u*****o
发帖数: 125 | 1 是form里的，如果没有做过，可以跳过了。
A 38 yo woman with SLE, but no evidence of nephritis comes to the office
because of a 3 weeks history of mood swings with crying spells, irritability
and insomnia. She is especially upset because she started corticosteroid
therapy. She is currently taking prednisone, 60mg/day. Her other medications
include an oral contraceptive (the same one for the past 6 yrs) and
ibuprofen. She smokes one-half pack of cigarettes daily, drinks one to two
beers 5 weeks weekly and 3 cups of ... 阅读全帖 |
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t********o
发帖数: 228 | 2 leukoplakia:
Due to chronic stimulation, such as smoking. Depends on the size and
morphology on laryngoscopy. May need biopsy to rule out carcinoma in situ.
If it is very small, can monitor it by periodic laryngoscopy. Narrow band
image may also be helpful. Meanwhile, stop smoking; if have GERD, start PPI
and change life style such as no food 4 h prior to bedtime, take PPIs, no
smoking, no coffee and tea, et al.
There are not really meds for leukoplakia.
If the patient is using steroid inhaler,... 阅读全帖 |
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j*****o
发帖数: 137 | 3 65yo woman comes to the office for a follow-up examination. She has an 18y
history of Dm and 2y history of diabetic nephropathy. She had laser
treatments 1 y ago for proliferative retinitis with some loss of vision. She
currently takes intermediate and short-acting insulin before breakfast and
dinner. She also takes enalapril for HTN. She does home glucose monitoring
three times daily. her blood glucose concentrations usally range bw 70-130
mg/dl, but several readings every week are < 60m/dl at ... 阅读全帖 |
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z**b
发帖数: 293 | 4 周二早上上班，夜班护士问我：你有没有给xxx床的病人coumadin. 我很惊讶的说 ：那
不是bedtime的药吗，是你该给的 我当然没有给了。我都没有sign那个药。然后她告诉
我说，她发药时病人说是你给过她了。我说没有，不过这个病人 很不爱吃药。那个护
士take notes 说病人拒绝服药。 我以为事情就这样过去了。
周二晚上回家，老公说你有一个电话留言。 听了: Good morning, This is xxx over
xxx hospital at 1235am ,i am calling to ask whether or not you give Coumadin
to xxx patient, please call back ASAP. 这才知道医院周二凌晨快1点时给我打电
话了，因为当晚老公拔了电话线，所以我没接到。那个护士是个floating 护士，她并
不知道我的家里电话，推断她应该是report 给什么suporvisor, 拿到我的号码，（电
话并不是那个护士本人大的）。因为我当晚没有接到这个电话，没有立即回复，那个护
士上晚夜班就走了，可是她repo |
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l******i
发帖数: 39 | 5 http://www.globalrph.com/abbrev.htm 这个Website很好。
这些是些常用的：
* Ac: before meals
* ad lib: at will, as desired
* adm: admission, admitted
* ASAP: as soon as possible
* Bid: twice a day
* Bm: bowel movement
* BP: blood pressure
* BRP: bathroom privileges
* C: Centigrade, Celsius
* Cap: capsule
* CC: chief complaint
* cc: cubic centimeter
* c/o: complains of
* C02: carbon dioxide
* CPR: cardiopulmonary resuscitation
* CXR: chest x-ray
... 阅读全帖 |
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k*********i
发帖数: 183 | 6 I had gestational diabetes. I qas taking aboit that much aspart tid as well
as 28 units of NPH at bedtime. |
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f****o
发帖数: 2770 | 7 1st gen anti-histamine is the most effective OTC but they are not
recommended for elderly. Based on the information given, the mother is
likely to use chronically.
TCA nortriptyline and desipramine do not have active metabolites and have
the least anticholinergic effect compared to other TCAs.
1st gen antihistamines are on the Beer's list, nortriptyline and desipramine
are listed as preferred alternatives on the Beer's list.
Low dose TCA is not reserved for depressed patients who have insomnia. ... 阅读全帖 |
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R*Q
发帖数: 179 | 8 去年的考题, 大家体会一下感觉吧.
时限 30分钟: 20分钟准备, 10分钟口试答题.
Patient is a 68 year old female, very nice and pleasant, obese Caucasian
female with a past medical history of multiple medical problems. She was
unable to sleep last night because she could not catch her breath. Her son
brought her to the emergency room. Patient is still feeling short of breath
. She denies any acute chest pain at this point. She denies any recent
fever, chills, cough, or purulent sputum. All her prior records were
reviewed. Sh... 阅读全帖 |
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A*******s
发帖数: 9638 | 9 •1. Vitamin B6 (50 to 100 mg per day) is really helpful. Please
consult your doctor. Because of the multiple pregnancy, I ended up taking
this the entire rest of the pregnancy. Every time I tried to stop, the
nausea started again. Most women can stop at about 12 weeks (3 months).
•2. Try taking your vitamins at bedtime. Try stopping your vitamins
for a couple of days. Try taking them with food. Try a different vitamin. It
is more important to eat a healthy diet than to throw up vitam... 阅读全帖 |
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N****f
发帖数: 25759 | 10 Learning to Lie
(Oct. 2010)
As they say, little kids learn something new every day. And today,
my daughter just managed to acquire a basic human skill that is
going to prove very useful in her future life: lying.
This afternoon, when she ask me to read to her, for the 34th or
37th or 43rd time, Dr. Seuss' classic "The Cat in the Hat," I noticed
some crayon marks on the title page. There was, of course, no
doubt in anybody's mind who the perpetrator was.
With an exaggerated expression of shock ... 阅读全帖 |
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p********r
发帖数: 3799 | 11 http://www.beginnertriathlete.com/cms/article-detail.asp?articl
Confused about how much protein you need, when you need it, and the best
kinds of protein? The following article answers some of the questions active
people commonly ask about protein.
Protein is a popular topic among both casual exercisers and competitive
athletes, many of whom are confused about how much protein they need, when
they should eat it, and the best kinds of protein to choose. The following
article answers some of the q... 阅读全帖 |
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p********r
发帖数: 3799 | 12 For Skinny Athletes: How to Gain Weight Healthfully
http://www.beginnertriathlete.com/cms/article-detail.asp?articl
Five tips for boosting calories
Although you cannot change your genetics and your tendency to fidget, you
can boost your calorie intake. Here are five tips to help you bulk-up
healthfully.
1. Eat consistently. Do NOT skip meals; doing so means you'll miss out on
important calories needed to reach your goal! Every day, enjoy a breakfast,
an early lunch, a later lunch, dinner, and a ... 阅读全帖 |
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z*******n
发帖数: 1034 | 13 The biggest, most obvious changes to iOS 8 are in how it plays friendly with
computers running OS X. Apple calls these “Continuity” features.
Handoff
“Handoff” automatically detects when your iPhone or iPad is near your Mac,
and lets you send whatever you’re working on (documents, emails, sites you
’re viewing) from one device to the other.
Instant Hotspot
“Instant Hotspot” recognizes when your tethering-enabled iPhone is nearby.
If there’s no WiFi available but your iPhone has connectivity, you... 阅读全帖 |
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a**y
发帖数: 6501 | 14 【 以下文字转载自 NextGeneration 讨论区 】
发信人: Mandelbrot (绒绒爹), 信区: NextGeneration
标 题: Re: Sleep Training小结
发信站: BBS 未名空间站 (Fri Nov 26 23:36:55 2010, 美东)
二、理论学习
看书之后发现了之前的几个重要误区。
sleep training和cry it out是完全不同的两个概念。四个月正是小人开始形成规律睡
眠的时候。闺女越来越利害的哭闹其实是overtired的表现。而训练的核心应该是让小
人可以在（1）正确的时间（2）自己睡一个（3）有长度（4）有质量的整觉。总结起来
就是right timing，self soothing，sleep duration and sleep consolidation。Cry
it out是解决self soothing的有效方法。但是更重要的，也是我们一开始没做到的，
是知道小人应该睡多少，应该什么时候睡，她的drowsy signs是什么，什么时候她已经
overtired了。
overtired是个很重要的问题... 阅读全帖 |
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w*******y
发帖数: 60932 | 15 Yoplait Kids appears to be sponsoring the giveaway, so there is a Yoplait ad
in the title page. In addition, FrogDogMedia (the company that produces
the app) appears to have a number of branded title stories on sale for $2.99.
The free books are:
My First Day of School Follow along as Charlie gets ready for his first day
of school. While he is really excited, hes also a bit scared. After asking
some questions and attending his first day, Charlie cant wait for his second
day of school. Written ... 阅读全帖 |
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w*******y
发帖数: 60932 | 16 Product Description
"This is the most honest children's book ever written. And it's f*cking
hilarious."A.J. Jacobs, author of The Year of Living Biblically
"Total genius."Jonathan Lethem, author of Motherless Brooklyn
Go the F*ck To Sleep is a bedtime book for parents who live in the real
world, where a few snoozing kitties and cutesy rhymes don't always send a
toddler sailing off to dreamland. Honest, profane, and affectionate, Adam
Mansbach's verses and Ricardo Cort閟' illustrations perfectly c... 阅读全帖 |
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w*******y
发帖数: 60932 | 19 link
Includes:
Mike Mulligan & the Steam Shovel
Lyle Lyle Crocodile
Curious George Gets a Medal
Bread and Jam for Frances
Goodnight Moon
A Little Prairie House
Paddington Bear at the Circus
The Berenstain Bears in the Dark
Richard Scarry's Bedtime Stories
Katy No-Pocket
14.99
free shipping!
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w*******y
发帖数: 60932 | 22 Amazon has Absolutely Organize Your Family available for FREE here:
http://www.amazon.com/Absolutely-Organize-Your-Family-ebook/dp/
, normally $16.99.
Product Description
Struggle Less and Savor More
Managing a family is no easy task. There are school projects to supervise, a
constant deluge of laundry and toys to deal with, and after-school
activities to drive to every night. It makes you wish you had an instruction
manual to help you keep it all together--well, now you do!
Absolutely Organize ... 阅读全帖 |
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L******t
发帖数: 1985 | 23 Noah's Ark is my son's favorite.
Thinking about developing more choices for him.. |
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L******t
发帖数: 1985 | 24 smart kids need that //run |
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j****s
发帖数: 5092 | 26 自己读就好了。//wii
w: smart kids need that //run |
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d********t
发帖数: 587 | 28 点“哇哈哈”，“两只老虎”，“小星星”，blah,blah |
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S********a
发帖数: 1163 | 29 bso u can sing all these songs! |
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f****y
发帖数: 879 | 31 文盲家长苦恼啊。。。
我们最近是magic school bus，前一阵子是斯凯瑞。。。 |
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j****s
发帖数: 5092 | 32 昨天我纠结了半天，还是没有买这套magic school bus, 挑了几本便宜的买了。//
blush
要读书，我还是喜欢读中文的，咱擅长呀。 |
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j****s
发帖数: 5092 | 34 我也不知道呀，昨天才听说，看上去好像一大套。
我现在就喜欢买这种成套的书，省心呀，不用一本本挑。 |
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f****y
发帖数: 879 | 35 灰常灰常好，我一个朋友是老师，她的原话是：没有小男生不喜欢看这个的
当当上面我买过中文的，起先我们也是读中文的，后来小人在图书馆发现了这套书，就
开始读英文的了，从此发现我很多不认识的字 // sign and blush... |
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j****s
发帖数: 5092 | 36 给小男孩看的？幸好我没买，我们家小闺女就喜欢看8卦的小说，junie b jones 那种
，这个我看了半天担心她不喜欢什么火山的。这个是chapter book 呀，读起来很辛苦
呀。//blush |
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f****y
发帖数: 879 | 37 基本上是图画书，比charpter book少很多字。 //擦汗。。。
小女生喜不喜欢我觉得真的蛮难讲的，不是很有故事 |
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p****i
发帖数: 6135 | 38 自己编故事讲
他们指定character
我来编故事情节 |
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s****t
发帖数: 461 | 39 it changes all the time yah.
big bird is my daughter's current favorite |
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j****s
发帖数: 5092 | 41 我每次陪娃睡觉，都是我先困得不行，要睡着了，娃还在折腾，我就把娃赶出去玩，自
己睡。 |
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px
发帖数: 853 | 44 我家娃娃一般是吃完奶， 听他娘唱trinkle trinkle little star入睡。 |
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p****i
发帖数: 6135 | 46 其实这才是自己编故事的好处， 可以自由控制长短 |
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p****i
发帖数: 6135 | 48 故事情节故事长短难道不是俺们编故事讲故事的定吗，呵呵
我最怕念书念到那种又不好玩又特别长的， 中间偷偷的想跳几页还老被娃镇压 |
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