S*****T 发帖数: 400 | 1 【 以下文字转载自 ChinaNews 讨论区 】
【 原文由 Telley 所发表 】
http://www.reuters.com/newsArticle.jhtml?type=worldNews&storyID=3408523
SARS May Have Resurfaced, Singapore Says
Mon September 8, 2003 08:07 PM ET
By Jason Szep
SINGAPORE (Reuters) - Singapore reported a possible return of SARS
Monday, hours after the World Health Organization had warned the
deadly virus could reappear.
The Ministry of Health said initial tests showed one man had tested
positive for the pneumonia-like Severe Acute Respiratory Syndrom |
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w******n 发帖数: 692 | 2 【 以下文字转载自 Shanghai 讨论区,原文如下 】
发信人: piaopiaofish (恐龙奶奶), 信区: Shanghai
标 题: zz 变异冠状病毒——吃施尔康或善存片吧!或者吃水果
发信站: The unknown SPACE (Tue Apr 22 17:07:00 2003) WWW-POST
By: Parco M. Siu, MPhil, PhD Candidate
West Virginia University School of Medicine
西弗吉尼亚大学医学院
The fact of the mysterious pneumonia has been widely spread in HK drives me to
do a literature review on the suspected cause (i.e. coronavirus) of the SARS
(Severe Acute Respiratory Syndrome). As a biomedical researcher, let me show
you my conce |
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K****N 发帖数: 10783 | 3 【 以下文字转载自 Joke 讨论区 】
发信人: JackBlack (Black Jack), 信区: Joke
标 题: 困扰美国人的10个问题
发信站: BBS 未名空间站 (Tue Jul 6 22:56:02 2010, 美东)
在google搜索框里面输入“is "可以看到目前困扰美国人的10个问题如下:
1. Is lady gaga a man?
2. Is the world going to end in 2012?
3. Is lady gaga a hermaphrodite?
4. Is Beyonce pregnant?
5. Is Justin Bieber bi?
6. Is bronchitis contagious?
7. Is Miley Cyrus pregnant?
8. Is Facebook going to start charging?
9. Is Verizon getting the iphone?
10.Is pneumonia contagious?
注解:
hermaphrodite:阴阳人
bronchitis :支气 |
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l******k 发帖数: 27533 | 4 第一,病人可能得的是hospital acquired pneumonia(HAP)
Acinetobactor species是常引起late onset HAP的细菌。
问问医院有没有查pseudomonas和MRSA,这也是常引起HAP的病菌,在治疗方案中也常常
对用上抗pseudomonas的抗生素。pseudomonas或者MRSA感染后果可能会比较严重,而且
只有某些抗生素才能抑制这些细菌。一定要问医院有没有查这两个细菌感染的可能性。
非常震撼!医院居然把病人直接送回家让自己康复? HAP的死亡率是20-50%,如果
empiric antibiotics 没选对,死亡率对增加2-3倍!只听你说病史,还有细菌的确认
结果,多半就是HAP。病人有其他的症状吗?发热?白细胞数量变化?氧饱和率?是确
诊了还是怀疑HAP感染?
第二,用药问题。你问这个药不是推荐治疗HAP的用药。美国传染病学最权威的
guideline在
IDSA上。
对HAP治疗的guideline地址如下:
http://www.idsociety.org/uploadedFiles/IDSA/Guidelin... 阅读全帖 |
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l**t 发帖数: 6971 | 5 http://www.nytimes.com/2011/10/30/opinion/mona-simpsons-eulogy-
A Sister's Eulogy for Steve Jobs
I grew up as an only child, with a single mother. Because we were poor and
because I knew my father had emigrated from Syria, I imagined he looked like
Omar Sharif. I hoped he would be rich and kind and would come into our
lives (and our not yet furnished apartment) and help us. Later, after I’d
met my father, I tried to believe he’d changed his number and left no
forwarding address because he was an... 阅读全帖 |
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j******7 发帖数: 12 | 6 刚怀孕时做过一批 pneumococcal pneumonia 的大鼠试验,没有什么特别好的防护,就
是普通口罩和手套,好在做的时间长了,早免疫了,没感染。现在怀孕刚满十周,实验
室要开始H3N2流感大鼠的课题,虽然老板说了我不用直接操作病毒和感染老鼠,可还是
比较担心。实验室就两间屋,不接触老鼠也还要接触其他操作老鼠的人。老板说她刚开
始做流感课题时,反反复复病了好久,后来免疫了,任何流感爆发都和她没关系了,还
让实验室其他人都去打流感疫苗。
了解和做过相关研究的前辈们帮我开导开导吧,究竟有多危险?我还应该待在这里吗?
如果可以,都要注意些什么?谢谢了。 |
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b******n 发帖数: 4225 | 7 今天收到卡片,说是开卖Klebsiella pneumoniae (NDM-1)了
还是很快速的 |
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t****p 发帖数: 1504 | 8 【说明
首先抱歉,标题是为了吸引眼球。而且,读者可以看到,本文介绍的工作并不适合用院
士与否来评价,所以题目应该被批判。本文作为非正规博文一周后,题目将改回以下正
文的标题。正文目前作为征求意见稿,也将适当修改后发表于正式刊物,这相反于我平
时一般先正式发表后请科学网置于博客的习惯。
在科学界,我有双重身份:正在实践的科学家和对历史与现实的评论员。第二身份包括
我对科学史的兴趣。以前以介绍其他人研究过的科学史为主,近年对感兴趣较长的中国
近代科学史,我通过和北大医学部张大庆老师和研究生黎润红的合作,获得了一些史料
、正在写文章。如何呈现本文要讲的工作,也得益于“GSK终身生命科学成就奖”评奖
委员会的同事们的讨论,他们是鲁白、傅新元、马红、王小凡。
因为最近我第一身份出现一些情况,引起了出乎我意料的关注,为了避免继续过度解读
,而将其中无意义的部分转化为较有意义的事情,我为本文加上目前对我博客感兴趣的
外界人士可能注意的标题。
本文主旨是希望中国重视一些在国内做出了杰出工作、而未获适当承认的科学家。本文
要介绍的两位人物年龄都较大,其中一位还在病中。他们做出的贡献,在我(作为科学
的评... 阅读全帖 |
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t*******o 发帖数: 71 | 9 【写在前面的话】
首先抱歉,标题是为了吸引眼球。而且,读者可以看到,本文介绍的工作并不适合用院
士与否来评价,所以题目应该被批判。本文作为非正规博文一周后,题目将改回以下正
文的标题。正文目前作为征求意见稿,也将适当修改后发表于正式刊物,这相反于我平
时一般先正式发表后请科学网置于博客的习惯。
在科学界,我有双重身份:正在实践的科学家和对历史与现实的评论员。第二身份包括
我对科学史的兴趣。以前以介绍其他人研究过的科学史为主,近年对感兴趣较长的中国
近代科学史,我通过和北大医学部张大庆老师和研究生黎润红的合作,获得了一些史料
、正在写文章。如何呈现本文要讲的工作,也得益于“GSK终身生命科学成就奖”评奖
委员会的同事们的讨论,他们是鲁白、傅新元、马红、王小凡。
因为最近我第一身份出现一些情况,引起了出乎我意料的关注,为了避免继续过度解读
,而将其中无意义的部分转化为较有意义的事情,我为本文加上目前对我博客感兴趣的
外界人士可能注意的标题。
本文主旨是希望中国重视一些在国内做出了杰出工作、而未获适当承认的科学家。本文
要介绍的两位人物年龄都较大,其中一位还在病中。他们... 阅读全帖 |
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M****o 发帖数: 4860 | 12 研究中药的中医研究院研究员、中国工程院院士李连达发表文章,谈砒霜治疗
白血病是中国人的骄傲(http://blog.sciencenet.cn/blog-715370-650492.html)
李连达的文章写道:“砒 霜制剂治疗白血病问题,早在两千年前我国已经对砒
霜的药用价值及毒性有一定认识,在古人经验基础上,近代科学家又进行了深入的研究
,发现砒霜(三氧化二 砷)及青黛、雄黄(二氧化二砷)组成的“青黄散”可以治疗
白血病,其后进一步将砒霜精制成三氧化二砷制剂,又经一系列制剂学、药理毒理学及
大量临床试验, 证实对白血病确实有疗效,陈竺院士及其夫人等专家对其作用机制作
了高水平的研究并有重大发现,得到国内外学术界的公认,使这个药在世界推广使用”
这样的说法,恐怕陈竺和陈赛娟都受不了。
我相信,陈竺和陈赛娟都不会认为自己是发现砒霜治疗白血病的最大功臣,他们肯定同
意我的写法(见http://blog.sciencenet.cn/blog-2237-478156.html),毫无争议的最大功臣是:张亭栋。
如果到今天,连研究中药的李连达都不清楚事... 阅读全帖 |
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k****s 发帖数: 1209 | 13 原文在
http://www.skizit.biz/2013/07/21/ecdysone-insect-hormone-an-ind
Ecdysone Insect Hormone Switches on Disease
21 Jul 2013 | ECDYSONE
MORGELLONS:
INSECT HORMONE ECDYSONE TRIGGERS GENETIC CHANGES
TO BUILD NEW HAIR, SKIN, NAILS and CAUSE DISEASES
SkizitGesture-2013
Morgellons is a military grade entomological terror weapon being used to
torture and kill innocent civilians. The medical community has not been
informed about this disease and its complexity keeps it from being properly
identified, ... 阅读全帖 |
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M****e 发帖数: 262 | 14 这人的简历,也有些奇葩啊
http://www.caufood.com.cn/show-zhuanjia.asp?%5C=606
姓名 朱毅
性别 女
出生日期 1973年6月
籍贯 贵州
民族 汉
学历/学位 博士
职称 副教授学习工作经历
1989-1994, 贵阳医学院,医学士
1994-2001,贵阳医学院,助教,讲师,基础医学部、临床医学院团委书记
1999-2002,武汉大学,法硕士
2003-2006,中科院植物所,理博士
2006-今 中国农业大学食品学院,讲师现任职务(社会兼职等)主要研究方向
果蔬采后保鲜与生物活性物质功效研究
微藻综合利用生物技术代表著作与论文
Y. Zhu, et al., 2007, A simple method for extracting C-phycocyanin from
Spirulina platensis using Klebsiella pneumoniae, Appl Microbiol Biotechnol,
74: 244-248 (第一作者)
提高衣藻放氢效率的方法,专利... 阅读全帖 |
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M****e 发帖数: 262 | 15 医学士,团委书记,法学硕士(在职拿的),植物学博士,代表论文是水论文一篇(还
是博士毕业后才发的)
看朱毅这简历,明眼人一眼就可以看出有猫腻。要靠博士学位混饭吃,这女人却还这样
胆大,要去惹方舟子。
这真是找死啊。
http://www.caufood.com.cn/show-zhuanjia.asp?%5C=606
姓名 朱毅
性别 女
出生日期 1973年6月
籍贯 贵州
民族 汉
学历/学位 博士
职称 副教授学习工作经历
1989-1994, 贵阳医学院,医学士
1994-2001,贵阳医学院,助教,讲师,基础医学部、临床医学院团委书记
1999-2002,武汉大学,法硕士
2003-2006,中科院植物所,理博士
2006-今 中国农业大学食品学院,讲师现任职务(社会兼职等)主要研究方向
果蔬采后保鲜与生物活性物质功效研究
微藻综合利用生物技术代表著作与论文
Y. Zhu, et al., 2007, A simple method for extracting C-phycocyanin from
Spirulina plat... 阅读全帖 |
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h***n 发帖数: 83 | 16 【 以下文字转载自 Military 讨论区 】
发信人: hzhen (hzhen), 信区: Military
标 题: 方舟子:举报季宏兵、朱毅夫妇互送论文
发信站: BBS 未名空间站 (Sat May 3 10:16:52 2014, 美东)
http://fangzhouzi.baijia.baidu.com/article/14105
举报季宏兵、朱毅夫妇互送论文
方舟子05月02日 19:28 分享到: 朱毅 学术造假 分类 : 热点
摘要 : 向国家自然基金委员会举报季宏兵、朱毅夫妇互送论文。
夫季宏兵,1990年毕业于长春地质学院,1993获得中国科学院地球化学研究
所理学硕士,2000年获得该所博士,现为北京科技大学环境工程系教授、中国科学院地
球化学研究所研究员、首都师范大学资源环境与旅游学院研究员、博士生导师,入选北
京市新世纪百千万人才工程、中国科学院百人计划。研究方向为环境科学、环境生物地
球化学。
妇朱毅,1994年毕业于贵阳医学院临床医学专业,留校当团干,2002年在职获得武汉大
学马克思主义思想教育专业法硕士,2006年获得中... 阅读全帖 |
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h***a 发帖数: 145 | 19 Expert Rev Respir Med. 2014 Oct;8(5):641-51. doi: 10.1586/17476348.2014.
940323. Epub 2014 Jul 17.
Methicillin-resistant Staphylococcus aureus pneumonia in adults.
Woods C1, Colice G.
Thank you in advance.
Oh my email address: [email protected]
/* */ |
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l*******r 发帖数: 407 | 20 http://blog.sciencenet.cn/home.php?mod=space&uid=2237&do=blog&i
摘要
1970年代早期,多数中国科学家,在文化大革命中努力生存而无机会开展研究。两位年
轻的研究者屠呦呦和张亭栋,分别在发现抗疟新药青蒿素和揭示砒霜化学成分三氧化二
砷对白血病的治疗作用的过程中起了关键作用。回顾四十年前开始的历程,不乏曲折和
反讽。青蒿素工作源于中国帮助越南抵抗美国,三氧化二砷源于观察、验证和改进乡村
中医的实践。虽然他们的药物挽救了世界上很多生命,两位研究者迄今未获国内外充分
肯定,屠呦呦有争议、张亭栋基本默默无闻。相关的文献埋没于冷僻的杂志和一般不易
看到的内部会议资料。基于原始中文论文、文件和采访,我们在此呈现这些发现的历史
概貌。没有逃脱我们的注意,在古代和近现代中文文献及医疗实践中,可能还有尚待重
新发现的珍宝。
引言
在中国使用了上千年的传统药物,能否改善现代人类的健康?在中国,有些人不认为这
是问题,而在中国以外的世界,中药并非现代人类普遍使用药物的主要来源。
对中药有两种截然相反的看法:在现代医学进展到今天后中药意义很小,甚至... 阅读全帖 |
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h**********r 发帖数: 671 | 21 http://www.rgenome.net/cas-designer/
select others
Caenorhabditis elegans (ce10)
Aspergillus niger ATCC 1015 (ASPNI v3.0)
Escherichia coli (K-12, MG1655)
Komagataella pastoris (from Ensemble Fungi release 23)
Leishmania major (ASM272v2)
Paracoccus denitrificans PD1222 (GCA_000203895.1)
Metarhizium anisopliae BRIP 53293 (ASM42696v1)
Metarhizium anisopliae (JNNZ01)
Rhodococcus sp. RHA1 (2006-11-01, from Rhodococcus Genome Project website)
Klebsiella pneumoniae MGH 78578 (NCBI Assembly ID 168878)
P... 阅读全帖 |
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b*******g 发帖数: 1309 | 22 Carbohydrate-based vaccines are widely used to prevent infectious diseases,
but their use to fight cancer has so far proved problematic. To increase the
chance of success, researchers are pursuing a number of avenues that have a
common goal: enhance carbohydrates’ ability to induce the human immune
system to mount an effective fight against cancer.
Carbohydrates are studded all over the surfaces of human cells, where they
help with essential functions ranging from protein transport and cell-cell... 阅读全帖 |
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h*****9 发帖数: 4028 | 23 来自主题: ChineseMed版 - 关于倪海夏 看看那些评论吧,集中在2006年。他06年才出道?之前怎么啥都没有?造假都看不出来
?增大眼睛看看都是啥荒唐透顶一路了然的造假。
12/26/06 5 5 5 Dr. Ni has helped me and over 200 of my friends. He has
cured cancer, arthritis, crohns, pneumonia, tumors and so many other things.
He is truly unbelievable! I would highly recommend him to anyone! |
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h*****9 发帖数: 4028 | 24 请看截屏图,我当时特意指出的那两个荒谬可笑的帖子被删了。内容如下。
12/26/06 5 5 5 Dr. Ni has helped me and over 200 of my friends. He has
cured cancer, arthritis, crohns, pneumonia, tumors and so many other things.
He is truly unbelievable! I would highly recommend him to anyone!
6/25/06 5 5 5 Yes, Surely the best!!! He cured many cancer patients. |
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h*****9 发帖数: 4028 | 25 你的意思是倪神医没有传真治病挣得一点小钱就没办法过下去或过的贫困了?
倪神医不是号称(据“病人”的评论)治好了成百上千的癌症等绝症,怎么会在
乎传真治病这点小钱?
被我揭发后倪神医删除的“病人”评论:
12/26/06 5 5 5 Dr. Ni has helped me and over 200 of my friends. He has
cured cancer, arthritis, crohns, pneumonia, tumors and so many other things.
He is truly unbelievable! I would highly recommend him to anyone! |
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h*****9 发帖数: 4028 | 26 倪大师更牛。号称有一个人身边的两百多朋友全都得了肿瘤,肺痨等疾病,全都被倪大
师治好了。做这个人的朋友好倒霉阿。得肿瘤的中医饭们有福了,千万别忘了去找倪大
师
12/26/06 5 5 5 Dr. Ni has helped me and over 200 of my friends. He has
cured cancer, arthritis, crohns, pneumonia, tumors and so many other things.
He is truly unbelievable! I would highly recommend him to anyone!
6/25/06 5 5 5 Yes, Surely the best!!! He cured many cancer patients. |
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n********n 发帖数: 2248 | 27 12/26/06 5 5 5 Dr. Ni has helped me and over 200 of my friends. He has
cured cancer, arthritis, crohns, pneumonia, tumors and so many other things.
这句话不是你所理解的意思吧?后面说他治好的病也包括了除他朋友以外的病例,即使
是说他的朋友和亲人,后面那个so many other things直接就被你省略了? |
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n********n 发帖数: 2248 | 28 12/26/06 5 5 5 Dr. Ni has helped me and over 200 of my friends. He has
cured cancer, arthritis, crohns, pneumonia, tumors and so many other things.
这句话不是你所理解的意思吧?后面说他治好的病也包括了除他朋友以外的病例,即使
是说他的朋友和亲人,后面那个so many other things直接就被你省略了? |
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D*******l 发帖数: 5462 | 29 表里(半表半里)、内外、阴阳、虚实、主客、本末之界说
表里之表者,指皮肤而言也。病毒集中于此部,所发之病证即称表证。用发汗
解热药,以病毒自汗腺排除为原则。若此发汗不彻则病毒转入呼吸、消化、泌尿等器,
惹起种种之疾病。里者,指消化管言(按消化管之一名词包括食道、胃、小肠、大肠等
而言)。病毒积集于此部而呈现实证,则用泻下药以驱逐病毒。不然,则病毒遂侵入内
部,往往诱发不治之难证。半表半里者,指胸腹二腔间,适当支气管、肺、心、肝、脾
、胰、胃等之所在。故若病毒集于此部,使上列诸脏器之一部或数部发病,即称为半表
半里证。此病毒用和剂以缓解之,同时以其一部由皮肤或呼吸、泌尿等器排泄为准绳。
是以病毒之传入也,有自表转入于半表半里,或转入于里,或自里转入于内,或自表转
入于内,自半表半里转入于内。然亦有正相反者,自内转出于里,或转出于半表半里,
或转出于表,或于里转出于半表半里或转出于表,或自半表半里转出于表者。盖人体活
动而至变,非单纯之理论所得而解决之也。
内外者,相对之辞也。所谓内者,系指皮肤、呼吸器、消化管以外之脏器组织
也。外者,系指内以外之脏器组织也。故... 阅读全帖 |
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s**g 发帖数: 458 | 30 zantac 也是疫苗?!
人家小孩的儿医已经给过zantac这种稀奇古怪物质了,难道那个儿医师谋杀?
仔细看看这个zantac稀奇古怪的物质是不是疫苗:
Ranitidine, sold under the trade name Zantac among others, is a medication
that decreases stomach acid production.[1] It is commonly used in treatment
of peptic ulcer disease, gastroesophageal reflux disease, and Zollinger–
Ellison syndrome.[1] There is also tentative evidence of benefit for hives.[
2] It can be taken by mouth, by injection into a muscle, or into a vein.[1]
Common side effects include headaches and pai... 阅读全帖 |
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j*******1 发帖数: 266 | 31 谢谢几位的回答。一周前,我已FILE 了provisional application to USPTO,
我把它放在下边,请大家看看:
Treating Patients with Potential Therapeutic Drugs
Major development of the Western medicine is from discovery of new medications, the United States is the country with biggest pharmaceutical companies in the world, and the companies follow the U.S. FDA guidelines. However, the guidelines have significant limitations.
Conceptually, according to the drug treatment, disease may be divided into three types.
1. Disease can be treat... 阅读全帖 |
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L**P 发帖数: 3792 | 32 这就是专利的全部内容么?uspto不会对provisional application做任何审查的,就是
个文件备份而已,期待你在一年内(超过一年文件备份功能失效)再把这pro转正成
utility application进入审查,然后大家再拭目以待进展
medications, the United States is the country with biggest pharmaceutical
companies in the world, and the companies follow the U.S. FDA guidelines.
However, the guidelines have significant limitations.
three types.
urinary tract infections, and Staphylococcus aureus cause lobar pneumonia.
Antibiotics are the cure for the diseases.
effects on them. There are many drugs ... 阅读全帖 |
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m*****9 发帖数: 152 | 33 I had 7 prenatal visits in a doctor's office (A) in 2011 between July and
December. Since the doctor I saw didn't arrive at the hospital in time, and
another doctor from another facility delivered my baby, office A is asking
me to go back to pay copays for those prenatal visits I had in 2011. I read
in HHS.gov and HRSA.gov that the Affordable Care Act signed into law in 2010
listed prenatal care as preventive care with no cost-sharing. Here is the
quotation from http://www.hhs.gov/healthcare/fac... 阅读全帖 |
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f*****w 发帖数: 1451 | 34 Your answer and explanation are appreciated. Thanks a lot!
1.A 5-year-old girl is brought to the physician because of temperatures to 40
C (104 F), tachypnea, and a nonproductive cough for 12 hours. Four days ago
she was treated with an oral antibiotic for suspected pneumococcal pneumonia
. Examination shows diminished breath sounds over the lower right lung
fields and dullness to percussion at the right costophrenic angle. Which of
the following is the most likely diagnosis?
A ) Bronchopleural |
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h****g 发帖数: 125 | 35 "dullness to percussion at the right costophrenic angle"
this shows the patient has small amount of pleural effusions. In a young
patient with pneumonia, the diagnosis should be empyema. Lung abscess takes
longer time to form. And in step 2 ck, it is usually caused by anaerobic
infection. |
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l******e 发帖数: 14 | 36 Actually, he had hemoptysis in the past two days.
How about septic shock caused by pneumonia? |
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l*******i 发帖数: 24 | 37 1C maxillary sinusitis. S. pneumoniae m.c. cause.
2f No prophylaxis for tonsillectomy
3B panic disorder, Tx with Benzo-
4C endogenous estrogen production (by ovary) feedback inhibits pituitary
function--> progestin deficiency.
5B throat culture more sensitive to detect strep. |
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h******l 发帖数: 238 | 38 Organizing 是形容词。基本病理过程应该是 Eosinophilic pneumonia, 慢性过程常有纤维化出现,如果纤维化比较明显,就给这个形容词了。病理诊断对你们帮助可能不是太大,需要临床找病因。 |
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s*******r 发帖数: 174 | 39 多谢师兄clarify这个概念。 这个病人当时所有可能都排除了,出院时临床诊断是
hypersensitivity pneumonia,病理诊断后出来的,这时候应该以病理诊断为准了。
有纤维化出现,如果纤维化比较明显,就给这个形容词了。病理诊断对你们帮助可能不
是太大,需要临床找病因。 |
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d****2 发帖数: 118 | 40 mcc for infants' bronchiolitis and pneumonia is RSV.
began
F
few
are |
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R**********n 发帖数: 473 | 41 37 year old woman 1 day history of throbbing facial pain, has had nasal
congestion,purulent nasal discharge sore throat and nonproductive cough for
9 days. 38.5C, there is tenderness to palpation over the left cheek and no
transillumination over the left maxillary sinus. no erythema of throat. no
cervical adenopathy. lungs are clear
what's the organism?
D. strep Pneumoniae
E. GAS
is the facial pain erysipelas or cellulites? why not GAS?
Ck tomorrow. Thanks so much! |
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l********z 发帖数: 810 | 42 The most common organism for sinutitis is Strep.pneumonia. This is sinusitis
. I do not know what do you mean by GAS? Good luck!
for
no |
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s*******r 发帖数: 174 | 43 来自主题: MedicalCareer版 - 殊途同归 这个月在icu,第一个call收的两个病人都是pneumonia/sepsis/septic shock.第一个83
岁,我收的时候他还好好的,冲我笑呢,就是sats低,lactate只有4。overnight就被
intubate拉,we did everything we need to do, 可他还是接着一天不如一天,挺了
一周,kidney开始down,platelets也开始drop,家里很快就决定withdraw care了。当
时还想着应该再给他一些时间。。。。
另外一个72,收得时候lactate7点几,一度11点几,ph7.0几,k7点几,fluids
,pressors, bicarb drip, dialysis。。。能用的全用了,当时觉得他肯定是不行的了
。。。。没想到一天一天好起来,前两天居然extubate了。。。就在我感叹年龄真是
icu病人的prognostic factor啊的时候,他还是tolerate不了拔管后的destress,面临
再度被intubate和long term weaning process, 刚上去看,已经决定comfort |
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a****9 发帖数: 773 | 44 I am planning to give my CS on May 11.
And I got some mysterious cough since 3 days ago... as along as I open my
mouth, I just cannot stop coughing...speechless now...
I think I am too old for croup and classic antibiotics for atypical
pneumonia did not help :(
Anyone can give me some advice?
|
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L*****r 发帖数: 722 | 45
against gram positives or anaerobic bacteria;能替代cephalosporins 吗?
现在cephalosporins 用来治疗gram positives bacteria的情况好像很少了,因为有很
多其他选择。想得起来常用的,好像就是用 first generation cephalosporin治疗非
MRSA的表面感染,还有用Ceftriaxone 治疗streptococcus pneumoniae 感染。 |
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d*******m 发帖数: 40 | 46 Answer is B. no explanation available.
My understanding:
Maybe, the patient's blood glucose level won't change by using insuline with
glucose together,that means in this case, insulin was not used for the control of glucose.So
we donot need to care pt's glucose level.
But clinically, may need both a and b at the same time. Just like a patient
with hypoxemia because of pneumonia, we cannot give antibiotics first and
later give O2. |
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c*******s 发帖数: 399 | 47 The most likley diagnosis is acute heart failure, but you need to rule out
Pneumonia,pneumothorax,plerual effusion, etc. common causes of SOB
Echo can only give your information of heart funciton at this point |
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d********9 发帖数: 16 | 48 The answer is A. The symptoms of heart failure can be due to pneumonia. Echo
would be done but later during the hospital stay. |
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yf 发帖数: 272 | 49 Hehehe, very interesting. I don't know whether it's true about this
statement. I guess that with those nonsense pts, you will spend much time
dealing with social issues, and writing orders for their methadone and
morphine. We have one whole floor of these pts, I was driven nuts by them
everyday.
And we have two whole floors of nursing home pts, even worse, most of them
are vented, PEGed, nonverbal, contracted. They all have pneumonia and UTI.
Very depressing.
After seeing all these pts, I am ver |
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D*****l 发帖数: 554 | 50 请肺科高手释疑:Resonance 和 Fremitus的区别
FA 2010 step1 P.510
Abnormality Resonance Fremitus
Bronchial obstruction ↓ ↓
Pleural effusion Dullness ↓
Pneumonia (lobar) Dullness ↑
Tension pneumothorax Hyperresonant Absent
我不能理解 Resonance and Fremitus. 请帮忙!谢谢! |
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