e****0
发帖数: 678 | 1 • leukemia
ALL AML CLL
child adult elderly
BM lymphoblasts 25%myeloblasts
lab Lymphocyte 5000, mature-appearing cells
• Osgood-schlatters disease
Adolescent male athletes
Traction apophysitis—quadriceps tendon put the traction on the
apophysis of the tibial tubercle where patellar tendon inserts.
A firm mass =heterotopic bone formation
Pain can be reproduced by extending the kne... 阅读全帖 |
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s*******i
发帖数: 741 | 2 Most persons recovered in cold water "near" drowning cases show the typical
symptoms of death:
Cyanotic (blue) skin coloration
No detectable breathing
No apparent pulse or heartbeat
Pupils fully dilated (opened)
These symptoms, it was discovered, did not always mean the victim was dead.
They were, on the other hand, the body's way of increasing its chances of
survival through what scientists call the mammalian diving reflex. This
reflex is most evident in marine mammals such as ... 阅读全帖 |
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D*a
发帖数: 6830 | 3 如果是看肺的话肯定是要刚死就做了，死久了看不出来什么。一般憋死半小时之内就死
了，时间再长应该不是憋死的，是也是血液之类有问题，或者是代谢问题，肌肉问题，
等等，而不可能是肺。具体细节例如
Close monitoring at birth indicated that the Igflr(-I-) dwarfs were born
alive but, despite visible efforts to breathe, became cyanotic and died
within minutes. Lung tissue dissected from several mutant neonates obtained
from independent litters failed to float on water, indicating that air never
reached the alveoli.
（ http://www.ncbi.nlm.nih.gov/pubmed/8402901）
关键是先搞明白怎么死的，这个你得全程观察。现在说太多种死法背后的原因也没什么
意... 阅读全帖 |
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l********z
发帖数: 810 | 4 19y, man, sudden onset of sharp chest pain and difficulty breathing 3hr ago.
Tem 37, pulse 110/min, and respirations 36/min and shallow. He is slightly
cyanotic, examination shows deviation of the trachea to the right and
subcutaneous crepitus. which of the following findings is most likely in
this patient?
A. Dullness on percussion on the right
B. hyperresonance on percussion on the left
C. increased breath sounds on the left
D. increased breath sounds on right
E. increased vocal fremitus on th |
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o**h
发帖数: 55 | 5 A 2 month old infant is brought to th emergency department by paramedics
after his mother found him not breathing in his crib. He is apneic and
cyanotic, no pulses are palpable but he is warm. After manually
stabilizing his neck and positioning the airway, which of the following is
the most appropriate next step in management?
a) Positive presure ventilation and oxygenation.
b) two chest thrusts followed by ches compressions.
c) Stabilishing vascular acces.
d) Administration of epinephrine.
e) E |
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m*****5
发帖数: 438 | 6 Answer is B because most of the time the answer is the simplest intervention
. The baby is cyanotic and the first thing you should think of is foreign
body aspiration. Two chest thrusts can dislodge it and chest compression is
the first step you would do before oxygenation, vascular access, epinephrine
or defibrillation. |
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m*****5
发帖数: 438 | 7
and circulation)...Ventilate with oxygen always has first priority.
Common things first in any situation. I am telling you from experience. When
you do ACLS/PALS the first thing you do is look for a foreign body in a
child who is cyanotic. Positive pressure ventilation is never done in
resuscitation only umbobag is used in CPR so A is wrong in that sense too. |
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l********y
发帖数: 2295 | 8 【 以下文字转载自 Pre_Resident_Club 俱乐部 】
发信人: lovelypony (lovelypony), 信区: Pre_Resident_Club
标 题: steps学习的口诀
发信站: BBS 未名空间站 (Fri Oct 22 21:56:46 2010, 美东)
响应老刀的号召，冒个小泡。有很多难记的东西，编过一些口诀，先贡献一个，回头有
空了再慢慢添。大家有好的口诀也都来分享，这样大家都省时省力。
先贡献一个pony比较经典的口诀，认识pony的都会的，呵呵。
for step1:
trinucleotide repeat expansion diseases:
My Ex is Hungry on Fri.
My (大家都Call Tall Girl, CTG)=Myotonic dystrophy
Ex (比较肉麻的Call Ge Ge, CGG)=fragile X syndrome
Hungry (点了个鸡蛋Call An Egg, CAG)=Huntington's disease
Fri (大家AA制的，Go AA, GAA)=Fried... 阅读全帖 |
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l********y
发帖数: 2295 | 9 endocarditis prophylaxis:这个以前贴过了，要和手术指征放在一起记住。
to get antibiotics, you need DRS(abbreviation of doctors, stands for Dental,
Respiratory, Skin) to give you PE & CT (Prosthetic valves, Endocarditis,
Cyanotic heart disease, Transplant).
IE什么时候valve replacement: RAPE is Fun,这样的想法多危险，赶紧的换了修理了。
R:rupture
A:abscess
P:prosthetic valves
E:embolic events
Fun：fungal endocarditis |
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N***a
发帖数: 149 | 10 MEDICAL ETHICS 137 cases:
________________________
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in management: surgical removal of the ap... 阅读全帖 |
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q******g
发帖数: 69 | 11 1. a 19-year-old man is brought to the emergency department because of the
sudden onset of sharp chest pain and difficulty breathing 3 hours ago. Temp
is 37, pulse 110/min, respirations are 36/min and shallow. He is slightly
cyanotic. Examination shows deviation of the trachea to the right and
subcutaneous crepitus. Which of the follwing findings is the most likely in
this patient?
a. Dullness of percussion on the right
b. hyperresonance of persussion of the left
c. Increased breath sounds on th... 阅读全帖 |
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d****y
发帖数: 2180 | 12 A or B?
Some said follow ABC, so A.
Some said no pulse, so B.
What's your opinion?
Thanks very much!
7. A 2-month-old infant is brought to the emergency department by
paramedics
after his mother found him not breathing in his crib. He is apneic and
cyanotic; no pulses are palpable, but he is warm. After manually
stabilizing
his neck and positioning the airway, which of the following is the most
appropriate next step in management?
A) Positive pressure ventilation and oxygenation
B) Two chest thr... 阅读全帖 |
|
b*****l
发帖数: 8603 | 13 2007年的，不知道你们说的是不是这个。祝好。
medical ethics more than hundred cases
Sep 24th, 2007, 12:17pm
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in ma... 阅读全帖 |
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e****0
发帖数: 678 | 14 • Exaggerated deep tendon reflexes can be seen in lock in syndrome.
• Non bleeding varices are managed with nonselective beta-
adrenergic antagonists, such as propranolol.
• Sclerotherapy, endoscopic band ligation, and surgery are
indicated after a patient has a first episode of variceal bleeding.
• TIPS is a last resort in variceal bleeding unresponsive to
medical and endoscopic intervention.
• Ischemic colitis
CT—thickening of eth bowel ... 阅读全帖 |
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d****y
发帖数: 2180 | 15 A or B?
Some said follow ABC, so A.
Some said no pulse, so B.
What's your opinion?
Thanks very much!
7. A 2-month-old infant is brought to the emergency department by
paramedics after his mother found him not breathing in his crib. He is
apneic and cyanotic; no pulses are palpable, but he is warm. After
manually stabilizing his neck and positioning the airway, which of the
following is the most appropriate next step in management?
A) Positive pressure ventilation and oxygenation
B) Two chest th... 阅读全帖 |
|
