m*****5
发帖数: 23482 | 1 A young Russian woman, a devoted collector of horror films and spiders, is
on trial for sedating and raping ten men.
The police were shocked that 32-year-old Valeria K., a quiet good-looking
woman from the city of Tambov, was the mysterious rapist who abused ten
local men after poisoning them with clonidine, Life.ru reports.
Valeria, who has already been nicknamed the Black Widow for her love of
spiders, would get acquainted with men and invite them to her place.
She gave them drinks with clonid... 阅读全帖 |
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f******I
发帖数: 769 | 2
if the blood pressure medication she's taking is a beta blocker such as
atenolol, or clonidine, once you stop abruptly, you could get rebound
tachycardia, |
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g*****j
发帖数: 1211 | 3 The first line treatment for Tourette's syndrome is Clonidine. You still
need to see a doctor for the prescription. Some PCP may be comfortable
prescribing it. Otherwise, you will need to see a psychiatrist or
neurologist.
It is unlikely that diet and supplement will make a change. However,
appropriate psychological guidance might be effective. You can search
online for the psychological treatment for Obsessive compulsive disorder,
and start from there. |
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l*h
发帖数: 4124 | 4 珍菊降压片 is a fake 中药. it contains clonidine and hydrochlorothiazide.
one of my relatives thought it was a good drug. it was not easy to persuade
him the many adverse effects he was experiencing was from the "good" drug. |
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l*h
发帖数: 4124 | 5 珍菊降压片 is a fake 中药. it contains clonidine and hydrochlorothiazide.
one of my relatives thought it was a good drug. it was not easy to persuade
him the many adverse effects he was experiencing was from the "good" drug. |
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q****i
发帖数: 38 | 6 男的来点儿Clonidine，这东西降血压，不能多吃 |
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u***e
发帖数: 611 | 7 我也是哦，而且都没看到有人会去看眼底的，target organ损害，怎么衡量捏。
我晚上被呼起来说病人血压200/120，我就迷迷糊糊的说麻烦手动量一下吧，再呼还高
，就给0.1 clonidine，再呼还高，就给10 mg hydralazine IV, 反反复复的就两大法
宝。上drip是要进ICU的，一般病人好好的就不必了。有的护士非要把病人血压降到正
常，否则不停呼你，很郁闷。 |
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c********n
发帖数: 4762 | 8 Regarding to your mam's high bp (high gap between systolic and diastolic),
珍菊降压片 (thiazide + clonidine) is a good choice.
Every patient is different. A good drug for others may be toxic to your mam.
The main inconvenience of 珍菊降压片 is patients will pee a lot. |
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F*****y
发帖数: 92 | 9 强烈建议去药学版问这个问题, 哪里有很多正在美国读 pharm. D. 的学生或已经毕业
的药剂师可以给你更多更好的建议.Clonidine 绝对不是首选药. |
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c********n
发帖数: 4762 | 10 Of course clonidine is not the first line, thiazide is. |
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s*****1
发帖数: 273 | 11 非常感谢tele的热心和细心指点。听完以后大概知道如何准备Case Presentation了。
总之还是要多练多说。
另外多谢去年鼠大提供的DT的模板。
==
SUMMARY:
A 42-year-old male with PMH of alcohol abuse x 20 years, h/o multiple
substance abuse was brought to the ER by his family in a state of confusion.
Last drink 3 days ago. His family member provided history because he is a
poor historian. He hasn't have seizure before. He has been having auditory
hallucinations, tremors, nausea, fever, tachypnea, 2 episodes of non bloody
vomiting, and insomnia for one day. N... 阅读全帖 |
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h*****1
发帖数: 429 | 12 主诉：酒饭后右脚麻木，话语轻微不灵活2小时。
现病史：男，47岁，2小时前酒饭后行走时突然感觉右脚麻木，讲话时对个别词语的表达
感觉舌头不灵活流利。
过去史：无特别疾病。
家族史：直系亲属有高血压病史。
体检：神志清晰，反应正常。个别字发音不流畅。血压180/130， 体温37，右脚感觉轻
度减轻，健反射正常。眼底无水肿出血。
检测：血常规正常。血钾3.45 mmol／L。 CT 显示脑部轻微出血性阴影。
诊断：高血压，轻度血管破裂性脑出血。
住院治疗：
《1》 厄贝沙坦氢氯噻嗪分散片(Irbesartan and Hydrochlorothiazide）。
《2》 可乐定（Clonidine）
《3》 硝苯地平片 （Nifedipine）
《4》 甲钴胺片 （Mecobalamin Tablets）
《5》 盐酸纳洛酮注射液（Naloxone Hydrochloride）
《6》 吡拉西坦片（脑复康片， Piracetam Tablets）
《7》 氯化钾缓释片（Potassium Chloride Sustained-Release Tab... 阅读全帖 |
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J**b
发帖数: 182 | 13 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******7
发帖数: 17 | 14 The following is what I collected when I was a student doing capstone in a
local hospital. Not sure if it is useful.
Lidocaine topical is a amide-type local anesthetic. for production of
topical anesthesia, relief of pain associated with postherpetic neuralgia,
reduction of gagging during dental procedures, prevention and control of
urethral pain, anesthetic lubricant for endotracheal intubation, and relief
of hemorrhoidal pain.
Polyethylene glycol(Miralax) is a nonabsorbed solution used to trea... 阅读全帖 |
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c********y
发帖数: 33 | 15 准备第一步evaluation exam总结的，都是参考别的书的，也不是很全面，所以如果有
错误请多包
涵，如下：
Methyldopa —— galatorrhea, SLE
Levodopa - taste disturbance
Procainamide - SLE, agranulocytosis,torsade de points
Captopril - agranulocytosis
ACEI - taste disturbance, dark stool
Cyclosporin - acute gout, gingival overgrowth
Phenytoin - SLE, gingival overgrowth
Thiazide - SLE, pulmonary edema, gout
Sulfasalazine - Pulmonary fibrosis, SLE
Chlopramazine - SLE, seizure, dry mouth
Verapamil - galactorrhea, bradycardia
PTU - agranulocytosis, S... 阅读全帖 |
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r********r
发帖数: 352 | 16 可以上clonidine.
residency快1年了，还真没遇到过tekterna being ordered. 之前fourth year
rotation的时候好像还见过。可见这个药已经逐渐fall out of favor了。 |
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l******k
发帖数: 27533 | 17 同意呀
tekterna跟ACEI, ARB很相近，如果那两种无法用，换tekterna不如换clonidine
合用更是太奇怪了 |
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L*****r
发帖数: 722 | 18 Dr. Aplusplus (Hakuna Matata)：Good decision-making comes from experience,
and experience comes from bad decision-making.
Dr. Lexian (蒙古大夫)：ideally, get your experience from OTHER'S bad
decision making :-)
1. When you order cultures, please write “before antibiotics are given”;
while order starting antibiotics, please write “after blood and urine
cultures are collected” . 因为用抗生素会显著影响细菌培养的结果；
注意有些特殊情况，尤其要考虑先取材培养，再上抗生素。
（1）怀疑骨髓炎，应该先probe the bone to get deep tissue culture, since
superficial cultur... 阅读全帖 |
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g*2
发帖数: 658 | 19 刚刚把堆积了几个星期的nejm翻看了一下，居然在11月底的那期case discussion就是
讲得这个病
http://www.nejm.org/doi/full/10.1056/NEJMcpc1103565
Case 36-2011 — A 93-Year-Old Woman with Shortness of Breath and Chest Pain
Presentation of Case
Dr. Pooja Agrawal (Emergency Medicine): A 93-year-old woman was seen in the
emergency department at this hospital because of chest pain and shortness of
breath.
The patient had been in her usual state of health, with hypertension and
chronic renal insufficiency, until the morning of admission, wh... 阅读全帖 |
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A*******s
发帖数: 9638 | 20 同意楼上。
药物治疗利尿剂应该是比较安全的， monitor一下尿酸就行了。 注意饮食， 低盐是必
须的。 clonidine对顽固性高血压挺管用，我们经常用， 效果还好。 |
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h*****1
发帖数: 429 | 21 主诉： 酒饭后右脚麻木，话语轻微不灵活2小时
现病史：男，47岁，2小时前酒饭后行走时突然感觉右脚麻木，讲话时对个别词语的表达
感觉舌头不灵活流利。
过去史：无特别疾病。
家族史：直系亲属有高血压病史。
体检： 神志清晰，反应正常。个别字发音不流畅。血压180/130， 体温37，右脚感觉轻
度减轻，健反射正常。眼底无水肿出血。
检测： 血常规正常。血钾3.45 mmol／L。 CT 显示脑部轻微出血性阴影。
诊断： 高血压，轻度血管破裂性脑出血。
住院治疗：
《1》 厄贝沙坦氢氯噻嗪分散片(Irbesartan and Hydrochlorothiazide）。
《2》 可乐定（Clonidine）
《3》 硝苯地平片 （Nifedipine）
《4》 甲钴胺片 （Mecobalamin Tablets）
《5》 盐酸纳洛酮注射液（Naloxone Hydrochloride）
《6》 吡拉西坦片（脑复康片， Piracetam Tablets）
《7》 氯化钾缓释片（Potassium Chloride Su... 阅读全帖 |
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h*****1
发帖数: 429 | 22 Update:
<1> Second brain CT: A second brain CT shows that the hemorrhagic shadow
shown in the first CT 4 weeks ago appeared not visible.
<2> The cause of the (ischemic) stroke remains unknown: He has not done
any MRI/MRA to establish a diagnosis of the acute stroke or to rule out
aneurysm/AVM, which makes worrisome.
It is true that he needs to talk to a neurosurgeon about it. However, the
hard part is that he is in China and he is now normal other than high blood
pressure. It would be very h... 阅读全帖 |
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M***D
发帖数: 249 | 23 Please take following information as suggestion only:
1. 有些抗抑郁药会引起失眠including Wellbutrin XL, Zoloft, Effexor XR...等等
，最好在午饭前服用这些抗抑郁药。
2. If you have difficulties to fall asleep, melatonin and trazodone may be
helpful.
3. If you have difficulties to stay asleep, Benadryl is a better choice.
4. If you have anxiety or PTSD with insomnia, then prazosin or clonidine may
be considered as your sleep medication.
5. If you are skinny, has depression and insomnia, try a low dose remeron
for your depressio... 阅读全帖 |
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