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全部话题 - 话题: biliary
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d**z
发帖数: 3577
1

Gallstones
In addition to the prevention of kidney stones there is evidence that
magnesium can prevent gallstones. Our medical dictionary says that the
gallstone is a concretion formed in the bladder or the biliary ducts,
composed, in varying amounts, of cholesterol, bilirubin, and other elements
found in bile. The biliary ducts are in the liver. In this case also,
magnesium is a specific preventive factor in the formation of gall- or liver
stones. For one thing, in a previous chapter, we showe... 阅读全帖

发帖数: 1
2
11 月13日 终于找到另一股在我家害我的势力
昨天,这些人折腾了一天,白天,晚上皮啦啦,也不知道谁把谁杀了,谁把谁带走了。
反正我先生和孩子被绑架了,就不知道是不是已经遇害了。我本来是打算睡觉的,但他
们头上,地下装电磁波攻击器,让我几乎窒息。虽然我没倒下,但其实他们在我身上扎
的毒针已经蔓延,我能感觉到我的呼吸有窒息的感觉。我想我对他们已经非常仁慈了,
但他们不依不饶地攻击我,欲置我于死地,让我非常生气,特别是肆意伤害我家里的人
,绑架我先生和孩子,而且有许许多多无辜的生命毁于他们之手,有必要把他们曝光。
当然我还没分析这里边是那几个人具体攻击我,伤害我的,但他们显然都是一伙的。鉴
于他们伤害我的头部,胸部 和胃部,我就把这几部分的医生都曝光,受害者慢慢去调
查,追查他们吧。
Cleveland Clinic, Website: my.clevelandclinic.org
Call 855. REFER. 123 or 855.733.3712
Lung Cancer
Results: 57 Doctors
PREV123NEXT
Results per page:
Dav... 阅读全帖
k******e
发帖数: 80
3
来自主题: Nursing版 - 我的加州申请过程
我是08年10月底开始申请加州考试的,今年1月底通过审核。中间因为找学校教务处盖
章很麻烦,耽误了2个多月,材料才得以从学校寄出。个人觉得申请算是比较顺利。把
我当时准备的情况跟大家说一下也许对将要申请的人有一点帮助。
我个人从这里寄出去的材料包括:
1.国内护士执照的公正,在这里网上找的公证处,在纽约,叫最佳公正,电话
7183212810
2.指纹卡,就在我住的地方的警察局办的,free
3.handbook上的申请表,贴一张照片在右下角(handbook链接:http://www.rn.ca.gov/pdfs/applicants/exam-app.pdf
这一页有一项是填社会安全号,我当时没有就空着的,没有关系。
4.两张支票,一张办指纹的($51),一张申请的($75)
5.写了一封信,表示感谢,一张纸,很客气的几句话
从学校寄出的材料:
1.中英文成绩单(学校有,我来之前到学校教务处办好的)
2.学位证书和毕业证书中英文版(来之前自己办好到学校教务处办好的,盖好了章)
3.课程描述9门(内外妇儿、精神科护理、生理、解剖、免疫、微生物,好像是这些,
请参考的人自己再斟酌。)... 阅读全帖
r*******g
发帖数: 5495
4
来自主题: Military版 - 我吃过晚饭后左下腹隐隐作痛
Selected Differential Diagnosis of Abdominal Pain
Pain location Possible diagnoses
Right upper quadrant Biliary: cholecystitis, cholelithiasis, cholangitis
Colonic: colitis, diverticulitis
Hepatic: abscess, hepatitis, mass
Pulmonary: pneumonia, embolus
Renal: nephrolithiasis, pyelonephritis
... 阅读全帖
l*******n
发帖数: 68
5
It looks like that your friend's mother has metastatic renal carcinoma with
liver metastasis and biliary tract obstruction (primary kidney cancer and
spreaded to liver causing biliary tract obstruction). Unfortunately, the
prognosis in this situation is terminal. There is no cure. She is not a
candidate for surgery given metastatic situation. she is too ill to receive
chemotherapy. In addition, kidney cancer does not respond to chemotherapy
well. What the doctors in China have been doing are all
s**********8
发帖数: 25265
6
来自主题: MedicalDevice版 - stent
http://en.wikipedia.org/wiki/Stent
Stent
From Wikipedia, the free encyclopedia
For people named Stent, see Stent (surname).
Stent
Intervention
MeSH
D015607
In the technical vocabulary of medicine, a stent is an artificial 'tube'
inserted into a natural passage/conduit in the body to prevent, or
counteract, a disease-induced, localized flow constriction. The term may
also refer to a tube used to temporarily hold such a natural conduit open to
allow access for surgery.
Contents
[hide] 1 Etymology
... 阅读全帖
k***y
发帖数: 104
7
来自主题: USANews版 - 今天VP辩论有online的poll吗?
One thing for sure is CNBC won't do it again. It created a poll after the
firat debate and trump vs biliary was around 7:3. Later on they never
mentioned this poll, and referenced CNN's biased poll. What a shame!
s**p
发帖数: 702
8
http://www.23andMe.com/a/ff1/y1v8a
Offer Expires: Dec. 27th, 2011
这个折扣好久没有了,上次还是2010年的DNA day,那次是99元,那次原本说全天打折
,可是到了下午4点多就提前结束了。
这次只要79!!!大家快去抢啊!
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preli... 阅读全帖
A********r
发帖数: 30
9
来自主题: JobHunting版 - 招消化内科医生, 德州, 急。
http://www.indeed.com/m/viewjob?jk=04afdcfc95c063c4&from=serp
Discipline
Physicians
Specialty
Internal Medicine
Subspecialty
Gastroenterology
Shift
Duration
Start Date
ASAP
Pay Rate
$500,000.00 - $1,200,000.00
Job Description & Requirements
$1 million income Gastroenterology opportunity in Texas!
Greetings! My name is Rick Novak, Senior Consultant at Merritt Hawkins and I
wanted to reach out and share a new opportunity with a stable partnership
of Gastroenterologists to join them in growing one ... 阅读全帖
f******I
发帖数: 769
10
来自主题: Medicine版 - 利石素, which one is better?

an
ERCP
you could try ursodiol, but it takes months o dissolve the stone, it doesn't
always work, there is a pretty high recurrence rate, plus it dosn't work
well for calcified stones,
if you don't take it out, you run the risk of biliary cirrhosis or
cholangitis,
s****h
发帖数: 921
11
来自主题: Medicine版 - 请帮忙看看我的B超结果
Exam:
Ultrasound Abdominal Limited
Technique:
The right upper quadrant of the abdomen was examined by real-time ultrasound.
Findings:
The liver is normal in size, being 13.8 cm in its cephalocaudad diameter. It
shows normal echotexture and no evidence of a mass and no evidence of
intrahepatic biliary duct dilatation. The gallbladder contain four internal
echoes which were adherent to its walls. The largest of these was 2.7mm in
diameter. These did not cast acoustic shadows and did not move with
f******I
发帖数: 769
12

can take the gallbladder out,
if the stones are small, likely will not cause biliary obstruction,
k******o
发帖数: 6
13
请问在美国对原发性胆汁性肝硬化(Primary Biliary Cirrhosis)有什么治疗方法或
新药吗?
我一个在国内的朋友最近被诊断出原发性胆汁性肝硬化,国内现在对这种病没有有效的
治疗措施。有谁了解这种病在美国的治疗情况吗?多谢!
f******I
发帖数: 769
14
来自主题: Medicine版 - 请问有什么好的治疗胆结石的药

if your friend has no symptoms, then he or she should be left alone, based
on the studies that showed the risk of converting from asymptomatic
gallstone to symptomatic gallstone is about 1% per year, which is considered
less than surgical risk,
if your friend has biliary symptoms, then surgery is often the mostly
recommended procedure, though we believe that after cholecystectomy there
should be no physiological adverse outcome, but some patients often complain
about diarrhea, and there is some
g***r
发帖数: 285
15

learned the lesson in a hardway, had a young patient admitted with fever and
abnormal liver function test that we all thought was cholecystitis or some
sort biliary infection/inflammation, he quickly deterioated into multi-organ
failure and died, postmorterm showed babesiosis,
though lyme disease is all people talking about, i've yet to see one,
g***r
发帖数: 285
16
来自主题: Medicine版 - 请问胆管癌

biliary cancer is very difficult to treat and almost always fatal, bless,
g***r
发帖数: 285
17
来自主题: Medicine版 - 求治疗肝结石的药.

not gonna jump in and say ha that herbal medicine never works, assume he had
cholecystitis and had cholecystectomy, then he developed common bile duct
stone? what kind of surgery he had? ERCP? or they really did an open
laparatomy? and now how did they know there is still stones formed? would
need more details,
in general vitamin C and moderate coffee intake and unsaturated fat
supposedly lower the formation of biliary stones,
g***r
发帖数: 285
18
来自主题: Medicine版 - 我婆婆还有救吗?

10
biliary cancer has very poor outcome,
palliative care is the best for her, there are different types of narcotic
in different forms, from liquid to sublingual to patches,
l*****y
发帖数: 5737
19
☆─────────────────────────────────────☆
lldyh (Hunk) 于 (Wed Dec 12 22:47:39 2007) 提到:

bile.
hydronephrosis
review
一般癌变指标是AFP (甲胎蛋白),如果体检里有这一项,而且不超标,就不用担心。B
超不能作为诊断肝癌的依据。
http://www.hepb.org/resources/liver_specialist_directory.htm
的B
老印是家庭医生还是专科?如果是专科,可以另找一个了。
乙肝5项检查结果是国内俗称小三阳的一种(1,3,5项阳),转氨酶ALT,AST轻微偏高,
提示可能有轻微炎症的发生。
是否需要进行治疗,还要做一项检查,乙肝病毒定量HBV DNA,看是否超标。
☆─────────────────────────────────────☆
lldyh (Hunk) 于 (Wed Dec 12 22:50:25 2007) 提到:
近期去做了乙肝,肝脏B超检查,结果如下:
乙肝结果:
EIA检查:HBsAg: posti... 阅读全帖
t***a
发帖数: 2813
20
来自主题: Medicine版 - 觉得食管不舒服,去看什么科
感觉应该是肠胃科,但是刚才看了肠胃科介绍,好像又不对劲。
gastroenterology services specialize in the prevention, diagnosis and
treatment of diseases of the liver and digestive tract, including the
stomach, duodenum, gallbladder, biliary tract, pancreas, small intestine and
colon.
d*****3
发帖数: 65
21
来自主题: Medicine版 - 这个B超结果严重吗?
请教版上医生。去年查出胆囊息肉,现在多了肝血管瘤。情况会不会严重?需要注意什
么?非常感谢!
There is no evidence of cholecystolithiasis. A small echogenic nodular focus
is again seen associated with the anterior fundal wall the gallbladder
measuring 0.8 x 0.4 centimeters in diameter. On Doppler evaluation again
demonstrates some associated vascularity. This is consistent with a stable
polyp. The common duct measures 2 mm in AP diameter. There is no evidence of
dilated intrahepatic biliary radicles. A homogeneous liver parenchyma
pattern is... 阅读全帖
l**x
发帖数: 110
22
下面这个患者希望能得到版上医生专家的指导意见,危险多大,如何治疗,预后如何?
患者44岁,男,6年前因为肝癌做了肝移植 (符合米兰标准),之后无灾无病好几年。
去年2016年初发现轻微贫血,血色素12,因为当时在服小剂量阿司匹林,于是停服,看
看有没好转。托托拉拉到了年底,还是贫血,血色素10.5。医生说做个内镜。于是在胃
内发现一个肿瘤,内镜医生直觉是GIST。随后CT,但CT却没有异常。4月初第二次胃镜
,GIST依然还在,取样活检表明可能肝癌转移或者是非常罕见的HAC。第二次CT 报告大
小46x35mm,说比较第一次32mm变大了。可能第一次看片医生那天喝多了?肿瘤位置在
Fundus,非常接近GOJ。
AFP好久没有查了,因为肝上的情况一直很好,肝移植前AFP 100多,移植后AFP一直小
于2。上一次至少是2,3年前。也是疏忽了。现在AFP 254. 显然胃上这个要么是转移,
要么是HAC。
下周二医生还要安排一次PETCT,周三见外科医生,估计排除转移外就安排切除了。 求
这里的专家教授指点,这个情况如何是好?下面我贴上最近几个报告。
个人感觉肝移植后5,6年转移到胃实在... 阅读全帖
e********e
发帖数: 435
23
我是学医的。 给新生儿的抽血真的很难很难。别说护士了,有一次一个新生儿抽血,3
护士搞不定,叫儿医,还是搞不定。后来是叫上儿童麻醉医生才把血给抽出来。可想而
知那小baby被扎了多少针。infants的血管很难找,而且小的不得了, 更不要说新生儿
的了。 很多都是试了各个部位才终于一个地方可以抽到血。
引起jaundice的有原因很多,大多数是bili light照照就没问题的。但还是有部分小孩
是由其他非常严重的原因引起的(liver, biliary system, antibiotics against the
blood)。要是是这些引起的,医生没查出来,他们是会吃官司的。
s**p
发帖数: 702
24
来自主题: NextGeneration版 - 23andMe基因测试大折扣76元(原价499)
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preliminary Research
Bladder Cancer
Brain Aneurysm
Breast Cancer
Breast Cancer Risk Modifiers
C... 阅读全帖
g**********8
发帖数: 86
25
来自主题: NextGeneration版 - 39天的宝宝出现病理性黄疸!
祝福LZ的宝宝不是胆道闭锁!可以想象你的心情,请给我发站内告知email地址,我有
专业uptodate的网站access,可以阅读查询胆道闭锁的治疗信息。我希望给LZ发过去。
即使做最坏的打算,刚才简单看了一下biliary atresia的治疗方法。前面也有MM提到
了成功的例子。这些例子很多。LZ请记住:
1)现在是20-30年以后,宝宝是在美国,手术方式和预后都有很大程度的提高。
2)Kasai手术法/Hepatoportoenterostomy,将胆道和小肠连接起来,通过那些还通畅
的小的胆道把胆汁流到小肠。
3)做最坏打算,肝移植。虽然这是很艰难的一条路,但是并不是意味着救不了宝宝。
宝宝仍然会有很大机会!这里移植、移植后的治疗都是先进的。最重要的是不能让宝宝
黄疸水平太高时间太长。所以早期发现、早期治疗就是给宝宝最大的机会。
我说这些,并不想缩小你现在经历的痛苦,现在最重要的是,用知识武装自己,配合医
生,给宝宝最好的诊断和治疗。尽快住院检查,尽快找出原因。诊断过程包括超声
ultrasound、核素扫描scintography,可能会进行肝活检和胆道造影。这些听起来很可... 阅读全帖
y****u
发帖数: 23
26
宝宝出生5天因为黄疸住院,光照治疗一个晚上以后,第二天早上一个GI过来和我说发
现直胆还是很高,担心胆道堵塞了,但还不确定,需要再确诊。当时我还很懵懂,不知
道这是什么样的病。事后在网上查了新生儿胆道堵塞信息,我顿时眼泪就流下来了。胆
闭一生的医疗护理和极可能的肝移植,这些对宝宝和我们来说太可怕,太沉重。
在医院待的每一天我都在流泪。基本上能做的化验检测都作了。我们每天都期待检测结
果是好的,然而每种检测结果都指向胆闭。每个人都很痛苦,两家的老人知道以后也从
喜到悲。
现在我们只能接受现实。
我可怜的宝宝一出生就要开始受苦,但爸爸妈妈会一直陪伴支持你的!
希望大家祝福我的宝宝吧!希望他即将进行的手术成功,手术后能很好恢复。
如果这里有胆闭/肝移植儿童的父母,希望能和你们交流。
谢谢。
K*****s
发帖数: 569
f*******e
发帖数: 293
G*******l
发帖数: 2575
29
bless宝宝坚强挺过难关
f**********y
发帖数: 146
30
宝宝真可怜,看的我心揪着疼,希望宝宝顺利度过难关,平平安安健康成长。mm也要坚
强!
l*****a
发帖数: 1431
s********r
发帖数: 897
f*****n
发帖数: 662
33
bless
希望宝宝少受罪
s******7
发帖数: 1091
s*******1
发帖数: 11216
M*******A
发帖数: 14451
36
祝福宝宝~阿弥陀佛!
i****t
发帖数: 2318
j***0
发帖数: 149
38
Bless 宝宝快点好起来!
a**********u
发帖数: 118
y*****e
发帖数: 1449
40
bless, bless!
L***a
发帖数: 103
w******y
发帖数: 4871
42
bless!
transplant list要排多久啊?
c**********n
发帖数: 13712
p*******8
发帖数: 316
44
big bless!!!!!!!!!
N******0
发帖数: 1831
45
Bless 如果是肝移植 父母和孩子能配对成功是可以移植给孩子的 而且肝脏有再生能力
t*******t
发帖数: 56
46
Bless。。。
b*******y
发帖数: 12791
p*********d
发帖数: 2373
f******e
发帖数: 2888
49
big bless
mm坚强
x********i
发帖数: 431
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