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全部话题 - 话题: neonate
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c****i
发帖数: 40
1
不忍心看着你焦急的心情,其实这里很多人都愿意帮忙,但是由于种种原因,无法给你
回复。
就以一般性的回复几句,首先你给的非常有限的病史体检化验结果等等,所以基本上没
人能在这里给你一个诊断。我search了一下,下面是链接以及原文,希望对你能有帮助
。另外,也不要小看国内的医生,有很多是不错的。
点击链接可以发现更多的内容。
http://emedicine.medscape.com/article/958739-overview
History
Despite the extensive differential diagnoses of splenomegaly, careful
history taking and physical examination, along with a CBC count and liver
function tests, often help in narrowing the list of possible causes. The
history should include attention to the following importan... 阅读全帖
l********y
发帖数: 2295
2
来自主题: MedicalCareer版 - metronidazole到底能不能用于怀孕妇女?
this is from uptodate:
Pregnancy Implications Teratogenic effects have not been observed in animal
reproduction studies; therefore, the manufacturer classifies metronidazole
as pregnancy category B. Metronidazole crosses the placenta and rapidly
distributes into the fetal circulation. Although there have been a few
reports of facial anomalies after in utero exposure, most studies have not
found an increased risk of congenital abnormalities following maternal use
of metronidazole during the first... 阅读全帖
g******e
发帖数: 389
3
来自主题: MedicalCareer版 - 生产史和usmle考点的给力结合
每每group study的时候总会提到生我女儿的经历。被认为可以帮助记忆。 好吧,现在
就算牺牲privacy, 来写个总回顾。感慨抒情以下先,那是多么难忘的第一次住院经历
啊。 生个宝贝真是九死一生, 一点都不夸张哦。
Chapter 1: 预产期前1天17号,好像她知道我终于不上班, 可以迫不及待的出来了
。 先是出血,出现宫缩, 开始进入labor stage 1 (latent phase)。好疼啊,从来没
有过痛经(考点:prostaglandin, tx NSAIDs), 对这种痛实在不能忍受。去医院,医
学院附属,有医学生,intern, resident, attending。 告知宫开一指, ok, 回家 (
考点: 宫开 3-4指收入院,上epidural 也是宫开4指; 另外,stage 1, active
phase, cervical dilated>=3cm)。
Chapter 2: 好不容易过了一个晚上,第二天再上医院,该收我了吧,疼得实在不行
了。 还是1-2指。还好是我的OB on call,在我的要求下,终于收治入院 (考点:病
人的aut... 阅读全帖
w******n
发帖数: 88
4
来自主题: MedicalCareer版 - 问一个STEP3 NBME的问题
22. A 28-year-old African-American woman comes to the office because of
low back pain and decreased urine output. She is a semiprofessional
basketball player and she is married. She had one pregnancy 12 years ago
that was uncomplicated and resulted in vaginal delivery of a term female
neonate. Medications include oral contraceptive pills and a corticosteroid
inhaler for asthma. She is 182 cm (6 ft) tall and weighs 88 kg (195 lb).
Physical examination is normal except for a palpable lower abdomin... 阅读全帖
h***y
发帖数: 834
5
来自主题: MedicalCareer版 - [合集] 为啥没有人干儿科?
☆─────────────────────────────────────☆
Texas2010 (Texas) 于 h 提到:
看到今年match成功的名单,发现基本上内科病理占了绝大部分。没有人申请儿科么?
是因为儿科对毕业5年年限要求严格?
其实儿科比内科可轻松多了,难道是儿科医生挣得少?也就10万出头,不值得干?
☆─────────────────────────────────────☆
Sand08 (逆生长秘诀) 于 (Tue Mar 16 18:04:41 2010, 美东) 提到:
有人干的,也match上了,只不过没到这报到而已,主要还是和以前的experience,个
人兴趣有关吧
内科是第一大科,中国人的科研背景,平均年龄,脱离临床较长时间让很多人倾向选择病理,扬长避短嘛,所以版上这两块人最多,信息交流相对丰富,久而久之,就成了良性循环; 反之亦然。
☆─────────────────────────────────────☆
becauseso (颓而不废) 于 (Tue Mar 16 19:05:47 2010, 美东) ... 阅读全帖
s**********1
发帖数: 68
6
来自主题: MedicalCareer版 - a few step 3 NBME form 1 questions
I'm a little confused with the following question. Different forums have
different answers. Anybo
the following vignette applies to the next 2 items.
You have been treating a 5-month-old child in the neonatal intensive care
unit (NICU). He was delivered at 26 weeks' gestation by cesarean delivery
because of premature rupture of membranes. The mother is 18 years old and is
unemployed. There are two other children in the home. The father is not
living with them, and he has not been in contact with... 阅读全帖
h*******y
发帖数: 1220
7
So it is about patient populations: neonates: group B Strep, children and
old people: Pneumococci, young adults, people in jail, dorm, barrack: N.
Meningitis...
S******1
发帖数: 44
8
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
j*******6
发帖数: 48
9
来自主题: MedicalCareer版 - 请教两个step3 的题!
(1)A 56-year-old office manager comes to the office for an initial visit
because her company changed insurance carriers. She tells you that for the
past 35 years she has had diabetes mellitus that she manages with insulin;
she has no history of eye or kidney problems. She has peripheral neuropathy
in her feet. She monitors her glucose concentrations closely. However, she
states that for the past 2 months she has had difficulty concentrating and
falling asleep at night, has had decreased appetite... 阅读全帖
t***q
发帖数: 38
10
来自主题: MedicalCareer版 - 儿科住院医一年拉拉杂杂
终于结束了第一年作为intern的生涯,在即将开始变成第二年senior时候,杂七杂八写
下一年来的经历,希望给后来者有帮助。
在接到match结果之后,如果还没有考完step3, 建议在这个时候考完,因为第一年还
是很紧张的。而且很多的program要求在第二年结束之前考完,否则没法升三年级。
我们的program是在六月初就开始了培训。主要就是互相认识,各种team building的活
动,potluck。通常在自我介绍的时候,大家在一起,说说为什么选这个专业,或者有
关于自己的有趣的事情。针对儿科,另外一块在orientation的时候要做的事情就是把
pals (pediatric advanced life support) , nals(neonatal advanced life
support)的证书拿到。这个program会组织,通常是大半天的事情,把CPR那一套搞熟
悉,最后5-6一个group,每个人都要做leader run一个code blue。虽说是orientation
,但大家对你的印象也就在那个时候慢慢积累,这是很好的交朋友的时候。
儿科住院医的第一... 阅读全帖
B****y
发帖数: 40
11
来自主题: Nursing版 - Barney 杂谈(1)-- OB 护士
CHART 频繁是事实,等你时间一长熟悉了,也就无所谓了.
BORING 不是L&D 的缺点,护士工作12小时,能有这么一段"BORING"时间让你放松一下,不
是很好吗?
不是所有的POSTPARTUM 护士都会向带你的那个护士在床边站整整40分钟的,如果MOM
BREASFEEDING 有问题,我们会叫 LACTATION CONSULTANT 帮她们.
产后护士一点应注意的是,虽然说CARE 3-4 个病人,但实际上是6-8个,包括BABY,有的时
候BABY 比MOM 要难HANDLE,记的一次我FLOAT 到MB FLOOR,一个BABY 吐奶,我人为是正
常现象,但一个老护士告诉我,他如果再这样,就要送NICU (NEONATE ICU).
总的来说,如果你热衷于哪一科或哪一职业,就象你热恋一样,你就看不到他的缺点,你会
全心投入 :-)

行,
腰站
s*******7
发帖数: 7
12
来自主题: Nursing版 - MSN 大家都選的哪些專業﹖
for example like Gerontological Nurse Practitioner
# Care of Children and Families (Pediatric Nurse Practitioner)
# Care of Children and Families (Pediatric Nurse Practitioner/Neonatal Nurse
Practitioner)
# Family Nurse Practitioner
# Psychiatric Mental Health Nurse Practitioner
# Pediatric Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner
combined program ?
那個較輕鬆壓﹖
l*******8
发帖数: 1745
13
来自主题: Nursing版 - 还是挺喜欢儿科的
she is only 23 years old, and she wanna study more.
if I choose family medicine, she will try to be a nurse practitioner; if I
can be a anaesthesiologist, she cam do nurse anaesthetist.
In a word, if she wanna work, she wanna work together with me besides the
neonatal part, hee hee:-) otherwise, she can stay at home and take care of
baby and be a volunteer at church:-)
YEAH, she finished all the tests today for this summer quarter, she can get
the grade tomorrow to see if she is still in the ABS
d****n
发帖数: 18
14
不知道啊 帮顶 姐姐要学? 不会吧??????
l******i
发帖数: 39
t*****r
发帖数: 1765
16
To duowen: 有些是医院面试的时候要的
谢谢laoshushi
之前也是成人和新生儿在一起学的。
那看来医院指的就是这个了。
收藏了多谢多谢~
m****x
发帖数: 164
17
来自主题: Nursing版 - 想问S3, S4是murmur吗?
S3,S4 are heard a lot in neonates.
S**********y
发帖数: 695
18
Acute Care Nurse Practitioner
Adult Nurse Practitioner
Family Nurse Practitioner
Neonatal Nurse Practitioner
Nurse Anesthesia
Nurse Midwifery
Pediatric Nurse Practitioner
Psychiatric Mental Health Nurse Practitioner
Women’s Health Nurse Practitioner
在报entry-level master of nursing,报名时就要填以后想读那个方面,不知道哪一
个比较容易找工作呢???
t*****r
发帖数: 1765
19
来自主题: Nursing版 - NP 现在就业率怎么样?
可以提早找猎头聊聊
这个lady很nice 她手头有很多信息
http://jobads1.jobads1.com/job.php?jid=9107&tn=603GZC01N7XDW4IG47M5A
一般会写要几年工作经验
http://www.nurse.com/jobs/700365-Nurse-Practitioner-Pediatric-ICU-at-NYU-School-of-Medicine-in-New-York-NY.html?utm_source=Indeed&utm_medium=organic&utm_campaign=Indeed
如果新毕业的可以找那种广告里写着类似愿意train新毕业的
willing to consider well-trained new graduates with strong interest
http://www.healthecareers.com/AANP/job/neonatal-nurse-practitioner-in-poughkeepsie-ny/1147594?type=partner&source=indeedo... 阅读全帖
m******m
发帖数: 644
20
来自主题: Nursing版 - 加州RN去博士屯
ABSMC-1100812 Staff Nurse - Labor & Delivery - TRAINING PROGRAM
Description
Alta Bates Summit Medical Center is San Francisco East Bay's largest private
, not-for-profit medical center with a total of 1,082 licensed beds. Each of
our campuses has a 24-hour emergency, obstetric and medical/surgical
services in both Oakland and Berkeley. At Alta Bates Summit Medical Center,
you will find an environment that reflects the values and mission to support
healthy living.
The staff nurse is a register... 阅读全帖
w******y
发帖数: 4871
21
来自主题: Nursing版 - ( 不要置顶) 我来给ACNP科个普
FNP可以在PICU,neonatal ICU工作的吧?
d**********y
发帖数: 1506
22
来自主题: Nursing版 - ( 不要置顶) 我来给ACNP科个普
我的理解:
如果在读FNP之前,有PICU,neonatal的护理工作经验,应该可以,如果没有这方面的
经验,人家愿不愿雇你就是个问题了。
w******y
发帖数: 4871
23
来自主题: Nursing版 - ( 不要置顶) 我来给ACNP科个普
FNP可以在PICU,neonatal ICU工作的吧?
d**********y
发帖数: 1506
24
来自主题: Nursing版 - ( 不要置顶) 我来给ACNP科个普
我的理解:
如果在读FNP之前,有PICU,neonatal的护理工作经验,应该可以,如果没有这方面的
经验,人家愿不愿雇你就是个问题了。
d*******g
发帖数: 150
25
来自主题: Nursing版 - 招工广告看不懂
clinical nurse I usually means new grad. once u pass a period of time set by
the place (many say <1 yr), u move up to II.
nicu means neonatal intensive care unit.
ft means full-time.
aws means alternative work schedules.
hope this helped a little.
J****r
发帖数: 682
26
来自主题: Nursing版 - 问题请教
在7套里面有这样一道题:The infant of a diabetic mother has a blood glucose
of 90 mg/dL and a serum calcium level of 7.0
mg/dL. The nurse should anticipate that which of the following medications
would be
administered IV?
1. Insulin.
2. Glucose.
3. Phenobarbital.
4. Calcium gluconate.
Strategy: Determine the action of each drug and how it relates to the lab
values.
(1) would be given for blood sugar problems
(2) would be given for blood sugar problems
(3) not appropriate for a neonate
(4) correct—hypocalcem... 阅读全帖
h******q
发帖数: 865
27
来自主题: Nursing版 - APN 除了NP,还有什么选择?
from a university nursing website (I don't know the difference):
Graduate Specialties Adult Acute Care Nurse Practitioner
Graduate Specialties Adult-Gero Nurse Practitioner
Graduate Specialties Adult Oncology CNS
Graduate Specialties Clinical Nurse Leader
Graduate Specialties Family Nurse Practitioner
Graduate Specialties Neonatal Nurse Practitioner
Graduate Specialties Nurse Midwifery
Graduate Specialties Nursing and Health Systems Management
Graduate Specialties Nursing Science
Graduate Specia... 阅读全帖
r******y
发帖数: 80
28
来自主题: Nursing版 - ICU的位置竞争好激烈,求建议
你这话说得也是让人醉了,这和做人聪明与否有啥关系,进大医院M/S 3-6个月后转
critical care比直接申请容易多了也不是什么新闻,而且想申请CRNA也不是非得ICU经
验的
Critical care nurses are those caring for critically ill patients who
require invasive monitoring and the administration of vasoactive drugs.
Critical care units that usually provide this type of experience include
coronary care and postoperative cardiovascular units, medical, surgical,
pediatric, and neonatal ICUs.
还有什么事都和“神的旨意”联系上有意思么
r******y
发帖数: 80
29
来自主题: Nursing版 - ICU的位置竞争好激烈,求建议
你这话说得也是让人醉了,这和做人聪明与否有啥关系,进大医院M/S 3-6个月后转
critical care比直接申请容易多了也不是什么新闻,而且想申请CRNA也不是非得ICU经
验的
Critical care nurses are those caring for critically ill patients who
require invasive monitoring and the administration of vasoactive drugs.
Critical care units that usually provide this type of experience include
coronary care and postoperative cardiovascular units, medical, surgical,
pediatric, and neonatal ICUs.
还有什么事都和“神的旨意”联系上有意思么
m*********r
发帖数: 1894
30
来自主题: Nursing版 - 请大家指点申请NP master的面试
下周有一个NY的学校说要skype interview,这是第一次接到这样的邮件,需要准备些
啥问题,有啥注意事项么?有没有有经验的朋友来说说,包子谢!
是Neonatal Nurse Practitioner
b******8
发帖数: 1251
31
来自主题: Pharmacy版 - 怎么学习oncology and I.D?
谢谢谢谢,midterm过了,我想oncology还好一些,ID就那样吧,反正就是背,我们老
师的要求就是,说一个病,你要知道top 5 bugs for this disease, 然后top 5
drugs for this bug, then what's difference of the drugs,反正就是背就是了,现
在已经可以一个一个的给你数which drugs cure pseudomonas, which drugs cure CAP
, which bugs cause HPA, which bugs cause neonatal meningitis, etc.
p*******g
发帖数: 2976
32
【 以下文字转载自 Biology 讨论区 】
发信人: albertsmwk (.)(.), 信区: Biology
标 题: 第一批“青年千人计划”生物类@publication列表@
发信站: BBS 未名空间站 (Thu Aug 18 15:04:16 2011, 美东)
花了一个小时,深深的鄙视一下自己的无聊行径!!
125 蔡亮 男 1980年11月 复旦大学 生命
科学 2007年12月毕业于[美国]北卡大学 [美国]加州大学旧金山分校 博士后
Cai L, Mostov K. Polarity is destiny. Cell. 2009 Nov 13;139(4):660-2. PubMed
PMID: 19914162; PubMed Central PMCID: PMC2900917.
Cai L, Makhov AM, Schafer DA, Bear JE. Coronin 1B antagonizes cortactin and
remodels Arp2/3-containing actin branche... 阅读全帖
r*****0
发帖数: 366
33
来自主题: Science版 - 求助,关于眼球半径的问题
不知道该不该发在这里问,但实在没办法,只能试试了!先谢谢大家了!
我最近做的东西,需要知道neonate和adult的猴子眼球的半径,可是我哪也找不到,哪位
知道的帮帮我吧,谢谢了!
还有一个问题,小猴子的孕育期是多久?148天吗?
十分感谢!
z**********i
发帖数: 12276
34
来自主题: Statistics版 - OPENNING___________ (转载)
Senior SAS Analyst
Shawnee Mission, KS
This individual is responsible providing analytical support for improvement
and research projects primarily focused on the neonatal populations. Present
results to all audience levels in person or through web based technologies.
Qualifications:
Master’s degree in Biostatistics, Statistics, or other quantitative field
required (PhD preferred)
Minimum of 5 years in Health Care Analysis (experience analyzing pediatric
populations preferred)
Experience working ... 阅读全帖
s**********8
发帖数: 25265
35
来自主题: MedicalDevice版 - Good Laboratory Practice (GLP)
Good Laboratory Practice

In the experimental (non-clinical) research arena, the phrase good
laboratory practice or GLP specifically refers to a quality system of
management controls for research laboratories and organizations to try to
ensure the uniformity, consistency, reliability, reproducibility, quality,
and integrity of chemical (including pharmaceuticals) safety and efficacy
tests.
GLP was instituted following cases of animal test fraud by pharmaceutical
and industrial chemical (mainl... 阅读全帖
l*******d
发帖数: 572
36
来自主题: MedicalDevice版 - The Top 10 Medtech Predictions for 2013
我个人感觉大部分还是有道理的。大家发表意见。
1. Obamacare to Have Mixed Effects. First the bad: the much-discussed device
tax provision of the Affordable Care Act will decrease hospitals spend on
medical technology. Meanwhile, per-capita spending on healthcare overall is
set to continue its upward trajectory. Use of advanced imaging modalities
like CT and MRI will rise as reimbursement penalties linked to them increase
. On the bright side: the field of healthcare IT and telehealth are expected
to grow, driving deman... 阅读全帖
V**y
发帖数: 788
37
来自主题: Medicalpractice版 - 问一个关于abo溶血的问题
Anti-A and anti-B antibodies are usually IgM and do not pass through the
placenta, but some mothers "naturally" have IgG anti-A or IgG anti-B
antibodies, which can pass through the placenta.
Some mothers may be sensitized by fetal-maternal transfusion of ABO
incompatible red blood and produce immune IgG antibodies against the antigen
they do not have and their baby does. For example, when a mother of
genotype OO (blood group O) carries a fetus of genotype AO (blood group A)
she may produce IgG a... 阅读全帖
l***o
发帖数: 578
38
来自主题: Medicalpractice版 - 妇产科医生可以看男病人吗?
In USA, most of the circumcision in neonates are being performed by OB. Most
of the pediatricians never do it.
f**d
发帖数: 768
39
来自主题: Neuroscience版 - 非侵入法测量大脑内部温度
Device Measures Brain Temperature Non-Invasively: Monitoring Could Be
Critical in Life-Saving Cooling Therapy
ScienceDaily (May 2, 2011) — Doctors have long sought a way to directly
measure the brain's temperature without inserting a probe through the
skull. Now researchers have developed a way to get the brain's precise
temperature with a device the diameter of a poker-chip that rests on a
patient's head, according to findings presented May 1 at the annual
meeting of the Pediatric Academic Soci... 阅读全帖
k*****e
发帖数: 22013
40
【 以下文字转载自 ChinaNews 讨论区 】
发信人: pipigou123 (鼠姐虎弟), 信区: ChinaNews
标 题: Re: 在美国,学中医的比这里大部分人赚得多
发信站: BBS 未名空间站 (Sun Aug 14 19:55:23 2011, 美东)
INTRODUCTION — The word "acupuncture" is derived from the Latin words "acus
" (needle) and "punctura" (penetration). Acupuncture originated in China
approximately 2000 years ago and is one of the oldest medical procedures in
the world.
Over its long history and dissemination, acupuncture has diversified and
encompasses a large array of styles and techniques. ... 阅读全帖
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