x********i
发帖数: 1147 | 1 It may be due to anemia or hypoglycemia. But MM be cautious that the worst
scenario could be pulmonary embolism. |
|
s*****9
发帖数: 255 | 2 想问问版上被催产的妈妈有没有用过这个药的。
我因为娃偏小被安排了下周二催产，OB说因为我现在还基本没开指，会先上一个促开指
的药，叫作misoprostol（商品名是Cytotec），等开指到一定程度再上pitocin，也就
是催产素。
结果我查了两种药物，这个叫作misoprostol的在FDA只批了可以抗肠胃溃疡的，没有批
催产的，而且在FDA网站上有这么一段话：
A major adverse effect of the obstetrical use of misoprostol is uterine
tachysystole which may progress to uterine tetany with marked impairment of
uteroplacental blood flow, uterine rupture (requiring surgical repair,
hysterectomy, and/or salpingo-oophorectomy), or amniotic fluid embolism and
lead to adverse fet... 阅读全帖 |
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f*******2
发帖数: 656 | 3 clinical medicine and biostatistics
i will refer you to the editor
statistical background is needed and clinic knowledge is preferred.
article is about Pulmonary Embolism in Trauma and Orthopaedic Patients.
would need the following info for referral,
name, institute, email address and title
Please apply only if you have statistical background. Thanks! |
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l***r
发帖数: 206 | 4 Key word: diagnostic accuracy, pulmonary embolism, angiography, neural
network model
IF~2 journal.
有意的发短简历到站内信箱，我会推荐。
方向差别大的就算了，因为即使我推荐EDITOR估计也不会选。 |
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c*****x
发帖数: 83 | 5 一分多杂志，关键字： Hypersplenism ; Ligation of splenic artery ; Partial
splenic embolization ; Case
report。
有兴趣而且专业符合的话，请站内告诉您的E-mail address，Name, Affiliation（单
位），简单cv， research area. 发至站内。 |
|
b*********f
发帖数: 2125 | 6 Journal of Cancer Research and Therapeutics
We have received an article entitled "Transarterial embolization using
pingyangmycin lipiodol emulsion for the treatment of focal nodular
hyperplasia of the liver and 1-year follow-up: A case report" for
consideration for publication. |
|
q***u
发帖数: 247 | 7 DVT: Deep Venous Thrombosis， 静脉血栓， 有时会跑到肺里， 造成PE, Pulmonary
Embolism， 严重者危及生命。 |
|
R****8
发帖数: 43 | 8 看好了一个房子，感觉小区后院房子都不错，好不容易抢到了，在做home inspection
的时候听broker说seller唯一的女儿在8年前出去玩突然pulmonary embolism去世了，
去世当然在医院，不是在家里。听到这个消息打心里为这对老夫妇感到伤心，转念一想
，这样的房子算凶宅吗？ |
|
S**********s
发帖数: 4534 | 9 止血粉固然要备， 但不到万不得已的情况千万不要用， 因为用了反而增加手术难度，
生成的clot也有可能掉一块， 顺着血管进了肺子就成了pulmonary embolism。 但据
说Celox在人体里能自动分解，也不会break off, 这就比QuikClot强得多。 不建议买
那些所谓“home use"或者"sport use"的， 因为这些标准里装的药剂和用手按伤口和
pressure point的效果差不多， 要买就上最大剂量， 因为这些东西没有overdose一说。
tourniquet也是同样道理， 只有在elevation， pressure point和direct pressure都
无法止血的情况下再用。 皮带， 绳子和木棍也可以做tourniquet.
电影就不要去学了。 电影里还有用火药烧伤口的呢。 |
|
S**********s
发帖数: 4534 | 10 止血粉固然要备， 但不到万不得已的情况千万不要用， 因为用了反而增加手术难度，
生成的clot也有可能掉一块， 顺着血管进了肺子就成了pulmonary embolism。 但据
说Celox在人体里能自动分解，也不会break off, 这就比QuikClot强得多。 不建议买
那些所谓“home use"或者"sport use"的， 因为这些标准里装的药剂和用手按伤口和
pressure point的效果差不多， 要买就上最大剂量， 因为这些东西没有overdose一说。
tourniquet也是同样道理， 只有在elevation， pressure point和direct pressure都
无法止血的情况下再用。 皮带， 绳子和木棍也可以做tourniquet.
电影就不要去学了。 电影里还有用火药烧伤口的呢。 |
|
|
g***y
发帖数: 829 | 12 唉，心，肝负担老重了
The simple act of increasing the number of red blood cells in blood raises
its viscosity, which can cause it to clot or coagulate more readily. This
increases the chances of heart attack, stroke, and pulmonary embolism, which
has been seen in cases where there is too much blood reintroduced into the
blood stream.
Certain medications used to increase red blood cells can reduce liver
function and lead to liver failure, pituitary problems, and increases in
cholesterol levels.
这东西要想弄的漂亮还真... 阅读全帖 |
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l******k
发帖数: 27533 | 13 感人！
平时腿不好没经常动吧，看来是得pulmonary embolism了
对不起～
嗯，写得很好 |
|
l*****e
发帖数: 8596 | 14 不懂医药，专门去google下
似乎是抗血栓的作用，但是在有意义的浓度下没有溶栓作用。
http://www.ncbi.nlm.nih.gov/pubmed/7135348
The effect of sodium ibuprofen on platelet activity in vivo and the
lysability of ex vivo thrombi was investigated. The formation of a
hemostatic platelet plug in the rabbit mesentery and platelet embolism as a
response to a laser-induced injury in the ear chamber of rabbits were used
as models for determining platelet activity. Ibuprofen at a dose of 25 mg/kg
i.v. was found to increase the primary (PHT) and t... 阅读全帖 |
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p**********l
发帖数: 1160 | 15 老爸突发腹主动脉栓塞. 在国内入院. 现在栓子已取出,但有急性肾衰迹象病理检查发
现是粘液瘤.彩超证明是心脏粘液瘤(caidiac myxoma embolization) 脱落阻塞腹主动
脉. 他最初觉得腿部没
有知觉.诊断不及时.原来只有一侧肾动脉被阻塞. 栓子取出后,血液中的有毒代谢产物
急流经双肾,
引起双侧急性肾衰.而且心脏也受影响.有心肌缺血,怀疑有心梗,化验测的. 可能还有其
他大脏器受影响.他的
肾几乎不工作.全靠透析7到8个小时每天.自己的尿很少.医生觉得很严重, 也很复杂.
心脏粘液瘤还存在, 但是不能处理.因为我爸的身体状况现在很差.
我快急死了.但是各种回国手续办下来要差不多两个月.
我父亲是一个非常好的人,正直而且很豁达.他 曾经帮过许多人,包括资助病人钱物.发
病前身体很好.
现已经六天了.在山东省立医院. 医嘱病危.几乎无尿.
昨天我妹妹讲, 爸胳膊上被扎针太多, 化验都很难抽出足够的血量.他情绪烦躁, 只能
睡觉1到2个小时一天.几分钟一觉.老想側着身睡, 但身上管子很多,医生不让側身.总之
是非常痛苦,常人难以想象.
想想自己多年来东奔西跑,老爸一直给 |
|
p**********l
发帖数: 1160 | 16 老爸突发腹主动脉栓塞. 在国内入院. 现在栓子已取出,但有急性肾衰迹象病理检查发
现是粘液瘤.彩超证明是心脏粘液瘤(caidiac myxoma embolization) 脱落阻塞腹主动
脉. 他最初觉得腿部没
有知觉.诊断不及时.原来只有一侧肾动脉被阻塞. 栓子取出后,血液中的有毒代谢产物
急流经双肾,
引起双侧急性肾衰.而且心脏也受影响.有心肌缺血,怀疑有心梗,化验测的. 可能还有其
他大脏器受影响.他的
肾几乎不工作.全靠透析7到8个小时每天.自己的尿很少.医生觉得很严重, 也很复杂.
心脏粘液瘤还存在, 但是不能处理.因为我爸的身体状况现在很差.
我快急死了.但是各种回国手续办下来要差不多两个月.
我父亲是一个非常好的人,正直而且很豁达.他 曾经帮过许多人,包括资助病人钱物.发
病前身体很好.
现已经六天了.在山东省立医院. 医嘱病危.几乎无尿.
昨天我妹妹讲, 爸胳膊上被扎针太多, 化验都很难抽出足够的血量.他情绪烦躁, 只能
睡觉1到2个小时一天.几分钟一觉.老想側着身睡, 但身上管子很多,医生不让側身.总之
是非常痛苦,常人难以想象.
想想自己多年来东奔西跑,老爸一直给... 阅读全帖 |
|
b****d
发帖数: 4648 | 17 大家平时喜欢读书吗？最近都读了什么好书？
今天在家读了一本书《Two Kisses for Maddy》，昨天在b&n看到这本新上市的书，看
完synopsis以后决定买了。最近我比较喜欢读memoir，因为真人真事总是有其真实性，
这本书很感人也比较伤感，但是结尾很好。现实生活是残酷无情的，我们迎接现实的方
法就是学会如何去处理它，看这本书的同时我还在读一本romantic fiction，相比之下
简直就是平淡无味儿，放弃！有空大家读读memoir吧。
这是author的blog
http://www.mattlogelin.com/
这是author的youtube
这里是synopsis
Matt and Liz Logelin were high school sweethearts. After years of long-
distance dating, the pair finally settled together in Los Angeles, and they
had it all: a perfect marriage, a gorgeous new hom... 阅读全帖 |
|
n**v
发帖数: 2109 | 18 突然死的么？是不是骨折之后产生的fat embolism成了肺部血栓啊？ |
|
n**v
发帖数: 2109 | 19 恩，有时候 long bone facture之后会形成fat embolism，漂移到肺部，会阻塞气体交
换，导致acute respiratory distress syndrom.症状之一就是突然间出现呼吸急促，
心跳加快等等.这个是非常危险的状况，足以在短时间内致命。
小动物确实很可怜，有什么疼啊伤啊自己不会说，让心心疼得很。 |
|
n**v
发帖数: 2109 | 20 恩，你就问医生像猫猫这样fracture之后会不会形成fat embolism，就说有朋友的猫猫
就是骨折之后不久出现 repid and difficult breathing 然后很快去世的,你有点怀疑
是ARDS。听听医生怎么说，然后上来给我们大家讲讲。 |
|
h*****o
发帖数: 342 | 21 embolic stroke model的手术很简单，可以相对大量的做
有些人是拿兔子做的，可能比老鼠还接近人一点点
而且目前为止唯一一个FDA批准的药, tPA，最早是在兔子上测成功的，所以我们知道这
个模型还是translatable
就是兔子太贵了，而且这么可爱的生物，下不了手。。。 |
|
U******u
发帖数: 5829 | 22 shyj: 我的考版match路--以此文纪念在美国逝去的10年青春
http://mitbbs.com/pc/pccon_2289_t379_150975.html
发信人: shyj (baobao), 信区: MedicalCareer
标 题: 我的考版match路-以此文纪念在美国逝去的10年青春 (很长很罗嗦，慎入！）
发信站: BBS 未名空间站 (Sat Apr 3 17:31:55 2010, 美东)
Match的结果终于尘埃落定，周1等电邮的时候非常紧张，因为成败就在此了，虽然一直
告诉自己，今年只是热热身，成败都可以接受，但到真的揭晓的时候，还是很紧张，毕
竟一旦卷入其中就身不由己，何况自己也还是有所付出。到周4等match program的时候
虽然也有点紧张，但程度已经大大减少，1个原因是毕竟match上才是头等大事，去哪里
尚在其次，还有1个原因是心理还是有所准备了，虽然希望留在home school，但直觉告
诉我恐怕是非常困难了，在我rank list上第二位的program应该就是我要去的地方，果
不其然。经过几天的等待，发现果然是要搬家了。
对于我... 阅读全帖 |
|
c*****x
发帖数: 83 | 23 【 以下文字转载自 Immigration 讨论区 】
发信人: cookiex (checking。。棉花依旧), 信区: Immigration
标 题: review opportunity 1分多 脾脏病理
发信站: BBS 未名空间站 (Mon Nov 18 15:53:20 2013, 美东)
一分多杂志，关键字： Hypersplenism ; Ligation of splenic artery ; Partial
splenic embolization ; Case
report。
有兴趣而且专业符合的话，请站内告诉您的E-mail address，Name, Affiliation（单
位），简单cv， research area. 发至站内。 |
|
b******a
发帖数: 90 | 24 I am quite puzzled by the following question. One answer key says B, but A
seems to be better, because air embolism can be a serious complication of
subclavian venous catheterization. The onset of symptoms is sudden, and it
can explain the hypotension very well. Any idea? Thank you!
form 3-2-44. A 57-year-old hospitalized man undergoes right subclavian
venous catheterization for hyperalimentation. He is currently being treated
for a small bowel fistula. While the results of an x-ray film of the |
|
E*******9
发帖数: 152 | 25 However air embolism could not explain jugular venous distention.
Pericardial tamponade could explain both hypotension and jugular venous
distention.
However I'm not familiar with the procedure and wonder whether the X-ray
finding is normal... Would appreciate any comments. |
|
L****n
发帖数: 12932 | 26 air embolism could show neck vein distention as well. but one best answer
that explains everything is ventrical perforation. |
|
b******a
发帖数: 90 | 27 Thanks, please explain more about the x-ray.
The air embolism can explain the jugular v distention. When air is sucked
into the right atrium along inspiration, the bubble can prevent blood from
circulating back to the heart and into the pulmonary artery.
More comments keep coming. Thanks! |
|
l*****t
发帖数: 190 | 28 UW says PE is from DVT
But Goljian said no, from femoral vein
eMed said from Calf vein, so it is still DVT...
Lost...Where do they actually from? Thanks! |
|
f***y
发帖数: 118 | 29 Blood clot most commonly originates from deep vein in lower leg. But blood
clot in femoral vein most commonly breaks off and causes PE. |
|
|
W******g
发帖数: 143 | 31 Caveats regarding Cardioversion*
• Electrical cardioversion is much less effective in
treating arrhythmias caused by increased automaticity (e.g., digitalis-
induced tachycardia, catecholamine-induced arrhythmia, multifocal AT).[5]
• Patients presenting with AF or atrial flutter lasting
longer than 36–48 hr are at risk for stroke from embolized thrombus
originating in the left atrium. Studies have shown that patients are often
unaware of the onset of AF, and |
|
L*****r
发帖数: 722 | 32 Future AMG and current CMG 都力顶的，想必是好帖。:-)
坐飞机一下睡了7个小时, DVT, 大面积PE，这样的病例不会上NEJM阿，古怪是在
retrieve oocyte to have posthumurous offspring上？取oocyte时候发现肿瘤了？卵
巢癌（ovarian cancer）、绒癌(choriocarcinoma) 啥的，一是可能直接造成
pulmonary tumor embolism，二是可能造成hypercoagulability，easier to form DVT
and PE from DVT.
一时想不起别的可能了。 |
|
e******e
发帖数: 364 | 33 5. A 44-year-old woman is brought to the emergency department 40 minutes
after being stabbed in the left groin. Her blood pressure is 128/84 mm Hg,
pulse is 100/min, and respirations are 16/min. Examination of the wound
shows a small hematoma and no external bleeding. Popliteal and pedal
pulses are palpable in the left lower extremity below the injury.
Lacerations of the femoral artery and vein are found and repaired. Two
days postoperatively, she has progressively severe pain of the left lower
... 阅读全帖 |
|
h**s
发帖数: 1757 | 34 http://www.usmleforum.com/files/forum/2010/2/550658.php
这是我见过得最详细的考经：
rajiv460 - 11/24/10 14:07
Preparation time- 4 months July 5th -October end
Courses- Kaplan lecture notes, Uworld, MTB, Last minute Internal
Medicine, NMS Surgery case review (for Trauma part )
i studied almost 8-10 hrs daily.
first read- completed in 1 month
I didnt Use Kaplan Video Whatsoever.
I started with Kaplan Lecture notes.
First was Internal Medicine- studied almost 60 pages a day,marked
important points. I wo... 阅读全帖 |
|
l********y
发帖数: 2295 | 35 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 |
|
h***a
发帖数: 312 | 36 来自主题: MedicalCareer版 - 请教 pulmonary embolism 是呼酸还是呼碱啊？USMLE SIM给的答案是呼碱，原因是低氧血症
引起反射性呼吸增快，PaCO2降低，但是肺动脉栓塞了，CO2怎么能拍出去呢？ |
|
J********1
发帖数: 66 | 37 来自主题: MedicalCareer版 - CS考经 First Sight on door-way information.
Knock 3 times with confidence, a smile, walk in and say:
INTRODUCTION:
Hello, Mr/Ms ------- , I am Dr.xxx，the physician on duty
today.
Nice to meet you. (Shake hands only if the pt wants to. Don’t
shake hands with SPs in severe pain).
Is everything in the room all right for you?
Let me make you a little more comfortable. (open up the drape ..
.OPEN IT COMPLETELY... cover the legs in t... 阅读全帖 |
|
a******8
发帖数: 231 | 38 15. A 60-year-old woman is undergoing surgical excision of a renal cell
carcinoma thrombus that extends in to the right renal vein. During the
procedure, the vena cava is temporarily occluded above the renal veins.
Increased venous pressure is most likely to be noted in which of the
following veins during the period of occlusion?
A) External iliac
B) Hepatic
C) Inferior mesenteric
D) Portal
E) Splenic
23. A 35-year-old woman is brought to the emergency department after having
a stroke. Evaluatio... 阅读全帖 |
|
w**********u
发帖数: 6 | 39
First of all, you need a chief complaint—yeah, a chief complaint --
Things are not always as straightforward as you imagine. Keep in mind you
need to process patients information, you are not a recorder—don't just
recite what patient told you—unfortunately a lot of interns do so. You need
to translate patients’ layman language into medical terms. For example,
patient told you “my knee give out on me”—which you need to translate
into “knee pain” or “lower extremity weakness”…after you clar... 阅读全帖 |
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w**********3
发帖数: 1200 | 40 神人讲座啊，270多的高分+如鱼得水的面试。总结如下，多谢多谢。
1 考试：东西理解，要熟，没捷径。具各人情况，看待别人的经验。目标不同，成绩要
求不同。至少要有一门考得非常好。
什么时候考试，要看准备take 多大risk。时间短，波动性大，分数不稳定。
2 申请：7/1 开始，可以上交到ERAS，之前应完成推荐信，OB之类的。
（1）做OB可以增加interview数目，同时会增加interview的信心。
抓住机会做OB或ext.，同学，同事，朋友，买。可增加对美国临床的熟悉。要表现的谦
虚，肯学，勤快，不多事。找好的attending.
（2）推荐信，最好有想申请科的医生的，实在没有也可以。推荐信要好，没有好话，
不能用，就是牛人的，如果没有好话，一定不能用。实在没有的话，找中国人写的也行
，但一定要确定是好话。
推荐信重点 （由重到轻） 1 好话 2 牛 3 最好在美国的医生的，没有的同学写的也
行，但是话要好 总之，谁的话好用谁的，不论这个人来自哪，干什么，只要是好话，
就首选。争取可以看到推荐信的内容。遵守eras规定，但是要灵活掌握，一定要知道是
非常强的推荐。
推... 阅读全帖 |
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z**********4
发帖数: 467 | 41 选A啦，要排除Pulmonary embolism非常重要，V/Q scan AND Spiral CT are both
valid choices. But spiral CTs are more and more used. |
|
l*******d
发帖数: 449 | 42 选A啦，要排除Pulmonary embolism非常重要 although patient is on heparin. |
|
l******g
发帖数: 278 | 43 A 72-year-old man comes to the emergency department because he has
vomited blood three times during the past 12 hours. He has had dizziness
during this period. He has a 5-year history of arthritis treated with daily
ibuprofen. Over the past 4 weeks, he has increased his daily dose of
ibuprofen because of worsening joint pain but is not sure how many pills he
has been taking. He has been unable to take his daily walks because of the
joint pain. He has not had chest pain. He had an uncomplicat... 阅读全帖 |
|
d****y
发帖数: 2180 | 44 ☆─────────────────────────────────────☆
hmis (hmis) 于 (Fri Apr 6 18:09:50 2012, 美东) 提到:
活动主题：MATCH TALK 第2季感受征文活动
活动内容：麦地近期组织了一些类的针对麦地同学的讲座活动，为了更多增强麦地间的
交流，吸引更多的新鲜血液。 讲座结束后，呼吁大家写感想，从而吸引更多的人。
活动奖励办法：50WB/ID
自动参与下一季两次讲座！！！
截止日期：4/9号。
已经发了感想的同学，请把标题加上[讲座征文-1]，并请在此贴下写下自己的名字及文
章连接，这样便于板务下次的统计，谢谢！！！
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hmis (hmis) 于 (Fri Apr 6 22:04:36 2012, 美东) 提到:
发文的同学请在这排队，便于我们统计，谢谢！！！不再此贴de，VIP有可能被拉掉啊
。。。。哈哈
哈
同志们，冲!!!
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xin... 阅读全帖 |
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e****0
发帖数: 678 | 45 • 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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S******1
发帖数: 44 | 46 今天得知了step3的成绩，210+，心里的石头终于落下。终于轮到我给USMLE说再见了。
回顾从step1自己闭门造车考了只带一个9的分数， step2开始参加小组学习，做了所有
能做的题只为拿个99，虽胸有成竹且考试感觉很好，最终但又得到一个9的分数。虽然
这次成绩不高，依然很高兴，毕竟不用发愁如果没过的话住院医开始后没有时间复习该
咋办。过去的3年中得到太多人的帮助 (此处略去人名20个)，绝大多数甚至从未谋面。
今天发贴也是为了回报我们这个社区吧。
自我介绍：毕业>15年，220+/220+/1st/210+；
复习时间：6月，头4个月每天约2-3小时，周末由于陪孩子们玩（前两年欠的太多，你
懂得）及做点家务（再不做但心被老婆炒掉），反而复习不了多少；最后2个月每天4小
时，鼓励自己考了这个2年内再不用受这个罪。
复习资料：随大流，MTB 3, UW CCS, UW step3 Qbank, UW step2 Qbank;
模拟：考前2月，NBME 1 190+, 考前1周，NBME 2 220+;
体会：难，考过不容易，考高分更难。主要是因为没有合适的复习资料。UW的1300... 阅读全帖 |
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p********r
发帖数: 212 | 47 Thank Huskystar so much for hosting this web seminar
1 start CK asap after finishing step1
Time to prepare: full time 3-4 months
part time 6-7 months 4 hours per day
2 Group study is very efficient
3 reference books: kaplan notes, MTB2/3, symptoms to diagnosis
4 Question bank: UW>usmelconsult>Kaplan Q bank
use MKSAP
5 watch kaplan video, convert video to audio
6 The real exam has a very lengthy question.
the logic: differcial diagnosis, management of patients.
7 Ther... 阅读全帖 |
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w******e
发帖数: 285 | 48 也可以考虑一下介入科医生neuro IR, （neuro interventional radiologist）。
畸形的部位可以做embolization。
Northwestern Memorial Hospital的介入科在全美数一数二了，写教科书的。 |
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r*****1
发帖数: 805 | 49 还有部分Abx总结，以前有经验贴分享USMLEforum的经典贴。但自己总结的东西容易记
住。希望给大家一点帮助。
P.S.: 顺着iamreallybad&斑竹思路，旁注中文为mnemonics.
Menigitis: G- use Ceftriaxone; bacilli use Gentamycin; DXM- in S. pneumonia
& unknown microb infection
G+ cocci: Vancomycin+Ceftriaxon
G+ bacilli (Listeria): Ampicillin + Gentamycin +
dexamethasone
G- cocci: Ceftriaxon
G- bacilli: Ceftriaxon+ Gentamycin
Fungus: Amphotericin+ Flucytosin IV-> Flucona... 阅读全帖 |
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