g***r
发帖数: 285 | 1
是能避免最好。
for any hematuria, you really have to try very hard to distinguish between
glomerular disease and extra-glomerular disease, if there is any red cell
cast, protein, abnomrally shaped red cells in the urine, then it's likely
glomerular disease and any further urological evaluation is not necessary
and you need to see a nephrologist,
assume you have painless microscopic hematuria, slightly elevated bilirubin,
all other labs and all other indices in urinalysis are normal, sounds like
urolog |
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b*****l
发帖数: 8603 | 2 IRON 30-160 UG/DL 13
TOTAL IRON BINDING CAPACITY 228-428 UG/DL 448
IRON/TOTAL IRON BINDING CAPACITY 13-50 % 3
FERRITIN 10-150 NG/ML 3.0
WBC'S AUTO 3.5-11.0 K/UL 3.7
RBC, AUTO 3.5-5.30 MIL 4.30
HGB 10.4-15.3 G/DL 8.3
HEMATOCRIT 33-46 % 28.0
MCV 73-101 CMICRON 65.2
MCH 22-33 PG 19.3
MCHC 30-36 GM/DL 29.7
RDW, BLOOD 12.0-17.2 % 20.5
PLATELETS, AUTOMATED COUNT 130-385 K/UL 330
MPV 6.8-10.4 FL 9.3
HEMOGLOBIN A,BLD,QN, ELECTROPHORESIS >96 % 97.8
HEMOGLOBIN A2, BLOOD, QUAL 1.8-3.5 % 2.2
GLUCOSE POST FA... 阅读全帖 |
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a****e
发帖数: 128 | 3 Job Title: Postdoctoral Research Associate at the Renal Division, Department
of Medicine, Washington University in St. Louis
Location: Medical School
Full/Part Time: Full-Time
Regular/Temporary: Regular
Essential Functions:
An opportunity is available immediately for a Postdoctoral Research
Associate position at the Renal Division, Department of Medicine. The main
focus of the ongoing research is to understand the molecular mechanisms of
the glomerular filtration barrier and proteinuria. We a... 阅读全帖 |
|
h***a
发帖数: 312 | 4 1. During an experiment, the following data are obtained from an
anesthetized dog:
Mean glomerular capillary hydrostatic pressure (HPGC) 45 mmHg
Mean Bowman space hydrostatic pressure (HPBS) 12 mmHg
Mean glomerular capillary oncotic pressure (piGC) 23 mmHg
Mean Bowman space oncotic pressure (piBS) 0 mmHg
Coefficient of filtration (Kf) 3.0 (mL/min)/mmHg
Renal Blood Flow 200 mL/min
Hematocrit 40%
Filtration Fraction 25%
An IV infusion of AngII is administered for 60 minutes. Which of the
fol... 阅读全帖 |
|
M********r
发帖数: 179 | 5 问了几个地方，都觉得a 和e 都对，不知道是不是落下了什么重要的concept.
During an experiment, the following data are obtained from an anesthetized
dog:
Mean glomerular capillary hydrostatic pressure 45mmHg
Mean Bowman space hydrostatic pressure 12mm Hg
Mean glomerular capillary oncotic presure 23mmHg
Mean bowman space ontotic pressure 0mm Hg
Coefficient of filtration 3.0ml/
min mmHg
Renal blood flow ... 阅读全帖 |
|
J**b
发帖数: 182 | 6 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 |
|
f******I
发帖数: 769 | 7
would be interested to know if there is any protein in the urine,
if there is no protein and no evidence of infection, then asymptomatic
isolated microscopic hematuria might not mean a whole much, as above reply
said could be from menses, or it could be from glomerular disease, so your
age, sex, other medical condition and what medications you are on would be
important,
to me, if you are relatively young with no significant health problems and
history and except the microscopic hematuria there |
|
f******I
发帖数: 769 | 8
in general if there are significant red cells in the urine, it could be from
diseases such as kidney stones or urinary treact infection, or could also
be from cancer, like bladder cancer,
if there are red cell cast, then often it's from glomerular diseases, |
|
f******I
发帖数: 769 | 9
is 肌酐 creatinine in english?
depends on your father's age, as we get older the renal function also
declines, by measuring serum creatinine itself dose not reflect the degree
of disease, there are different formulas to estimate the true renal function
, the commonly used is cockcroft one, you can search it through internet and
just plug in your father's age and get an estimate,
the best is a 24 hour urine collection to calculate the gfr, or glomerular
filtration rate,
you can start by seeing a g |
|
f******I
发帖数: 769 | 10
what is his creatinine clearance or glomerular filtration rate? i have
nothing again chinese traditional medicine, who knows, maybe had he started
being treated by western medicine he'd still deterioate to this stage, but i
'm sure lots of herbal medicines are nephrotoxic,
that being said,to answer your questions,
1) 透析后,是不是就不行了? most likely once he started on hemodialysis he
will become dialysis dependent, many patients are maintained on hemodialysis
for years, for instance, i heard bin laden |
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l*******n
发帖数: 68 | 11 Proteinuria means the presence of an excess of serum proteins in the urine
and may be a sign of kidney damage.
Proteinuria may be a feature of the following conditions:
Nephrotic syndromes (i.e. intrinsic renal failure)
Pre-eclampsia/Eclampsia (seen in pregnant womem)
toxic lesions of kidneys
Collagen vascular diseases(such as systemic lupus erythematosus)
Dehydration
Glomerular diseases, such as membranous glomerulonephritis, focal segmental
glomerulonephritis, minimal change disease (lipoid ne |
|
f******I
发帖数: 769 | 12
you only provided very limited information, your urinalysis did not have any
results on WBC, nitrite, leukocyte estrase, bacteria count and such, which
are indications for infection, or if there is any casts in the urine, often
which indicates it's glomerular disease,
basically what you have is painless microscopic hematuria, as well as
proteinuria(even trace, unless transient, is always not a good thing to have
),
i think a CT and cystoscopy are a reasonable intial approach,
i don't think your |
|
g***r
发帖数: 285 | 13
not enough information provided,
what about white cells or red cells in the urine? any cast? it's always not
a good sign to have protein in urine, maybe the urine sample was a bit
concentrated and maybe a little urinary tract infection, thus would be
important to know if there is any white cells in there or any bacterial
count,
if there is any significant red cells and active sediment such as any cell
cast then you'd worry about glomerular disease, |
|
g***r
发帖数: 285 | 14 as far as renal function goes, if her urinalysis is normal, then there is no
proteinuria, which is always a good sign,
you can get her serum creatinine level, and based on her age and sex and
weight, you can calculate her GFR, or glomerular filtration rate, that can
tell how much off her kidney functions are, you can find such formular
calculators throughout internet, |
|
EA
发帖数: 3965 | 15 女性,35岁,做了CREATININE测试,结果是
CREATININE 0.5
GLOMERULAR FILTRATION RATE >89-NB
CREATININE 正常值是 0.6 - 1.1,有问题吗? |
|
m*******6
发帖数: 314 | 16 Position Title: Postdoctoral Research Trainee
Company Name: University of Tennessee Health Science Center
Job Function: Postdoc
Entry Level: No
Location(s): Memphis, Tennessee, 38163, United States
Posted: June 23, 2014
Job Type: Full-Time
Min Education: Ph.D.
Min Experience: 1-2 Years
Required Travel: None
Contact Person: Adebowale Adebiyi
Email Address: a******[email protected]
Job Description
A postdoctoral position for a trained patch-clamp electrophysiologist... 阅读全帖 |
|
b***b
发帖数: 13249 | 17 你这慢性肾衰竭是靠什么诊断来的？ 去医院看的？ 有症状了吗?
不要紧的，平时注意一下饮食，高蛋白的东西不要吃。看看有没有这些病--高血压，心
血管病，先控制这些。肾衰很多时候是别的病闹的
高血压： 用ACE inhibitor 控制最好，Linsinopril 在 Walmart 没有保险 4/ 月。
心血管疾病：血管需要扩张，扩张药可用 Cozzar.Walmart 比较贵，但是可以 try
Costco.
假如你爸爸没有保险。你爸爸可以去 free clinic 看病。
打电话到华人义务中心去问问。
麻州的医疗保险特别好！ 特别好！ 大家要充分利用！ 我有朋友刚到 New Jersey, 前
天打电话跟我 complain 那里的医疗福利比麻州差多了！
俺老爸慢性肾衰竭已经20年了。stage 4，很稳定，平时吃一点药控制。
根据GFR（Glomerular filtration rate，肾丝球过滤率）指标对慢性肾脏病情的划分[
3]：
第1期。 肾功能正常，微量蛋白尿，GFR：≧90 mL/min/1.73 m2
第2期。 轻度慢性肾衰竭，GFR：60 - ... 阅读全帖 |
|
R***o
发帖数: 308 | 18 我刚刚粗略查了一下，Generally，蛋白质会加重肾脏负担，但好像就这点来说，植物
蛋白比动物蛋白还好点：
Plant protein sources have been shown to:
Decrease protein in the urine (proteinuria)
Slow the decline of glomerular filtration rate (GFR) and kidney blood
flow
Result in less kidney tissue damage when compared to animal proteins
Reduce kidney cyst growth
Improve lipid (blood fat) profile of the blood |
|
R***o
发帖数: 308 | 19 我刚刚粗略查了一下，Generally，蛋白质会加重肾脏负担，但好像就这点来说，植物
蛋白比动物蛋白还好点：
Plant protein sources have been shown to:
Decrease protein in the urine (proteinuria)
Slow the decline of glomerular filtration rate (GFR) and kidney blood
flow
Result in less kidney tissue damage when compared to animal proteins
Reduce kidney cyst growth
Improve lipid (blood fat) profile of the blood |
|
c*******u
发帖数: 800 | 20 陪陪平时是吃罐头还是干粮？吃干粮的话，喝水多吗？
glucose 2+: diabetes, or transiently elevated due to stress
proteinuria 3+: glomerular disease, or due to urinary tract inflammation and
hemorrhage
specific gravity 1.012: kidney disease, or large amount of water intake
这些指标综合起来看，还不能确诊，但是血检肯定是要做的了，而且晚做不如早做。 |
|
c*******u
发帖数: 800 | 21 陪陪平时是吃罐头还是干粮？吃干粮的话，喝水多吗？
glucose 2+: diabetes, or transiently elevated due to stress
proteinuria 3+: glomerular disease, or due to urinary tract inflammation and
hemorrhage
specific gravity 1.012: kidney disease, or large amount of water intake
这些指标综合起来看，还不能确诊，但是血检肯定是要做的了，而且晚做不如早做。 |
|
e*n
发帖数: 1511 | 22 A three generation study with genetically modified Bt corn in rats:
Biochemical and histopathological investigation
Abstract
For the last ten years, in accordance with the increased use of genetically
modified (GM) foods for human and livestocks, a large number of feeding
studies have been carried out. However, the evidence is still far from
proving whether the long-term consumption of GM foods posses a possible
danger for human or animal health. Therefore, this study was designed to
evaluate th... 阅读全帖 |
|
l**********1
发帖数: 5204 | 23 try go to
http://www.hhmi.org/cgi-bin/scientist_search/search.pl?kw=&it=I
then last column "Location" filting function click:
then
Daniel E. Goldberg, M.D., Ph.D.
HHMI Investigator
Survival of Malaria Parasites in the Human Host
Washington University in St. Louis School of Medicine
St. Louis, MO
Kenneth M. Murphy, M.D., Ph.D.
HHMI Investigator
Signaling in Lymphocyte Development
Washington... 阅读全帖 |
|
M*****n
发帖数: 16729 | 24 A postdoctoral fellow position is available in the lab of pediatric
nephrology in the Department of Pediatrics and Communicable Diseases at the
University of Michigan, Ann Arbor, MI.
The postdoctoral fellow will be working on projects using in vitro cell
culture and rodent models to study renal glomerular function and related
diseases. The research projects involve the generation of transgenic cell
lines using the CRISPR Cas9 system; generation and maintenance of rodent
models of kidney diseases... 阅读全帖 |
|
z8
发帖数: 350 | 25 Annals of Internal Medicine. 1999;130:461-470.
Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D, et al. A More
Accurate Method To Estimate Glomerular Filtration Rate from Serum Creatinine |
|
W****i
发帖数: 325 | 26 看网上资料，中医调养对早期肾衰有作用，请诸位神医给个方子，我应该怎么调呢？&
nbsp;不胜感激
女性
CREATININE：0.8 （Standard 0.6-1.1 mg/dL） （肌酐酸，肌肉中肌酸的分解产
物，属于代谢废物)
GLOMERULAR FILTRATION RATE：88-NB （肾小球滤过率，应该》90 ） |
|
l**********e
发帖数: 382 | 27 USMLE Step 1 Clinical Question of the Day
The clearance of several substances was measured at a constant glomerular
filtration rate and constant urine flow rate, but at increasing plasma
concentrations of the substance. Under these conditions, clearance will
increase at high plasma concentrations for which of the following substances
?
A. Creatinine
B. Mannitol
C. Penicillin
D. Phosphate
E. Urea |
|
l****n
发帖数: 64 | 28 There are some additional points in 2011 regarding
BEHAVIOUR SCIENCE
Sleep patterns in a depressed person
Sleep terror disorder
Ethical issues 3 additional points added
BIOCHEM
A few points added on in the Catecholamine synthesis reaction
EMBRYO
Types of error in organ morphogenesis
Descent of testes and ovaries
MICRO
Campylobactor jejuni
Vibrio cholera
Herpesviruses latency
Hepatitis chart modified
Pyrazinamide drug
HAART drugs details
Antiprotozoal chart
Antihelminthic chart
IMMUNO
TH1 & TH2 c... 阅读全帖 |
|
s*******d
发帖数: 1079 | 29 学友MILK找到的这个FA ２０１１版 vs ２０１０版的详细对照，我觉得很有帮助，放
在这儿给大家做参考吧。
原文见 http://forums.studentdoctor.net/showthread.php?t=785943
Overall:
- FA 2011 corrects some of the 2010 errata
- FA 2011 has darker print and thicker pages
- FA 2011 increases the size of most figures/images (although only slightly)
- FA 2011 removes several images that are difficult to see/interpret
Behavioral Science:
p. 59-60 2010 (57-58 2011) -2011 reorganized a couple items into "Advance
directives" and got rid of "Good Samaritan Law.... 阅读全帖 |
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D*****l
发帖数: 554 | 30 肆虐欧美 全球恐慌 研究称恶菌与艾滋肠毒同源
中新网6月4日电 据香港《文汇报》4日报道，肆虐欧洲的肠出血性大肠杆菌(EHEC)疫情
持续蔓延，更有向全球扩散迹象。世界卫生组织(WHO)表示，美国与捷克也相继传出确
诊病例，现时疫情已蔓延至13个国家。中国深圳华大基因研究院和德国一家大学昨日宣
布，中德科学家联合对本次流行的病菌进行了全基因组测序，结果显示，该病菌与艾滋
病患者腹泻标本中的大肠杆菌同源性超过93%，兼具侵袭、产毒、抗药等多种“凶性”
，难以治疗，死亡率偏高。
深圳华大的初步分析结果显示，这次肆虐欧洲的血清型0104大肠杆菌，该病菌带有
新型特异基因，与2002年从中非共和国艾滋病患者腹泻标本中分离的肠聚集性大肠杆菌
55989菌株，同源性超过93%，同时它还通过基因水平转移，获得肠出血性大肠杆菌的毒
力基因和毒力相关质粒，这可能与该菌株强毒性和重症感染有关。
变种新基因 夺18人命
同日德国明斯特大学医学院卫生研究所表示，造成本次疫情的菌株是0104：H4大肠
杆菌的一个变种。然而世卫发言人表示，是次导致多人死亡的大肠杆菌，过往曾在人类
身上出现。
EHEC疫情蔓延，德... 阅读全帖 |
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r*******n
发帖数: 51 | 31 I am not sure whether CRP, ESR and LDH were ordered or not. Below are all
tests that were ordered and normal.
Albumin and platelet are normal.
Besides, Creatinine, Creatinine(Crcl), Estimated Glomerular Filteration Rate
- MDRD, Bilirubin Total, Alkaline Phosphatase, and Gama Glutamyl
Transferase are normal.
Iron, Iron saturation, B12, TSH, A1C, eGFR, Cholesterol, Triglycerides, HDL,
LDL, TC/HDL-C Ratio, and Potassium are normal.
Hemoglobin, Hematocrit, RBC, RBC indeces: MCV, MCH, MCHC, RDW, WBC,... 阅读全帖 |
|
h***y
发帖数: 834 | 32 关于dilantin，刚去看了一下pfizer的网页：
Unusually high levels result from liver disease, congenital enzyme
deficiency, or drug interactions which result in metabolic interference. The
patient with large variations in phenytoin plasma levels, despite standard
doses, presents a difficult clinical problem. Serum level determinations in
such patients may be particularly helpful. As phenytoin is highly protein
bound, free phenytoin levels may be altered in patients whose protein
binding characteristics differ fr... 阅读全帖 |
|
