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全部话题 - 话题: uric
1 (共1页)
N*******g
发帖数: 1089
1
国内的URIC(尿酸)计算单位是umol/L, 美国这里用的是什么计量单位?两种单位应
该如何换算?
比如我的URIC测量是6.2, 那么换算到国内的计量单位是多少?
谢谢!!
g*****j
发帖数: 1211
2
hehe, this is high school chemistry. All you need to know is the molecular
weight of uric acid (168)
Ex: 6.2 mg/dL = 6.2 / 168 X 10 X 1000 umol/L
Or you can check this website:
http://www.vin.com/scripts/labquest/converthtml.pl
s*****n
发帖数: 2858
3
谣言就是这么闭着眼睛说的
The effect of Tofu (bean curd) ingestion on uric acid metabolism was
examined in 8 healthy and 10 gout subjects. Ingestion of Tofu increased
plasma concentration of uric acid, together with increases in uric acid
clearance and urinary excretion of uric acid. However, the increase in
plasma concentration of uric acid was fairy small. Interestingly, no
significant rise in the plasma, urinary and clearance of uric acid was
observed in gout patients with uric acid clearance > 6.0 mL/min... 阅读全帖
s*****n
发帖数: 2858
4
谣言就是这么闭着眼睛说的
The effect of Tofu (bean curd) ingestion on uric acid metabolism was
examined in 8 healthy and 10 gout subjects. Ingestion of Tofu increased
plasma concentration of uric acid, together with increases in uric acid
clearance and urinary excretion of uric acid. However, the increase in
plasma concentration of uric acid was fairy small. Interestingly, no
significant rise in the plasma, urinary and clearance of uric acid was
observed in gout patients with uric acid clearance > 6.0 mL/min... 阅读全帖
l********8
发帖数: 491
5
来自主题: Medicine版 - 痛风,求助
Gout is usually due to accumulation of uric acid in the toe and cause
inflammatory event. for chronic gout, you can try steroid, like
methylprednisolone dose pack. it is used only short term and depress the
inflammation which is causing the pain. Also for long term, allopurinol is
used to inhibit the formation of uric acid and probenecid is used to
increase excretion of uric acid. However, these drugs all needs prescription
. Hope this helps.
l*******n
发帖数: 68
6
Gout (metabolic arthritis) is a disease created by a buildup of uric acid.
In this condition, crystals of monosodium urate or uric acid are deposited
on the articular cartilage of joints, tendons and surrounding tissues. These
crystals cause inflammation and pain, both severe. If untreated, the
crystals form tophi, which can cause significant tissue damage. Gout results
from a combination of elevated concentrations of uric acid and overall
acidity in the bloodstream.

Treatment has three object
k*****i
发帖数: 15
7
来自主题: MedicalCareer版 - step1 experience Mar-2013
感谢多年来从mit上获得的帮助和信息,今天贴上自己的考经,希望对后继者有帮助。
一下大部分文字是考前两月写下的自己的感悟,由于考前高压,可能会条理不清,词不
达意,见谅。
不变应万变
对于难题要做到镇静,想想我不会的题目,多数人也未必会,镇静,镇静!镇静下来之
后才能慢慢寻找解题思路,难题的难点在于,题目信息不熟悉,备选答案内容不熟悉,
不要慌,想一想,出题者的思路在哪里,用自己熟悉的知识点去解决不熟悉的信息,这
就是apply的过程,比如genetic的题目。以不变应万变。
对于不会的题目,不要粘题,没有思路,跳过去,回头再想。有时是瞬时block out一
叶障目,后头再看的时候会发现豁然开朗。不值得浪费太多时间在一道题目上面。
关于排除法的应用,首先排除自己熟悉的选项,再排除自己不熟悉的选项,如果自己熟
悉的选项不能排除,怎么能排除自己根本看不懂的选项。解决方案:如果最后自己熟悉
的选项不能排除,还是选择自己熟悉的选项。因为太超范围,太偏太远的东西考的可能
性毕竟比较小,较大点的可能是可能是自己熟悉的,但是自己没有做到很好的apply或
者没有找到题干和答案的connection... 阅读全帖
z******8
发帖数: 844
8
来自主题: MedicalCareer版 - [合集] step1 experience Mar-2013
☆─────────────────────────────────────☆
katieli (nina) 于 (Tue Apr 22 10:42:34 2014, 美东) 提到:
感谢多年来从mit上获得的帮助和信息,今天贴上自己的考经,希望对后继者有帮助。
一下大部分文字是考前两月写下的自己的感悟,由于考前高压,可能会条理不清,词不
达意,见谅。
不变应万变
对于难题要做到镇静,想想我不会的题目,多数人也未必会,镇静,镇静!镇静下来之
后才能慢慢寻找解题思路,难题的难点在于,题目信息不熟悉,备选答案内容不熟悉,
不要慌,想一想,出题者的思路在哪里,用自己熟悉的知识点去解决不熟悉的信息,这
就是apply的过程,比如genetic的题目。以不变应万变。
对于不会的题目,不要粘题,没有思路,跳过去,回头再想。有时是瞬时block out一
叶障目,后头再看的时候会发现豁然开朗。不值得浪费太多时间在一道题目上面。
关于排除法的应用,首先排除自己熟悉的选项,再排除自己不熟悉的选项,如果自己熟
悉的选项不能排除,怎么能排除自己根本看不懂的选项。解决方案:如果最后自己熟悉
的选项不... 阅读全帖
m*****a
发帖数: 2160
9
来自主题: Medicine版 - 痛风不能吃豆腐
Sorry I cannot type Chinese characters right now
Gout is caused by high uric acid in your blood, which is mostly caused by
genetic factors. The degree of food contribute to gout is actually very
small and the best treatment for recurrent gout attack is long-term
medications to lower blood uric acid to < 360, just like the treatment for
high blood pressure or diabetes. The medication is generally very safe and
the risk of hiving side effects is even much lower than a car accident. But
they are pr... 阅读全帖
l*********d
发帖数: 21519
10
来自主题: NextGeneration版 - 借人气问: 关于痛风(国内的姐夫)
good point!
Besides, reduce stress and stop drinking alcohol.
There are two drugs:Zyloprim and Probalan
Zyloprin to block uric acid production;
Probalan to improve renal excretion of uric acid.
b*s
发帖数: 82482
11
Virtually every cell in the body can use glucose for energy. In contrast,
only liver cells break down fructose. What happens to fructose inside liver
cells is complicated. One of the end products is triglyceride, a form of fat
. Uric acid and free radicals are also formed.
None of this is good. Triglycerides can build up in liver cells and damage
liver function. Triglycerides released into the bloodstream can contribute
to the growth of fat-filled plaque inside artery walls. Free radicals (also
... 阅读全帖
a*********d
发帖数: 2763
12
来自主题: Medicalpractice版 - 向各位前辈请教一个问题
网络的好处就是,不管你有什么问题,只要放狗或者进爬不美的,就会发现,原来早已
经有聪明的人做过大量研究了,呵呵。利尿剂引起的高尿酸和通风的高尿酸的代谢机制
不同,风险也不同,利尿剂对心脏病有保护作用所以还是值得冒这个风险用的。
用ARB合用利尿剂能够降低尿酸水平,瑞典大个子2001年作的study,2006年咱们中国人
民又山寨了一把,不过只要换成中国人口就是一篇新文章了。
http://www.ncbi.nlm.nih.gov/pubmed/11593107
J Hypertens. 2001 Oct;19(10):1855-60.
Comparative effects of losartan and irbesartan on serum uric acid in
hypertensive patients with hyperuricaemia and gout.
Würzner G, Gerster JC, Chiolero A, Maillard M, Fallab-Stubi CL, Brunner HR,
Burnier M.
SourceDivision of Hyp... 阅读全帖
t******g
发帖数: 17520
13
来自主题: Food版 - 完美的牛排
个人认为用煎+烤箱不如用Grill
USDA Prime 和Choice 的差别就是 prime marble 多点
也就是肥肉多点, 所以更flavorful,
很多牛从出生到 死都是在同一个圈里,
有的连站都站不起来只能趴在那里,更不要说转身了, 喂的是玉米, 打抗生素
荷尔蒙, 出来的肉是很肥
costco 号称 100% 检测 E-coli 和沙门氏, 比其他地方这点上安全点
现在号称较健康的是 grass fed, organic, natural, 前2者好像是FDA regulate
后者有漏洞, 有的就是在屠宰前放到外面一两天
关于uric acid 我也不是很明白, 大概记得是purine 转化的, 有没有明白的说说?
一人一个礼拜500g的红肉就可以了
E******r
发帖数: 40
14
来自主题: Medicine版 - Re: 请问高尿酸过多
Do you mean gout? It is the accumulation of uric acid crystals in joints,
usually big toe. NSAIDS and colchicine are pretty good for short term
treatment, and for long term, you can use Allopurinol.
h*********e
发帖数: 13
15
来自主题: Medicine版 - 肌肉和关节酸,需要去看医生吗?
已经提醒过你.....,当然谁都不希望自己患病。但是要面对现实。
以前得过肝炎类病吗?
你每年都作抽血常规检查吗?SGPT(ALT),BILIRUBIN是多少?URIC ACID多少?
如没有,建议验血作乙肝6项和肝功能检查。
a***n
发帖数: 423
16
来自主题: Medicine版 - 肌肉和关节酸,需要去看医生吗?
谢谢你的建议!
我每年都体检的,之前没有得过肝炎类病。2007年12月份回国北京同仁医院也做过体检
,乙肝五项中乙肝病毒表面抗体(HBsAb)和乙肝病毒核心抗体(HBcAb)阳性,其他抗体
和抗原阴性。血常规2007年9月份在美国做过一次,12月份回国体检也做
过一次,未见异常。国内体检的生化结果,丙氨酸氨基转移酶(ALT)是16,参考范围5
-40,尿素氮(BUN)是3.6,参考范围2.86-8.2.尿酸(URIC ACID)是224,参考范围155-
420,不过,生化结果说我总胆固醇偏高,6.30,参考是2.1-5.7,高密度脂蛋白胆固醇
偏高,2.41,参考1.04-1.6,低密度脂蛋白胆固醇偏高,3.64,参考2.5-3.61
需要再去做一次吗?
f******I
发帖数: 769
17
来自主题: Medicine版 - 请问关于肾结石

depends on the kidney stone composition, for instance, calcium oxalate
stones often related to high calcium/vitD diet,struvite stones are related
to urinary tract infections, uric acid stones are related to high protein
diet and gout,
i don't think there is any better medications, generally speaking, low
calcium diet, plenty of fluid and adequate exercise, treat infection, treat
gout, make sure there is no parathyroid disease(sometimes it can cause high
serum clacium level),
f******I
发帖数: 769
18

depends on what type of stones you have, most of kidney stones are calcium
related, sucha s calcium oxalate and calcium phosphate, reduce calcium
intake only helps for certain group of hypercalciuria patients; so in
addition to water intake, exercise, also low sodium and low protein diet
would help,
if it's uric acid stone then the same life style modification for gout and
treatment wise would be similar,
if it's infected stones like struvite stones then treat the infection,
cystine stones are
f******I
发帖数: 769
19
来自主题: Medicine版 - ###此帖已应当事人要求删除###

epithelial
CT scan is the test of choice and is always better for kidney stones
comparing to ultrasound or x-ray,
ultrasound might miss small stones or ureteral stones but it's better than
CT if you are pregnant because of the radiation exposures,
x-ray like KUB will miss radiolucent stones such as from uric acid and plus
the overlying bony structures might interfere with your reading,
g***r
发帖数: 285
20

acid
colchicine can cause bad diarrhea which is often the limiting factor, or you
can use indocin or almost any NSAIDS, but indocin is quite nephrotoxic, as
is colchcine,
systemic steroid is another way to go if you don't have poorly controlled
underling diabetes,
so i think intra-articular steroid injection would be better,
also, not to take allopurinol during acute attacks as it will exacerbate the
uric acid precipitation,
h**********r
发帖数: 671
21
来自主题: Medicine版 - 关于痛风的老问题
谢谢!说得很有道理。那这个药怎么样?
Febuxostat(ULORIC)
http://www.uloric.com/febuxostat/lowering-uric-acid.aspx?ms=KWG
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000499/
多谢!一般可以向自己的医生主动提这个吗?
x****8
发帖数: 360
22
来自主题: Medicine版 - male 81岁结石开刀吗?
请教一下,male 81岁,在右输尿管上端有个1.1*0.5*0.6的结石 还有小的结石,GFR
45 uric acid 高,他有中风过,装了心脏支架,30年前有大肠癌,医生让他开个大刀
,把结石都取出来。有其它方法吗?是不是他的情况开刀很难撑过去?
q***u
发帖数: 247
23
Your sex and age? Do you have numbness at hands/fingers? Did they check sed
rate, rheumatoid factor, uric acid, cervical spine XR/CT/MRI?
BTW, it is HLA-B27, not 27B:))
n******0
发帖数: 112
24
40岁男性。从没有numbness at hands/fingers。
好像当时医生说血指标有些inflammation,不过不严重。做了哪些测试,我也当时没关
注。记得以前进公司时有一次uric acid(可能是其它小便测试,忘了)有点高,让过
几天去复测了,正常。
去年还做了全身nuclear medicine的bone scan,和MRI一起确实有finding,说the mid
and medial thirds of the left clavicle exhibit diffuse hyperostosis and
abnormal sclerosis, 说left first anterior rib with contiguous ankylosis 也不
是很正常。
医生不知是什么回事,也没有下一步建议。
谢谢!

sed
s****n
发帖数: 70
25
这边治疗痛风(gout)是吃那个秋水仙碱,每2-3个小时一片,然后导致腹泻来紧急处理
。他们不采用输液的方法。
另外,大概4年前,有个新药Uloric,比较好,可以很强抑制uric acid 的代谢,价格
比较贵,一片大概是$6+,是处方药。
还有吃点苏打片,也有效的。
t****u
发帖数: 10218
26
来自主题: WashingtonDC版 - 喝coke上瘾了
去看了一下Nature的那篇评论。但说来说去,还是说吃太多了不好。这个不用科学家也
能得出结论。水喝太多还要死人呢。
http://www.nature.com/nature/journal/v482/n7383/full/482027a.ht
“Now, let's consider toxicity. A growing body of epidemiological and
mechanistic evidence argues that excessive sugar consumption affects human
health beyond simply adding calories4. Importantly, sugar induces all of the
diseases associated with metabolic syndrome1, 5. This includes:
hypertension (fructose increases uric acid, which raises blood pressure);
high triglycerides... 阅读全帖
m**k
发帖数: 18660
27
来自主题: Fitness版 - 关于嘌呤。尿酸和痛风
作了小研究.hehe
Purines - 嘌呤
Gout - 痛风
Uric acid - 尿酸。
痛风是尿酸代谢疾病。尿酸是嘌呤代谢产物。一般人可以把尿酸排掉。
但是一些人无法排掉。就是痛风。
痛风的人要少吃嘌呤
很多健康食物有不少嘌呤. 包括海鲜,鱼类,肉类,菜花,豆类,蘑菇,燕麦.
that most of the purine-containing foods included within the World's
Healthiest Foods - asparagus, cauliflower, chicken, kidney beans, lima beans
, mushrooms, navy beans, oatmeal, peas salmon, spinach, and tuna
所以没有必要考虑嘌呤过多. 对一般人.this is the bottom line
http://www.whfoods.org/genpage.php?tname=george&dbid=51
http://www.whfoods.org/genpage.php?tname=geor
r****d
发帖数: 375
28
来自主题: loseweight版 - 新人报到,兼附减肥目标
Thanks. As a matter of fact, I never eat "pure" carb and fat before.:D
I am trying to eat brown rice everyday. But my job requires me travel very
often so it is hard to find that everywhere.
Since I have high Cholestero and Uric acid, I cannot eat many stuff. So I
think what is suitable for me is vege salad for the lunch and steak for the
supper.
s**********g
发帖数: 1578
29
我觉得已经回答过你的问题了, 再仔细说下我所知道的吧.
肾结石, 和其它结石一样, 有各种各样分类的结石, 它们的形成也是很多方方面面的原
因.
肾结石之中的一种结石, calcium stones, 它的引发原因之一, 是过多的动物蛋白摄入
, 使得urine PH值小于6.0, 而更容易产生结晶, 结晶可以发展成结石.
至于如果非要执意说, 结石的形成不带给肾负担, 或者肾里有结晶体也没有负担的话,
那.... >_<
1). http://www.ncbi.nlm.nih.gov/pubmed/2826524
"Urinary crystallization studies revealed that the animal protein diet, when
its electrolyte composition and quantity of protein were kept the same as
for the vegetarian diet, conferred an increased risk for uric acid stones..."
2). http... 阅读全帖
j****y
发帖数: 1714
30
https://www.dietdoctor.com/science
The latest review of all major trials of low carb diets show improved weight
AND improvement of all major risk factors for heart disease:
Santos FL, et al. Systematic review and meta-analysis of clinical trials of
the effects of low carbohydrate diets on cardiovascular risk factors. Obes
Rev. 2012 Aug 21. doi: 10.1111/j.1467-789X.2012.01021.x. [Epub ahead of
print
http://onlinelibrary.wiley.com/doi/10.1111/j.1467-789X.2012.010
Keywords:
Low carbohydrate diet;me... 阅读全帖
h***2
发帖数: 2351
31
那你去医院做个尿常规检查吧。看看化验单上的各种离子的正常范围和你自己尿液里的
各种离子浓度就知道了。
理论上,尿液由于无机盐浓度较高,推荐是用水稀释后再做肥料。我是一般先尿完了,
再浇水。
Human urine consists primarily of water, with organic solutes including urea
, creatinine, uric acid, and trace amounts of enzymes, carbohydrates,
hormones, fatty acids, pigments, and mucins, and inorganic ions such as
sodium (Na+), potassium (K+), chloride (Cl-), magnesium (Mg2+), calcium (Ca2
+), ammonium (NH4+), sulfates (SO42-), and phosphates (e.g., PO43-). A
representative chemical composition wo... 阅读全帖
e*n
发帖数: 1511
32
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
h**********r
发帖数: 671
33
是这个吗?
Febuxostat(ULORIC)
http://www.uloric.com/febuxostat/lowering-uric-acid.aspx?ms=KWG
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000499/
多谢!一般可以向自己的医生主动提这个吗?
n***3
发帖数: 663
34
Jurg Tschopp在06年发现uric acid crystals (casual agent for human gout)激活
NLRP3 inflammasome,释放mature IL-1beta, 从而导致inflammation (Nature paper
). 在随后的clinical trial中,他和瑞士洛桑大学的collaborator一起做了抑制IL-1
receptor antagonist, 临床效果相当好。
你可以google或者pubmed一下jurg tschopp, 如果不想看他的具体paper的话,那就重
点看看他老人家去世的时候其他牛人给他写的科研上的贡献的评价(Science, Nature
上面都有)。此人如果不是滑雪心脏病
突发英年早逝的话,10年内很有可能拿诺奖
p**t
发帖数: 160
35
Anything to do with 痛风?
Is uric acid crystal FDA approved drug for clinical treatment?

paper
-1
Nature
A******y
发帖数: 2041
36
It is gout disease in English. Uric acid crystal is the cause. Febuxostat
(trade name: Uloric) is the drug.
h**********r
发帖数: 671
37
可惜了!不知道临床应用做得怎么样了?
我是做微生物的。没想到这个也和这些receptor联系得这么紧密。在我看来,也就知道
那几步和uric acid相关的酶来整一整。
多谢!

paper
-1
Nature
h****n
发帖数: 51
38
来自主题: Biology版 - paper help. Greatly appreciate
Needs full papers:
Emerging therapies for gout.
Expert Opin Emerg Drugs. 2012 Dec;17(4):511-8.
Serum uric acid and gout: from the past to molecular biology.
Curr Med Res Opin. 2013 Apr;29 Suppl 3:3-8.
y******[email protected]
Thank you So much!
a*******e
发帖数: 110
39
来自主题: Chemistry版 - paper help! Thanks!
"Method for the Synthesis of Uric Acid Derivatives"
Tokumi Maruyama, Shigetada Kozai & Fumi Sasaki
Nucleosides, Nucleotides and Nucleic Acids, Volume 19, Issue 7, 2000, pages
1193-1203
link: http://www.tandfonline.com/doi/abs/10.1080/15257770008035040#.Ub722NjHj2M
Thank you very much!
my email: j******[email protected]
h**i
发帖数: 148
40
来自主题: MedicalCareer版 - CK NBME form 2 Q
not sure, I choose A
chronic gout--need increase pH to lower the risk of uric acid stone, while i
ncrease the risk of calcium stone.
ureteral calculus -- calcium oxalate

Urinalysis
l**********e
发帖数: 382
41
来自主题: MedicalCareer版 - 求助,爸爸痛风,腿疼得厉害
Check blood uric acid level first. If it is gout, take allopurinol or NSAIDs
.
s**********r
发帖数: 179
42
来自主题: MedicalCareer版 - intern 生活小总结
春天到了,vacation也来啦,回头一看第一年的苦日子马上就熬完了,应蝎子斑竹之托
,今天来聊聊第一年的intern生活。其实正经开始第一年之前,从来都没有做过
inpatient的ob,体制不熟,英文吃力,不少medical term都表达不出来,记得第一个
rotation是在心内,病人straightforward,每天只有两个admission,而我却天天都是
8点以后到家,早上6点就去医院preround病人,即便如此许多东西还是似懂非懂,完全
由两个超好的resident照着,我的感觉是自己与这个环境真是格格不入,很像初到七连
的许三多,背后也流过不少泪,想方设法提高自己,终于半年后拿到了一次最佳表现奖
,有带我的住院医感叹“you are so efficient”,还有的评论:she was the first
intern who showed team leader commitment,工作非常得心应手,现在越来越多的在
享受医学带给我的乐趣,和生命带给我的思考。既然来写帖子,在这里毫不保留的与大
家尤其是intern to be分享一下我的感悟和教训。希望大家... 阅读全帖
s**********r
发帖数: 179
43
来自主题: MedicalCareer版 - intern 生活小总结
春天到了,vacation也来啦,回头一看第一年的苦日子马上就熬完了,应蝎子斑竹之托
,今天来聊聊第一年的intern生活。其实正经开始第一年之前,从来都没有做过
inpatient的ob,体制不熟,英文吃力,不少medical term都表达不出来,记得第一个
rotation是在心内,病人straightforward,每天只有两个admission,而我却天天都是
8点以后到家,早上6点就去医院preround病人,即便如此许多东西还是似懂非懂,完全
由两个超好的resident照着,我的感觉是自己与这个环境真是格格不入,很像初到七连
的许三多,背后也流过不少泪,想方设法提高自己,终于半年后拿到了一次最佳表现奖
,有带我的住院医感叹“you are so efficient”,还有的评论:she was the first
intern who showed team leader commitment,工作非常得心应手,现在越来越多的在
享受医学带给我的乐趣,和生命带给我的思考。既然来写帖子,在这里毫不保留的与大
家尤其是intern to be分享一下我的感悟和教训。希望大家... 阅读全帖
r*********s
发帖数: 1027
44
不是,血浆渗透压和钠相关,urine取决于尿素、肌酐和其它代谢产物。
In general, urine consists of urea and other organic and inorganic chemicals
dissolved in water. Considerable variations in the concentrations of these
substances can occur as a result of the influence of factors such as dietary
intake, physical activity, body metabolism, endocrine function, and even
body position. Urea, a metabolic waste product produced in the liver from
the breakdown of protein and amino acids, accounts for almost half of the
total dissolved... 阅读全帖
b******a
发帖数: 704
45
Match完毕,整理心情的时刻, 重提经典好帖。 在麦地时间不长,这些几年前的文章
对我就像新的一样。对内科来说,无论Match上了也好,需要重装上阵也好,有了实际
工作经验,才更能感觉到这些经验,字字珠玑。
能够Match上,能够生存,或者做得更好,不仅仅需要Medical Knowledge,
还要有作者那样的学习能力,效率,总结能力和情商。
“Medicine is a science of uncertainty and an art of probability.”
如果Match上了,可以思考对IM intern工作的要求,理解了吗,准备好了吗?
需要准备Match的同学,该如何提高,如何能够让PD们看到自己充分准备好了,有能力
达到称职的Intern的水平? 例如Communication,怎样才能达到很好和不同的病人
,家属,护士和组内成员的交流?
如果连一个帖子也不敢自己发,或者一个观点也不能阐述,如何能够达到交流的目的?
如果不是天生的,这些能力不是一天就能培养出来的。Match本身,就是一个训练,提
高,筛选的过程。
如果需要重新Match,对比想想那里需要加强提... 阅读全帖
p******3
发帖数: 318
46
来自主题: MedicalCareer版 - 老爸的怪病,包子求神医诊断
还是像痛风,虽然不全在关节。我们叫gout cellulitis. 是uric acid 造成的。advil
可以。
r*****1
发帖数: 805
47
来自主题: MedicalCareer版 - Step3 考试归来, CCS protocol分享
My CCS protocol:
P.S.:多有重复,谨防遗漏,仅供参考。
Screening test: General—Lipid profile/ multi-vitamin; Elderly—DEXA scan&
Calcium& VitD/ Colonscopy or FOBT/ vaccination; F-- >18yo Pap smear; >50yo
Mammogram; reproductive age- folate; menopause- Lipid/DEXA/FOBT; M-- >50yo
PSA; sickle cell dz child-prophylaxis w penicillin till 5yo, CF-prophylaxis
w Abx
Prophylaxis: Pantoprazole, pneumatic compression stocking;
Acute abd w perforation: triple Abx- Gentamycin/ Ampicillin/
Metronidazole (口诀:阿扁举旗庆国庆)
E... 阅读全帖
z******8
发帖数: 844
48
来自主题: MedicalCareer版 - [合集] Step3 考试归来, CCS protocol分享
☆─────────────────────────────────────☆
rhcrc11 (Rebel) 于 (Thu May 15 00:13:42 2014, 美东) 提到:
Step3考场壮烈回来。第一天挺累人,最后一个block甚至做到有心无力状,看着题反应
不过来,导致来不及做完。非常没有信心能否通过。所以match之前先考Step3的童鞋,
需要考前调整生物钟,坚持锻炼,提高耐力。
MCQ没有资格说,CCS有一点小感受,拿出来分享下。大家请轻拍砖。
复习资料:
UW 52 online cases : 基础。最好复习早起找高手一起过一遍,尽快摸熟软件,进入
状态。第二遍找一位水平相近童鞋过一遍,不断总结protocol. 考前迅速做一遍,熟练
运用protocol.
UW 41 offline cases: 我当时和partner每个case仔细做一遍,虽然不像online有反馈
,但对练临床思维,补充protocol非常有帮助。最后考试与41 case有异曲同工之处,
遇到复杂case也不慌神。
CD 6 cases: 最后再熟悉下考试软件。与UW相近,但... 阅读全帖
r***6
发帖数: 193
49
通常ALLOPURINOL是用于治疗GOUT,但是我也看见CARDIOLOGIST 在术前开了这个药,该病
人并没有URIC ACID 不正常.
u*****d
发帖数: 1009
50
I think allopurinol might be used to prevent the metabolic changes that may
take place during open heart surgery, because some patients may go into
shock or cardiac arrest, and that's when the body produces a lot of uric
acid and lactic acid which will cause cellular damage.
Hopefully this answers your question.
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