数: 33 | 6 Let me answer some of the questions that were posed...
For history:
Abd Pain: OCDFPPLIQRAAA all needed
--She did not have abdominal pain when I saw her. She mostly compainted of
bloating and mild distension. I don't have the details of her abdominal pain
from before. All I knew was that it was generalized and not that bad.
Diarrhea: OCDFPPAAA ABCO, blood?
--1-2 times a day, watery, large volume. Unclear if it was greasy. No
visible blood. No constipation. No tenesmus.
Other GI symptoms: nau... 阅读全帖 |
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V*****G
发帖数: 337 | 7 I do have a few questions to ask:
1st about the diagnosis: is diagnosis clear when the biopsy result is clear
or when gluten free diet worked? To me, it's the later. It will be more
helpful to ask patient if there is traveling history to Caribean, India,
Southeast Asia etc.If no such a history, then giving diagnosis when biopsy
result is clear might be reasonable to me. Maybe LZ said this somewhere in
the description that I missed. Anyway I am not clear no this at this point.
The other thing is... 阅读全帖 |
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m********4
发帖数: 607 | 8 We currently have these 2 patients. As a Doctor, how do you feel if they are
your patients?
Life is unfair, isn't it?
---------------------------------------------------
A: 46 yo patient multiple times hospital admissions.
-PAST MEDICAL HISTORY INCLUDES:
1. Hypertension.
2. Hyperlipidemia.
3. Diabetes type 2.
4. Hypothyroidism.
5. Obesity.
6. Congestive heart failure secondary to mitral stenosis status
post mitral and tricuspid annuloplasty in 2003 with known
physiology compl... 阅读全帖 |
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