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D*****t
发帖数: 1303 | 2 太可怜了～～Bless！！！愿猫猫早日康复！！！ |
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h****u
发帖数: 618 | 3 bless.
这么漂亮的猫猫，楼主能治疗就尽量治疗吧 |
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f**********n
发帖数: 745 | 4 我家的猫猫开始也是耳螨，后来就滴耳药滴好了，结果这几个月过去去复查，医生说有
中耳炎，可是我什么症状也没有发现阿，准备换个医生看，还一直没有时间去，希望是
虚惊 |
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m******e
发帖数: 1932 | 7 又看了几家vet，检查一次100刀。。。T_T 最终结果是一样的，只能做那个最复杂的
ventral bulla osteotomy 手术（因为她的这个息肉长的位置特别低，没法勾出来）。
这个手术90％的vet还不敢做，因为很复杂，风险大。问了多个地方，还是我们原来的
vet那最便宜，预约了下周四做手术，求bless~希望手术成功！！！ |
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a******y
发帖数: 1042 | 9 再次Bless，希望猫咪不要受太多罪~~可怜的，阿姨先抱抱~~ |
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w****w
发帖数: 14828 | 12 版主們啊，我覺得這位樓主MM更需要大家的捐助啊... |
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m******e
发帖数: 1932 | 16 I could ask them. Thanks! |
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m******e
发帖数: 1932 | 20 在查出polyp前一天买了petplan的保险。但问过保险公司，他们说这种情况属于pre-
existing condition，他们不会cover。。。 |
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m******e
发帖数: 1932 | 21 谢谢大家！已经把月月接回来了，情况比想象的要好（我前两天晚上做恶梦，月月变得
好可怜）：没看见第三眼睑，走路有点不稳，但不严重。头上带了个E-COLLAR，下巴附近的毛被剃短了，但是E-COLLAR里面能看到血迹（医生说手术完头两天她一甩头血就会
从耳朵里飞出来555）。医生说回来以后不用限制她活动，吃喝正常，过4天回去复查并
加打一针抗生素，14天以后拆线。医生这次只来得及做了一只耳朵，等恢复好了再做另
一只。看到了被取出的polyp的照片，都是一些好小的血色组织，真希望他们清除干净
了，千万别再长回来了。。。
我们去接的时候，她一直在carrier里面瞄，她以前基本不瞄除非不高兴的时候:(，可
怜的娃呀。。。回到家以后终于安静下来了，喂她吃了点罐头，2颗吹吹，喝了点水。
小奔平时很调皮，上窜下跳的，今天看见月月这样，他好像也明白什么，特别安静，而
且连吹吹和罐头都不吃。 |
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m******e
发帖数: 1932 | 22 相机没电了一直忘了充，所以没啥新PP。就这几张，大家将就看看～
今天又带月月回去复查了，vet说她恢复得挺好的。：）另一只耳朵还是一直出黑色的
wax，但vet说再观察2－3个月，等那个polyp长得更大一点的时候做。
在vet那儿清理耳朵的时候，月月叫得那个凄惨啊。vet赶紧跟我解释，绝对不是疼的，
这猫就是能闹腾。一清理玩，马上挣脱护士的手，爬到我身上要抱。。。
回家的路上也是一路高歌，估计怕又被送哪儿去了。一到家，声音就变了，咕噜咕噜，
马上找个地方心满意足地歇着去了。。。 |
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m******e
发帖数: 1932 | 23 原来暹羅对眼啊？她是混的，估计混着混着就不对了～;)
上个月去复查的时候，医生说另一边的polyp还不是很大，要我们过两个月回去复查，
再定时间。 |
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b******a
发帖数: 12216 | 24 别听weewow瞎说，对眼虽然在暹罗里高发，但是不是所有的都对。而且，cat 101里说
这个在breed的时候是要尽量避免的
原来暹羅对眼啊？她是混的，估计混着混着就不对了～;)
上个月去复查的时候，医生说另一边的polyp还不是很大，要我们过两个月回去复查，
再定时间。 |
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m******e
发帖数: 1932 | 25 肯定是要手术的，现在另一边耳朵还是一直出黑色的wax，得不停清理。医生说再等两
个月，因为现在polyp不够大手术不容易做。 |
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m******e
发帖数: 1932 | 26 最近诸事不顺：月月的感冒症状一直没好转，查了一些网上资料，开始怀疑可能不是
vet怀疑的herpes virus，而是有可能是nasal polyp之类的原因。。。：（ 下周一就
约vet，再去仔细检查一下（X光或者麻醉检查），希望月月没有大事。。。再过一个月
俺家三宝就要出来了，结果医生说现在胎位不正：（。。。郁闷啊郁闷。。。为我家月
月和三宝求祝福！！！谢谢！ |
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B****o
发帖数: 8307 | 27 祝福
最近诸事不顺：月月的感冒症状一直没好转，查了一些网上资料，开始怀疑可能不是
vet怀疑的herpes virus，而是有可能是nasal polyp之类的原因。。。：（ 下周一就.
.......
★ Sent from iPhone App: iReader Mitbbs Lite 7.28 |
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m******e
发帖数: 1932 | 28 嗯，不过根据她当时鼻涕的形态来看可以判断已经有bacterial的infection，所以抗生
素才能起上作用。vet说最开始是因为virus，后期又染了bacteria secondary
infection。我后来都怀疑她是不是长nasal polyp之类的了，结果也没检查出来。 |
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m******e
发帖数: 1932 | 29 我家月月毛病比较多，当时耳朵里就长了polyp，看了好多家vet，最后还是这家vet水
平最高，诊断正确，成功做了手术。所以我还是比较相信这个vet的。 |
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m******e
发帖数: 1932 | 30 奔月说：自从妹妹出来以后妈妈就偷懒不奔我们了。妈妈赶紧认错，终于开始整理照片
，上来露露俺们的小脸儿～话说一个月前，妈妈到处打听，再加电话一家家background
check，终于在新地方给找了个好vet。月月又去麻醉检查了，结果是没有大问题，用
药用久了另一边耳朵的polyp变小点儿了，所以暂时还是不用手术，不过这辈子估计离
不开药鸟。。。外敷内用一起上。好了，不多说了，上PP～ |
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m******e
发帖数: 1932 | 31 嗯，多谢辣妈关心！月月好多了，耳朵里的polyp已经看不见了，但我们还是每周给她
上一次药，然后定期去vet那里检查检查，以防复发。这小样儿虽然胃口还是不如大奔
，但也比以前好些。每晚除了陪睡，半夜还要强行吵醒猫奴1-2次，对猫奴的脸又拱又
蹭外加在猫奴胸口散步，有时还打个大喷嚏，而且十有八九是对着猫奴的脸打。。。 |
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z****u
发帖数: 405 | 32 多谢关注。 近来有点忙。 没顾得上更新。
去年感恩节的时候进了一些便宜的软体珊瑚frags。 包括 eagle eye zoanthid, demon
eye zoanthid, Keds Red Zoanthid, Australian metallic green star polyps,
blue green sympodium coral, 3 mushroom corals, green frogspawn coral 1 head,
super green hammer coral 1 head. 到目前为止， 隔两三天喂一次ｆｒｏｚｅｎ
ｂｒｉｎｅ ｓｈｒｉｍｐ 和 ｍｙｓｉｓ ｓｈｒｉｍｐ给 frogspawn 和 hammer
coral， 他们已经开始split出两个头。 eagle eye 长出了一个头。 其他的coral还
是保持原样， 生长比较慢， 估计因为还是新缸水质还不太稳定。
其中frogspawn coral 和 Demon eye刚买来的时候状态不是太好， 有虫。 用了几次
Seachem coral dip, 不是太管用。 最后还是上了Bayer ... 阅读全帖 |
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m*****a
发帖数: 999 | 33 灯塔水母
Turritopsis nutricula
http://en.wikipedia.org/wiki/Turritopsis_nutricula
It is the only known case of an animal capable of reverting completely to a
sexually immature, colonial stage after having reached sexual maturity as a
solitary stage. It does this through the cell development process of
transdifferentiation.
Theoretically, this process can go on indefinitely, effectively rendering
the jellyfish biologically immortal, although, in nature, most Turritopsis,
like other medusae, are likel... 阅读全帖 |
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E*****o
发帖数: 2 | 34 Hi, guys! Is it really feasible in a reasonable-distant future?
http://www.nytimes.com/2012/12/02/magazine/can-a-jellyfish-unlo
After more than 4,000 years — almost since the dawn of recorded time, when
Utnapishtim told Gilgamesh that the secret to immortality lay in a coral
found on the ocean floor — man finally discovered eternal life in 1988. He
found it, in fact, on the ocean floor. The discovery was made unwittingly by
Christian Sommer, a German marine-biology student in his early 20s. He w... 阅读全帖 |
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n********t
发帖数: 1079 | 35 40个老鼠在哪呢？另外您还得把这个SD母鼠自发肿瘤发生率就是80%甚至更高的地洗了
。。。
http://www.ncbi.nlm.nih.gov/pubmed/11381627
Neoplastic lesions were observed in untreated aged Sprague Dawley (SD) rats
throughout their lifespan starting at 5 weeks. Their mean survival times
were 89 to 105 weeks of age. The total tumor incidences were 70 to 76.7% and
87 to 95.8% in males and females, respectively. The common neoplasmas were
pituitary adenoma and adrenal pheochromocytoma in both sexes, testicular
Leydig cell tumor in males and mamma... 阅读全帖 |
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t*******r
发帖数: 56 | 36 6个月前查过一次超声，发现有一个约2cm 的子宫肌瘤，最近的一次复查， 竟然又发现
了一个新的大于1cm的肌瘤和一个位于子宫腔内的内膜上的polyp, 中文应该是息肉。西
医说如果怀孕的话息肉会影响胎儿着床，导致流产，建议我切掉。
我这几个月月经一直都不大正常，周期从28天缩短到21天，持续时间还特别长，要10天
以上，不知是不是跟这个有关。
想听听各位高手的意见，我这种情况做手术还是不做手术好？我本人觉得手术能不做就
不做，可又不知道吃中药能否去除这个息肉；另一方面年龄太大了，想抓紧时间生小孩
，最近一直在试孕，做手术恐怕是最直接最快的办法排除可能导致不孕的因素了。我真
的不知道该怎么办好了，请大家帮帮我. |
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d****y
发帖数: 2180 | 37 adenoma也会出血的。 有些adenoma也是会癌变的。
http://emedicine.medscape.com/article/172674-overview
History of present illness
Most patients with colonic polyps are asymptomatic.
In symptomatic patients, the most common presenting symptom is rectal
bleeding. Other symptoms include diarrhea or constipation, often with
decreased stool caliber.
Villous adenomas of the rectum and distal colon can occasionally manifest as
a syndrome of severe diarrhea with massive fluid and electrolyte loss.
Chronic bleeding from c |
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j******g
发帖数: 171 | 38 I went nuts this morning, for two cases. Share your responses, and I'll give
what I did and found at the end. It is hoped that you'd learn something
through the practical components of pathology.
1 case. A biopsy of transverse colon only contains piece of fat with some
cautery/crush artifact. What will you do?
2 case. A biopsy of colon polyp has a fragmented typical tubular adenoma.
However, in the early afternoon, I got additional slides for the same case
with the same label! Now I have two sli... 阅读全帖 |
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j******g
发帖数: 171 | 39 1 case. A biopsy of transverse colon only contains piece of fat with some
cautery/crush artifact. What will you do?
A. Go check block against slide/
B. Go check the container including the lid(!). And filter the contents into
another block (wrap with filter paper or mesh bag).
C. If the block matched with slide and the remaining contents does not have
anything meaningful, call the MD to tell the situation and ask for his/her
input. In fact, he said "Oh, I thought it was a lipoma and thank you fo... 阅读全帖 |
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r********1
发帖数: 2 | 40 Hoarseness is generally caused by irritation of, or injury to, the vocal
cords. T
Hoarseness can be caused by a number of conditions. The most common cause of
hoarseness is acute laryngitis (inflammation of the vocal cords) caused by
an upper respiratory tract infection (usually viral), and less commonly from
overuse or misuse of the voice (such as from yelling or singing).
Other causes of hoarseness include:
benign vocal cord nodules or polyps,
gastroesophageal reflux (GERD),
allergies,
inhalat... 阅读全帖 |
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m******r
发帖数: 1904 | 41 ☆─────────────────────────────────────☆
maldi (dot) 于 (Tue Apr 24 14:01:39 2012, 美东) 提到:
The new version of CS FA (4th version) has three new cases.
1. 62-year-old man with hoarseness
2. 67-year-old woman with neck pain
3. 11-month-old girl with seizures
Is there somebody who can share the detail of these cases with us? thanks
☆─────────────────────────────────────☆
meihuaduoduo (meihua) 于 (Tue Apr 24 20:29:26 2012, 美东) 提到:
I only have the DDs and workups for these 3 cases and also for... 阅读全帖 |
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e****0
发帖数: 678 | 42 • 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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l*****e
发帖数: 594 | 43 妻子刚过了34岁生日，家里一个3岁一个1岁娃。接到大夫电话自己都傻了，到现在不是
很相信，恳请版上热心的朋友帮忙看看这个确定的概率有多大，感激不尽。另外如果有
好的南加地区的 ONCOLOGIEST 也恳请推荐。
大致情况是去年初生了老二之后，在月子里有一天吃了朋友送的酒酿之后当日小腹疼，
拉稀，之后断断续续一直这样时好时坏。因为哺乳所以没吃药。后来家里给寄了一些叫
“思密达”的粉状药说可以缓解症状吃了很多。到去年入秋突然有一晚胃疼的直不起腰
，去看了primary physician，作了血检，什么也没查出来，而且到了那就不那么疼了
，给refer了GI specialist,也没说什么就说要注意饮食。今年3月初又一次疼痛难忍，
去了PRIMARY ，给吃了药没好，又打了一止疼针才慢慢好点，再次约了GI SPECIALIST
，给约了肠镜和胃镜。五月初作的时候发现肠内有息肉，切除了送去作病例。早上妻子
接到电话说晚上大夫会给我们打电话，并且叮嘱我也一定在场，我就觉得不好。刚才好
容易把老大哄睡了，这会自己乱七八糟的GOOGLE 半天，感觉好像基本靠谱，但是不太
死心，毕竟什么都是有概... 阅读全帖 |
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s****y
发帖数: 21 | 44 用菜单的import，也试了一下data statement，一样的结果。
刚查了一下有这个问题：在某些cell中的文字之间有回车，比如某一个cell的内容是：
colon polyps (66) （回车换行）
uterine cysts (20's)
import之后在sas中看见是分成了两个数据。
我想可能是这个原因造成的，应该怎么办呢？ |
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g*2
发帖数: 658 | 45 刚刚把堆积了几个星期的nejm翻看了一下，居然在11月底的那期case discussion就是
讲得这个病
http://www.nejm.org/doi/full/10.1056/NEJMcpc1103565
Case 36-2011 — A 93-Year-Old Woman with Shortness of Breath and Chest Pain
Presentation of Case
Dr. Pooja Agrawal (Emergency Medicine): A 93-year-old woman was seen in the
emergency department at this hospital because of chest pain and shortness of
breath.
The patient had been in her usual state of health, with hypertension and
chronic renal insufficiency, until the morning of admission, wh... 阅读全帖 |
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b******a
发帖数: 704 | 46 "PMH/SH/FMH/ROS are all unremarkable.
PEs are normal except ageusia and anosmia.
His MRI of Brain is normal. "
Normal PE & history ruled out inflammation in sinus nasal & oral cavity/nasal
polyps, surgery or trauma, drug induced toxicity, Alzhermer dz, Pakingson's
dz.
Normal MRI may rule out brain tumor, MS, brain injury.
Patient has both ageusia and anosmia ruled out thalamus defect?
He is too young for a normal aging.
How about endocrine diseases such as diabetes (should have other sympteoms)... 阅读全帖 |
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A*******s
发帖数: 9638 | 48 Polyps cause neither anosmia nor aguesia |
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s******v
发帖数: 477 | 49 来自主题: Medicalpractice版 - 大便带血丝 hemorroid, diverticulitis, diverticulosis, colonic polyps, colon cancer,
ischemic colitis.....
There is a long list of diagnosis. Why you don't even mention your age and
gender?
I feel those people have no respect to our time and attention. Give you one
sentence history, expect you give perfect diagnosis and management. |
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w******y
发帖数: 4871 | 50 I dont know.
but this is the side effect of tamoxifen:
Adverse Reactions Significant
>10%:
Cardiovascular: Vasodilation (41%), flushing (33%), hypertension (11%),
peripheral edema (11%)
Central nervous system: Mood changes (12% to 18%), pain (3% to 16%),
depression (2% to 12%)
Dermatologic: Skin changes (6% to 19%), rash (13%)
Endocrine & metabolic: Hot flashes (3% to 80%), fluid retention (32%),
altered menses (13% to 25%), amenorrhea (16%)
Gastrointestinal: Nausea (5% to 26%), weight loss (23%... 阅读全帖 |
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