c********x
发帖数: 1565 | 1 Urine Culture and Sensitivity和Urine Protein Creatinine Ratio
我年底给大咪做的尿检大概也不包括这两项，我回家check一下。不过她还小，不排除
大夫觉得没必要。
我不太懂，但是觉得可以打电话给多家vet，问下他们给不给做这两项，同觉得尿检可
以解决的不血检。 |
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C**K
发帖数: 3672 | 2 說Urine Culture and Sensitivity是尿的濃度, 我也不懂.
Urine Protein Creatinine Ratio是尿蛋白與肌酐比值, 也不懂... |
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T******d
发帖数: 2139 | 3 跟清泉提及Mark Strand的这首诗。刚才找了一圈，总算找到它。挺有意思的。以前看的时候跟人有过小小争执，所以对它印象比较深：
=================
[The New Poetry Handbook] by Mark Strand
1 If a man understands a poem,
he shall have troubles.
2 If a man lives with a poem,
he shall die lonely.
3 If a man lives with two poems,
he shall be unfaithful to one.
4 If a man conceives of a poem,
he shall have one less child.
5 If a man conceives of two poems,
he shall have two children less.
6 If a man wears a crown on his head as he writes,
he shall be found out.
7... 阅读全帖 |
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U******u
发帖数: 5829 | 4 shyj: 我的考版match路--以此文纪念在美国逝去的10年青春
http://mitbbs.com/pc/pccon_2289_t379_150975.html
发信人: shyj (baobao), 信区: MedicalCareer
标 题: 我的考版match路-以此文纪念在美国逝去的10年青春 (很长很罗嗦，慎入！）
发信站: BBS 未名空间站 (Sat Apr 3 17:31:55 2010, 美东)
Match的结果终于尘埃落定，周1等电邮的时候非常紧张，因为成败就在此了，虽然一直
告诉自己，今年只是热热身，成败都可以接受，但到真的揭晓的时候，还是很紧张，毕
竟一旦卷入其中就身不由己，何况自己也还是有所付出。到周4等match program的时候
虽然也有点紧张，但程度已经大大减少，1个原因是毕竟match上才是头等大事，去哪里
尚在其次，还有1个原因是心理还是有所准备了，虽然希望留在home school，但直觉告
诉我恐怕是非常困难了，在我rank list上第二位的program应该就是我要去的地方，果
不其然。经过几天的等待，发现果然是要搬家了。
对于我... 阅读全帖 |
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m******n
发帖数: 118 | 5 谢谢 fivestone提醒
stool:没有consitipation的时候是深黄或者黄色，否则深咖啡。去年做了个
colonoscopy , 没事。
舌苔色白色的还是有点厚重的。
urine（淡黄）,frequency不多，当然如果喝的多了，那就urine也多了，不吃中药的时
候，如果不吃安眠药，可以一宿都没有真正失去意识, 有时到凌晨4，5点。我觉得‘跌
入梦乡’是很美好的事情，一旦跌下去，似乎就可以自由在梦境中翱翔（白云里飞？呵
呵）。我确实有轻度忧郁，心率70-75，侧卧时尤其是耳朵贴到枕头上会听到，面朝上
一般不会听到心跳，但是我喜欢侧卧睡觉.一般睡着后3，4或者5点钟总归有点意识，但
是会再睡，未必那么深。 |
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t****i
发帖数: 5 | 6 You do not have kidney problems. 24 hours urine protein < 1.5g means you are
normal. Everyone would have 3+ urine protein after they eat too much meat
or drink too much beer. |
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w*******4
发帖数: 17 | 7 Pearls:
1. Treatment for rhabdomyolysis involves intravenous saline infusions to
maintain a high urine output and alkalization of urine with a target pH of 7
-8 to prevent myoglobin deposition.
2. Aortic dissecting aneurysm caused by degeneration of tunica media-cystic
medial necrosis.
3. Cardiac rupture most common 4-7 days post MI.; ventricular free wall
rupture leads to cardiac tamponade.
4. New onset serous discharge from a laparotomy wound should raise the
suspicion of wound dehiscence.
5. |
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y**********i
发帖数: 819 | 8 哥哥嫂子过来旅游，嫂子突然尿血，她有份报告如下，我们都看不懂，不知版上有否高
人能看懂这个报告？
urine culture
test Flag value status
organism Escherichia Coli Z
method urine Mic Z
cephalothin (PO) S <=8 S1 Z
cefazolin(IV) S <=8 S1 Z
ampicillin(IV) S 4S1 Z
nitrofurantoin(PO) S <=32 S1 Z
Tmp/Smx(PO) S <=0.5/9.5 S1 Z
Gentamicin(IV) S <=1 S1 Z
Unasyn(IV) S <=8/4 S1 Z
Ciprofloxacin(PO) S <=1 S1 Z
Norfloxacin(PO) S <=4 S1 Z
Levofloxacin S <=2 S1 Z
请问“Z”“S”“S1”是什么意思？
我大概能看出来是大肠杆菌感染，可是列出来一系列的PO，IV是什么东西？
从这些指标可以看出来什么？
谢谢各位的回复！祝周末愉快 |
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w********n
发帖数: 202 | 9 3. Over the past 4 years, a 40-year-old woman hashad increasing episodes of
loss of urine and difficulty emptying herbladder. She has had no dysuria.
She has a 30-year history of type 1diabetes mellitus. She weighs 66 kg (145
lb) and is 175 cm (69 in) tall. Pelvic examination shows a moderate
cystocele. Postvoidingcatheterization yields 700 mL of clear urine. Which of
the following is the mostlikely cause of the patient's genitourinary
symptoms?
A) Carcinoma of the bladder
B) Detrusor instabilit |
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c********n
发帖数: 4762 | 10 Indirect bilirubin binds to albumin and does not show up in urine.Unless
there is renal dz, bilirubin in urine is always urobilinogen.
By the way, what's the anion transport if the answer is C? |
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u**6
发帖数: 8 | 11 1(1-1-8). One day after an uncomplicated spontaneous vaginal delivery, a 23-
year-old woman, gravida 1, para 1, has the onset of loss of small amounts of
urine. She received epidural anesthesia during labor and delivery.
Examination shows an episiotomy without evidence of hematoma. She is voiding
50 to 75 mL of urine at a time. Postvoid residual volume is 300 mL. For
each patient with urinary incontinence, select the most likely cause.
A ) Detrusor instability
B ) Interstitial cystitis
C ) Overf |
|
u**6
发帖数: 8 | 12 1). One day after an uncomplicated spontaneous vaginal delivery, a 23-
year-old woman, gravida 1, para 1, has the onset of loss of small amounts of
urine. She received epidural anesthesia during labor and delivery.
Examination shows an episiotomy without evidence of hematoma. She is voiding
50 to 75 mL of urine at a time. Postvoid residual volume is 300 mL. For
each patient with urinary incontinence, select the most likely cause.
A ) Detrusor instability
B ) Interstitial cystitis
C ) Overflow in |
|
o**h
发帖数: 55 | 13 A MAOi taker presents in ER with hypertensive crisis after drinking.
Alert patient, Nifedipine.
Unconscious patient,Labetalol.
preventive therapy of cluster headache,: Cab
Viral agents are factors contributing to the development of RA
To confirm urine in a urine leak: measuring the creatinine level.
In winter, intermittent headache, joint pain, nausea
next step in mx: checking arterial blood gas.
renal tubular acidosis
type I: low potassiun
type II: maybe hypophosphatemia
type IV: high potassium |
|
n***h
发帖数: 364 | 14 one more:
2. renal clearance of any substance:
CL = (conc urine)(vol urine)/(conc plasma) |
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d**u
发帖数: 278 | 15 A 70-year-old man comes to the physician because of a 2-year history of
urinary hesitancy and frequency. He states that he wakes two to three times
a night to void, and that during the past year he has had intermittent pain
with urination. Physical exam shows no abnormalities. Results of a
urinalysis are within the reference range. Ultrasonography of the abdomen
shows bilateral dilation of the renal collecting system. Which of the
following is the most likely diagnosis?
A) Adenocarcinoma of the ... 阅读全帖 |
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S*****4
发帖数: 153 | 16 【 以下文字转载自 Pre_Resident_Club 俱乐部 】
发信人: Sahara4 (ninimomo), 信区: Pre_Resident_Club
标 题: CK NBME form 2 block 3 Q2
发信站: BBS 未名空间站 (Tue May 31 15:24:20 2011, 美东)
A or C? CK super cow, would you please help for some expaination?
A 15-year-old girl is brought to the physician 3 months after she had a
blood pressure of 150/95 mm Hg at a routine examination prior to
participation in school sports. She is asymptomatic
and has no history of serious illness. Twelve months ago, she was
diagnosed with a uri... 阅读全帖 |
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i**********d
发帖数: 853 | 17 Thanks!
chemicals
these
dietary
primarily |
|
L********r
发帖数: 37 | 18 2. A 15-year-old girl is brought to the physician 3 months after she
had a blood pressure of 150/95 mm Hg at a routine examination prior to
participation in school sports. She is asymptomatic and has no history
of serious illness. Twelve months ago, she was diagnosed with a urinary
tract infection and treated with oral trimethoprim-sulfamethoxazole.
She currently takes no medications. Subsequent blood pressure measurements
on three separate occasions since the last visit have been: 155/94 mm Hg,... 阅读全帖 |
|
L********r
发帖数: 37 | 19 16. A 72-year-old woman comes for a routine health maintenance
examination. She has a 3-year history of occasional loss of small amounts of
urine when she coughs or sneezes. She has had no pain or burning
with urination. She has hypertension treated with daily hydrochlorothiazide.
She underwent an appendectomy at the age of 10 years. She has three
children and had uncomplicated pregnancies. Examination shows no
abnormalities except for a moderate cystocele. Which of the following is the
most lik... 阅读全帖 |
|
f****i
发帖数: 129 | 20 17. A 42-year-old woman comes for a follow-up examination.
Two weeks ago,
her blood pressure was 152/94 mm Hg during a routine
visit. Her blood
pressure today is 150/94 mm Hg, pulse is 76/min, and
respirations are
14/min. Examination shows no other abnormalities.
Serum studies show:
Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL
An ECG shows no abnormalities. Which of the following
is the most
appropriate next step in man... 阅读全帖 |
|
l*******8
发帖数: 1745 | 21 来自主题: MedicalCareer版 - 请求帮助 chief complain到底是？
体检？vital sign?耳朵前庭的检查。decreased lung breath sound? JVD? heart
murmur(intensity? location? diastolic or systolic)? lower extremity edema?(
pitting or non pitting?)check手指头too.
Lab: CBC, BMP, urine analysis, urine micro albumin, EKG(不知道最近的那个EKG
只有LVH还是有别的什么），Echo, CXR, carotid U/S, may need head CT
最好还是去好医院看看吧。 |
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s*****1
发帖数: 273 | 22 非常感谢tele的热心和细心指点。听完以后大概知道如何准备Case Presentation了。
总之还是要多练多说。
另外多谢去年鼠大提供的DT的模板。
==
SUMMARY:
A 42-year-old male with PMH of alcohol abuse x 20 years, h/o multiple
substance abuse was brought to the ER by his family in a state of confusion.
Last drink 3 days ago. His family member provided history because he is a
poor historian. He hasn't have seizure before. He has been having auditory
hallucinations, tremors, nausea, fever, tachypnea, 2 episodes of non bloody
vomiting, and insomnia for one day. N... 阅读全帖 |
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l******g
发帖数: 278 | 23 Six hours after undergoing surgical excision of the distal colon for
cancer, a 77-year-old man has decreased urine output. His urine output has
been 10 mL/h during the past 3 hours. During the 4-hour operation, he lost
500 mL of blood and underwent transfusion of 1 unit of packed red blood
cells. His initial postoperative course was uncomplicated. Two years ago, he
had a myocardial infarction and underwent coronary artery bypass grafting.
He has a 10-year history of hypertension well contro... 阅读全帖 |
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J*********4
发帖数: 1274 | 24 一家之言, just for discussion
1. C, 2. C, 3.don't know 4. E, 5.C, 6.C, 7.B, 8.E
1. The old lady has dehydration, which causes pre-renal azotemia and
eventrually leads to renal tubule necrosis. The low creatinine is due to the
lack of muscle mass in old people, which underestimates the actual renal
insufficiency.
8. RBC cast indicates damage in GBM. Here is a paragraph from wiki
Hyaline casts
The most common type of cast, hyaline casts are solidified Tamm-Horsfall
mucoprotein secreted from the tubula... 阅读全帖 |
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t******9
发帖数: 270 | 25 企图记住口诀，但是从口诀首字母转换成相应的内容总要想半天。而不写下来真的很容
易忘。我想在考试开始之前把所有常用项目写下来，做题的时候对照一下有没有漏。不
知道到时候有没有这个时间和办法写。有纸或者board吗？不知道下面的列表有没有什
么需要加的，请考过的朋友帮忙。谢谢！
Monitor组；
IV access
pulse ox
oxygen
cardiac monitor
bp monitor
三大常规组：
cbc
bmp
mag
pt/inr
ptt
blood type and ab screening
type and cross
blood culture
tsh
lipid profile
beta-hcg
LFT
amylase
lipase
trop
cpk
FSBS
ua
urine culture
stool culture
检查组：
ekg
FEV1
PEFR
chest x-ray
u/s
KUB
ct
echo
eeg
mri
对症处理组：
meds for nausea
for fever
for pain
入院常规：
npo
bed rest
stock... 阅读全帖 |
|
e****0
发帖数: 678 | 26 • Exaggerated deep tendon reflexes can be seen in lock in syndrome.
• Non bleeding varices are managed with nonselective beta-
adrenergic antagonists, such as propranolol.
• Sclerotherapy, endoscopic band ligation, and surgery are
indicated after a patient has a first episode of variceal bleeding.
• TIPS is a last resort in variceal bleeding unresponsive to
medical and endoscopic intervention.
• Ischemic colitis
CT—thickening of eth bowel ... 阅读全帖 |
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h*******y
发帖数: 1220 | 27 有发烧？尿急，尿频，尿痛？两个都有；上泌尿系统感染；只有后者：膀胱炎。都没有
；结石，肿瘤。。。
有下腹不适可能是膀胱结石，感染，或前列腺感染。
Urine analysis first.
Cystoscopy check painless bloody urine when non-invasive options
inconclusive。
step 2 CK 有一题。 |
|
d*********n
发帖数: 18 | 28 this one of my CS protocols, hope can help whoever going to take the test, I
don’t need any more.
not perfect, but good to figure out diagnosis, should not miss the diagnosis
,
do not need to ask all questions , must adjust base the case,
if better ideas, pleas modify to make easier for people who may need
Amenorrhea
Mental check list:
Pregnancy,
hyperprolatinemia,
hypothyroidism,
PCOS,
premature menopause,
depression
asheman syndrome,
anorexia nervosa,
strenuous exercise
Patricia Garrison, a 36... 阅读全帖 |
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d*********n
发帖数: 18 | 29 Confusion case: O CFDP P ADL, IADL, TIA/stroke, depression, DM, thyroid,
normal pressure hydrocephalus, PAMHUGSFOSS
insulin induced hypoglycemia
Electrolyte abnormalities
Vitamin B12 deficiency
Medications
TIA
Multi-infarct dementia
Chronic subdural hematoma
Alzheimer’s dementia
Normal pressure hydrocephalus
Intracranial tumor
Neurosyphilis
Depression
Hypyothyriodism
DDx Confusion
DEMENTIA
D-Diabetes /Dementia/ Drugs
E-Epilepsy
M-Migraine/Mult Infarct Dementia
E-Ethanol (withdrawl / Toxicity)
N... 阅读全帖 |
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k*****i
发帖数: 15 | 30 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 | 31 ☆─────────────────────────────────────☆
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 |
|
t********o
发帖数: 228 | 32 Just found out i passed it. Well, not a big surprise and finally, I can say
good by to USMLE
Material: MTB3 and UptoDate. Step 1/Step2: 250/249 but those were 3 years
ago. Step 3: 227. Time: on/off for 3 months.
Good luck to everybody.
Not a whole lot of thoughts about this test. if you can memorize MTB3 and UW
, then there should be NO problem to pass it.
here are some thoughts about this CCS (combined mine and others)
Step I: patients: VASCULAR
Vitals/Age/Sex/Chief complaint/Urgent sympt... 阅读全帖 |
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j*****o
发帖数: 137 | 33 One more:
34. A healthy 27-year-old woman comes for a routine health maintenance
examination. Her blood pressure is 185/90 mm Hg. Examination shows no other
abnormalities except for hypertensive retinopathy. Serum studies show a
sodium level of 140 mEq/L, potassium
level of 4 mEq/L, and creatinine level of 1.1 mg/dL. A complete blood count,
serum
catecholamine levels, and urinalysis are within normal limits. At two
subsequent visits, her blood pressure is 190/100 mm Hg and 182/96 mm Hg,
respecti... 阅读全帖 |
|
发帖数: 1 | 34 adeno (天夺其魄) 于 (Wed May 6 16:22:43 2009) 提到:
成绩出来了，涉险挤入了９９队伍。总的来说，准备的不是很充份，详见以前贴的＂我
的step ３经历＂，主要是在吃CK的老本；其他乏善可陈，成绩单里唯一的一个星号是
给了CCS，这里就说一说CCS好了。
以前总把CCS和CS混淆，其实这两个有一个共同点就是open choices和uncertainty。在
这总场合，最重要的可能就是要有一个严格的protocol，这样可以尽量避免遗漏。考过
CS的同学都知道LIQOR AAA和PAMHUGSFOSS的重要性。CCS也一样。网上比较流行的是
Neeraj的protocol，用google一搜就能找到。非常有用。我把他的protocol稍微整理了
一下，自以为是更加简洁有条理一些。给几个朋友用了用，有的朋友觉的没有时间应用
，有的朋友用了觉的还成，让我贴出来，最后的决定是如果考出来还行就贴，要不就不
出来吓人了。
象CS一样这个protocol充满了mnemonics，开始考试之前第一件事就是把所有的
mnemonics写下来。下面９个case都可... 阅读全帖 |
|
发帖数: 1 | 35 4/24/2017 费城考的， 考完非常焦虑， 担心过不了。Xingxing 老版主说只要好好准
备的， 都能过。后来成绩单下来， 还比及格线高很多。叶子版主让我写份考经，拖到
现在。
考点选择：Houston 应该是最IMG friendly. 一个在那考的朋友说考场里满场老印，旅
馆里也是。很多是直接从印度飞来考试的， 一个个土的掉渣。我们的英语虽然遣词造
句不如老印， 发音还是比他们好的。LA 据说 SP 非常习惯 Asian accent, 而且SP 年
轻男性多， 这也是优点。因为中年女性SP是最难对付的。费城SP 我考时是6 黑6 白 6
男 6 女。年龄分布老中青都有。一个在Atlanda 考的朋友也是这种分布。芝加哥考场
不清楚， 但没听到过恶评。
CS 考试准备：
Tutors: Ali and Marisa，早期练病例找的Ali, 后期练语言找的Marisa.
Partners: 3个， 2 Chinese, 还有一个美国长大，孟加拉读的医学院的小伙伴。练习
是很重要的，一不练嘴就生了。
Training courses: Gold NYC (早期) and Kap... 阅读全帖 |
|
y*****g
发帖数: 193 | 36 I tell two stories about foley I didn't do it right.It all happened the 1st
year as a new graduate nurse.
1st thing happened with a patient admitted with hemauria. He complained
abdominal pain and decreased urine output.I called MD, MD told me give
dilaudid, of course it didn't work. I went home with questions. 2nd day back
, night shift nurse told me she flushed foley and there is blood clots
blocked the foley, flush and suction it out, then urine flowed, bladder
emptied, then pain disappeared. |
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i******b
发帖数: 1780 | 37 Sometimes you do. But it depends. Clinical lab science(basically it is
pathology) is a broad area. There are different areas as hematology, blood
bank,cytology, chemistry, immunology, microbiology. If you work in blood
bank, cytology,hematology, there are no urine and feces. In chemistry part,
if you only work in urinalysis, you work with urine all day. Otherwise,you
dont. |
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f**********9
发帖数: 515 | 38 which patient needs to be assess first at pacu-Post-anesthesia care unit-
after 24 hours from surgery? patient has pulse 90 & respiration 12 or
patient with cloudy urine & urgent urination? |
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H*********e
发帖数: 163 | 39 I would say respitation12. cloudy urine could be UTI, however, after 24
hours pacu,RR should be around 16. although 12 is within normal limit, we
always assume the worst and worried it would bottom down.
That's my opinion. 求高手指教
urine |
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b**o
发帖数: 5769 | 40 考试题不能贴啦。
给一个我们的作业好了。
O.D. is a 18 YO F who presented to your hospital 5 days ago following an
intentional ingestion of Seroquel® after a verbal disagreement with her
mother. O.D. admitted to taking 20—300 mg extended release Seroquel®
tabs. Several hours later, O.D. collapsed and her eyes rolled back in her
head. The paramedics noted seizure activity, and O.D. was transferred to
the hospital for further care. She was noted to have a tonic-clonic seizure
lasting 30 minutes and was int... 阅读全帖 |
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s********o
发帖数: 3319 | 41 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
s********o
发帖数: 3319 | 42 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
s*******1
发帖数: 428 | 43 I always have problems interpreting the acid-base disorders. I have a case
below from a text book. Can somebody please discuss how to solve the
problems?
-----------------------------------------------------------------------
Case 1: A 50-year-old 70kg alcoholic man presents with 4 days of nausea,
vomiting,and mild abdominal pain following a week-long drinking binge. He is
unable to take anything by mouth. His mucous membranes are dry, and his
vital signs reveal an orthostatic blood pressure dro... 阅读全帖 |
|
s*******1
发帖数: 428 | 44 I always have problems interpreting the acid-base disorders. I have a case
below from a text book. Can somebody please discuss how to solve the
problems?
-----------------------------------------------------------------------
Case 1: A 50-year-old 70kg alcoholic man presents with 4 days of nausea,
vomiting,and mild abdominal pain following a week-long drinking binge. He is
unable to take anything by mouth. His mucous membranes are dry, and his
vital signs reveal an orthostatic blood pressure dro... 阅读全帖 |
|
b*****o
发帖数: 6080 | 45 我给大家看看我当初的经历和想法，看过即忘便可以。
01/31.昨夜是一个irritated病人，只能睡着，一醒着就瞎折腾，要离开医院，VS就非
常不正常。我想给他short bedbath,他就醒了，这下爆炸了，弄的我很没底气。我
preceptor开始就告诉我别她弄醒了，我不小心就。。。反正后来一剂Ativan又让他睡
过去了，我才感觉好一些。3点多钟来一个new admission,因为不熟悉Medtech，又使自
己焦头烂额。非常非常懊丧。
赶紧去睡，呼呼大睡，眼皮撑不开了。突然想起来3K说“在改”，我也每天都“在改”。
02/05. Had a boring night. One patient is passing away, and the other is
actually passing away as well. The only exciting point is to know one needs
to do urine culture, blood culture & sputum culture (intubated) if in high
fever e... 阅读全帖 |
|
b*****o
发帖数: 6080 | 46 我给大家看看我当初的经历和想法，看过即忘便可以。
01/31.昨夜是一个irritated病人，只能睡着，一醒着就瞎折腾，要离开医院，VS就非
常不正常。我想给他short bedbath,他就醒了，这下爆炸了，弄的我很没底气。我
preceptor开始就告诉我别她弄醒了，我不小心就。。。反正后来一剂Ativan又让他睡
过去了，我才感觉好一些。3点多钟来一个new admission,因为不熟悉Medtech，又使自
己焦头烂额。非常非常懊丧。
赶紧去睡，呼呼大睡，眼皮撑不开了。突然想起来3K说“在改”，我也每天都“在改”。
02/05. Had a boring night. One patient is passing away, and the other is
actually passing away as well. The only exciting point is to know one needs
to do urine culture, blood culture & sputum culture (intubated) if in high
fever e... 阅读全帖 |
|
