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全部话题 - 话题: vascular
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f********i
发帖数: 563
1
我妈妈刚做了一个脑MRI,下面是报告。家庭医生根据报告已经预约了脑专科医生,预
计要到1月份才能见。我妈妈有糖尿病(控制的挺好)。大约七年前在国内做过MRI,当
时医生说有过腔梗,但是已经发生,也没有做别的什么。
她偶尔运动多了会头痛(和麻),所以最近又做了这个MRI,因为还有两个月才能见医
生,想请问一下版上的内行,她的这个诊断报告,大约有多紧急?谢谢!
Severe narrowing of the cavernous segment of the right internal carotid
artery. 6 mm segmental fusiform enlargement of the distal right MCA M1
segment, about 3mm in diameter. No other hemodynamically significant
stenosis. Getal right PCA. Irregularity of the right greater than left
vertebral V4 segments without hemodyn... 阅读全帖

发帖数: 1
2
看看这个人的简历
Murray worked at the Sharp Memorial Hospital in San Diego as an associate
director of its cardiology fellowship training program. In 1990, he opened a
private practice in Las Vegas, and in 2006, he founded the Acres Homes
Heart and Vascular Institute in Houston. Murray met Michael Jackson in 2006,
in Las Vegas, and treated his daughter Paris when she fell ill. Jackson
hired Murray to be his exclusive personal physician prior to his tour in
July 2009.[1] Jackson insisted that Murray be h... 阅读全帖
z*********1
发帖数: 520
3
看到了斑竹的置顶声明,但似乎这里最近还有不少有关法轮功的文章,所以冒昧一贴,
在此仅请斑竹谅解,这帖意在劝善救人,谢谢
更多真相, 请到真相之光俱乐部
http://www.mitbbs.com/club_bbsdoc2/everybodydeservestruth_0.htm
法轮大法是佛法
http://www.mitbbs.com/club_bbsdoc/FalunDafaistheBuddhaFa.html&#
明慧主页 > 海外之窗 > 海外简讯
【明慧网二零一五年四月二十三日】(明慧记者唐秀明、容法布鲁塞尔采访报道)二零
一五年四月一日,欧洲议会在比利时布鲁塞尔欧洲议会总部大厦主办了一场“活摘器官
在中国(Organ Harvesting in China)”研讨会。
此次研讨会是继欧洲议会于二零一三年十二月通过要求“中共立即停止活体摘取良心犯
、以及宗教信仰和少数族裔团体器官的行为”紧急议案之后,欧盟官方又一次正式聚焦
该议题,与会的欧盟三大机构官员与相关国际组织、机构及受邀专家通过专题发言和现
场讨论,深入认识在中国发生的活摘器官罪行,质疑中共有关从二零一五年停止使用死... 阅读全帖
l****z
发帖数: 29846
4
(Reuters) - Europeans are plagued by mental and neurological illnesses, with
almost 165 million people or 38 percent of the population suffering each
year from a brain disorder such as depression, anxiety, insomnia or dementia
, according to a large new study.
With only about a third of cases receiving the therapy or medication needed,
mental illnesses cause a huge economic and social burden -- measured in the
hundreds of billions of euros -- as sufferers become too unwell to work and
personal r... 阅读全帖
H**U
发帖数: 1814
5
最近爆料Ben Carson曾被医疗诉讼6次,其中媒体称“Ben Carson left a sponge in
patient's brain!"。这凸显了极左派的智商,连基本的research都不做一下
。Ben Carson解释这其实是手术的一部分,叫micro vascular decompression surgery
,要放micro sponge在血管和神经之间防止血管的pulsation挤压神经从而降低疼痛。
很少有病人对sponge有反应,而起诉的病人正好有反应所以需要手术再取出来。Ben
Carson称" they desperately dig for dirt"
g********2
发帖数: 6571
6
来自主题: USANews版 - 又死一个:泄露克林顿病历的
全文在这里:
Man Who Leaked Clinton’s Medical Records Found Dead
Posted on August 12, 2016 by Sean Adl-Tabatabai in News, US // Comments (40)
The man who leaked Hillary Clinton's medical records to the public has been
found dead
Russia’s Foreign Intelligence Service has issued a report saying that the
father of a doctor treating Hillary Clinton for dementia was found killed
this weekend after he leaked information about her deteriorating health to
the public.
According to the report, Vincent Fleck, th... 阅读全帖

发帖数: 1
s*********e
发帖数: 1814
8
来自主题: USANews版 - 希拉里帕金森病视频
据黑客泄露的病例说,克林顿患的是vascular dementia
这病和帕金森大同小异
D**s
发帖数: 6361
9
最新消息,美国民主党召开紧急会议,考虑替换总统候选人希拉里克林顿有关事宜。“
希拉里·克林顿就剩一年活命了”。好吓人的消息,这是英国媒体《快报》的标题。《
快报》的报道表述很严重:希拉里的病情已是晚期,近期她所发作的症状表明:希拉里
不可能活过18个月。(天呐,这直接就是给下死刑。)血管性痴呆(Vascular
dementia),亦称多发梗塞性痴呆(multi-infarct dementia),是一系列由于血管性
疾病引起的大脑梗塞,通常于晚年发作。血管性痴呆,最终会导致脑组织死亡,并不能
治愈。
这条轰动全球的声明,据称来自一位美国医学院的匿名教授。这位教授把希拉里的病情
以视频的方式上传到YouTube上,用了脑部扫描、病历记录,并以慢镜头等剪辑方式,
呈现了希拉里的病情。视频长达10分22秒。教授自称在美国三家医学机构任教,治疗的
正是这类病情,而且还说,正在竞选的希拉里也知道她不久会离开人世。(这不是在放
惊悚片吧?)这种病一旦确诊,也只有3到5年的活头。教授还说,我们能够清楚地看到
,希拉里的语言交流出现问题,而且健忘、体弱。
W*****B
发帖数: 4796
10
【 以下文字转载自 Military 讨论区 】
发信人: WCNMLGB (CCC), 信区: Military
标 题: 床铺对于身体健康和锻炼的“电池理论”
发信站: BBS 未名空间站 (Mon May 15 15:33:21 2017, 美东)
核心就是下面这段,人体能量如同电池,是有限度的,过早过度运动,到老了就耗尽不
够用了
After college, after Trump mostly gave up his personal athletic interests,
he came to view time spent playing sports as time wasted. Trump believed the
human body was like a battery, with a finite amount of energy, which
exercise only depleted. So he didn't work out. When he learned that John
O'Donnell, one of his top casino e... 阅读全帖

发帖数: 1
11
来自主题: USANews版 - 刚才那个seth rich的医生爆料呢
???????????????? google find
Medical Witness: Seth Rich was going to live, but he was allowed to die…
Sat 10:40 am UTC, 20 May 2017
posted by Gordon Logan
[According to this witness, a graduate surgery resident, Seth Rich was going
to survive. It seems that, like Princess Diana, Seth Rich was allowed to
die. – Gordon Logan]
“4th year surgery resident here who rotated at WHC (Washington Hospital
Center) last year, it won’t be hard to identify me but I feel that I
shouldn’t stay silent.
Seth Rich... 阅读全帖
a********d
发帖数: 2
12
A faculty position at Associate Professor level is available at Nankai
University, Tianjin, China. A qualified applicant must have a PhD in
biochemistry, cell biology, immunology, or a similar field, with post-
doctoral research training in or related to cancer vascular biology.
Excellent publication track record is expected. Should also satisfy the
conditions for an applicant of the "National 1000 Youth" program. Please
contact Professor Luyuan Li at l******[email protected] directly.
南开大学药学院招聘一名... 阅读全帖
m****s
发帖数: 18160
13
【 以下文字转载自 Biology 讨论区 】
发信人: Suave911 (911), 信区: Biology
标 题: Post-doc Position Available in Cancer/Signal Transduction
发信站: BBS 未名空间站 (Fri Jun 21 10:21:47 2013, 美东)
Post-doc Position Available in Cancer/Signal Transduction

Molecular Cell Biology, Leiden University Medical Center, The Netherlands
A Post-Doctoral position is available in a dynamic, international and
interdisciplinary research team to study the molecular basis of subverted
TGF-β signal transduction in cancer.
Focus of the res... 阅读全帖
M*****8
发帖数: 17722
14
来自主题: ebiz版 - 大叔不要迷信organic食品

......................
正确,这才是最重要的。
原因在此:
http://www.freewebs.com/lasalocid/
Atrial Fibrillation Caused Or Worsened By Lasalocid Residue In Eggs
1998 - 2005 updated Nov 2006 and May 2007
Richard Gee
This Paper in PDF Format
Lasalocid is a veterinary "antibiotic" which is given as a feed supplement
to certain farm animals and poultry including birds destined to become
layers. You can read all about this highly toxic heart poison and how it is
seriously afflicting UK egg production in this April 2... 阅读全帖
s**u
发帖数: 9035
15
发信人: shmu (shmu), 信区: Postdoc
标 题: Cancer Biology Training Opportunities
发信站: BBS 未名空间站 (Thu Aug 4 18:31:26 2011, 美东)
NEW T32 Training Grant in Cancer Biology at the University of Maryland
We are very pleased to announce that the application for an NIH T32 Training
Grant in Cancer Biology that was submitted in January 2010 was approved for
funding by the National Cancer Institute.
We are funded for a 5 year period, with 4 slots in the first year and 8
slots in the subsequent years. NCI has li... 阅读全帖
i********e
发帖数: 1248
16
来自主题: Faculty版 - chair打电话
不只一点点bragged而是极大的被bragged了,PA imaging本身就鸡肋,ORPAM就是鸡肋
中的鸡肋,目前为止除了小鼠耳朵vascular成像没有其他任何用处,分辨率跟深度也就
just so so,wang最近的那些文章就是纯粹灌水而已
q******g
发帖数: 390
17
https://www.fastlane.nsf.gov/a6/A6RC_THISWEEK.html
43. CAREER: Novel Approaches and Instrumentation for 21cm Cosmology
Experiments
Award#:1352519 Current Year Award Amount:$787,369 Cumulative Award Amount:$
787,369 Estimated Total Award Amount:$787,369
Original Start Date:Sep 01, 2014 Projected Duration:0 Months
PI: Parsons Institution:U of Cal Berkeley State:California District:13
44. CAREER: Discovering the Underpinnings of Statistical Language
Learning in Infants
Award#:1352443 Curren... 阅读全帖
a****d
发帖数: 152
18
老公静脉曲张,9月份的时候有个溃疡一直没好,在urgent care看了几次,后来被
urgent care refer过去一个wound care center,除去医生的office visit和lab bill,
现在收到一张3600多刀的bill,是medical center的,其中:
clinic $2,112
clinic $341.25
vascular study $1,085
刚刚给保险公司打电话,保险公司说这些是facility charge,就像你去急诊,医生的
账单和急诊的是分开的。
请问这种情况有任何可能fight the bill么?从头至尾我们以为是去看另外一个医生,
也许是专家,但是不是急诊,为什么会有这种天价账单啊?

发帖数: 1
19
一直以来,我们都被告知,要补钙,要多吃富含钙的食物(如奶制品),或补充钙片。
同时还要多晒太阳或补充维生素D,因为没有维生素D的参与,人体难以将钙质有效吸收
。所以商店里出售的钙片里几乎都添加了维生素D。
很多人喜欢晒太阳,而且长期喝牛奶(强化了维生素D),吃奶酪,或服用添加了维生
素D的钙片,但还是会出现缺钙和骨质疏松。这个现象有不同的解释,包括人种和遗传
上的差异,人体不能吸收普通钙制剂等等。
最近发表在美国骨科协会杂志(Journal of the American Osteopathic Association
)上的一篇综述研究发现,50%的美国人因缺乏镁而不能代谢维生素D,意味着,如果没
有足够的镁,维生素D在体内可能处于储存和不活跃的状态。
共同研究著者,Lake Erie骨科医学院(College of Osteopathic Medicine)病理学教
授Mohammed S. Razzaque说,“人们经常服用维生素D补充剂,但并不清楚它是如何代
谢的。如果没有镁,维生素D就不太有用,也不安全“。
他解释说,摄入维生素D补充剂可以提高一个人的钙和磷酸盐水平,但他们仍... 阅读全帖
z***y
发帖数: 13
20
Phoenix一大型医疗仪器公司(SP500 listed)招聘偏EE/BME方向的R&D Engineer, 做
vascular方面的产品,感兴趣的站内联系。
Qualification:
BS/MS with 2 to 5 years experience, or PhD with 0 to 2 years experience.
Good understanding of Physics, biomedical and electrical system. Project
experience in one of the following areas: board level circuit design, DSP/
PLC programming, and ultrasonic/acoustic sensor.
a********d
发帖数: 2
21
A faculty position at Associate Professor level is available at Nankai
University, Tianjin, China. A qualified applicant must have a PhD in
biochemistry, cell biology, immunology, or a similar field, with post-
doctoral research training in or related to cancer vascular biology.
Excellent publication track record is expected. Should also satisfy the
conditions for an applicant of the "National 1000 Youth" program. Please
contact Professor Luyuan Li at l******[email protected] directly.
南开大学药学院招聘一名... 阅读全帖
m****s
发帖数: 18160
22
【 以下文字转载自 Biology 讨论区 】
发信人: Suave911 (911), 信区: Biology
标 题: Post-doc Position Available in Cancer/Signal Transduction
发信站: BBS 未名空间站 (Fri Jun 21 10:21:47 2013, 美东)
Post-doc Position Available in Cancer/Signal Transduction

Molecular Cell Biology, Leiden University Medical Center, The Netherlands
A Post-Doctoral position is available in a dynamic, international and
interdisciplinary research team to study the molecular basis of subverted
TGF-β signal transduction in cancer.
Focus of the res... 阅读全帖
a*****r
发帖数: 14
23
来自主题: JobMarket版 - Biomedical Postdoc Position in Georgia
A postdoc position is available now in Dr. Adviye Ergul's lab in Dept of
Physiology in Georgia Regents University at Augusta, GA. The lab is focusing
on the vascular biology research in cerebral ischemic disease with
metabolic disorder. The candidate with experience in small animal surgery is
expected. The MCAO in mice model is most preferred. The position is NIH and
VA funding supported. Please send CV and contact of references to Dr. Ergul
at a****[email protected]. Please response ASAP as the intervi... 阅读全帖
a****d
发帖数: 152
24
【 以下文字转载自 Family 讨论区 】
发信人: altoid (altoid), 信区: Family
标 题: medical center可以像ER一样收费么?
发信站: BBS 未名空间站 (Mon Dec 1 23:21:10 2014, 美东)
老公静脉曲张,9月份的时候有个溃疡一直没好,在urgent care看了几次,后来被
urgent care refer过去一个wound care center,除去医生的office visit和lab bill,
现在收到一张3600多刀的bill,是medical center的,其中:
clinic $2,112
clinic $341.25
vascular study $1,085
刚刚给保险公司打电话,保险公司说这些是facility charge,就像你去急诊,医生的
账单和急诊的是分开的。
请问这种情况有任何可能fight the bill么?从头至尾我们以为是去看另外一个医生,
也许是专家,但是不是急诊,为什么会有这种天价账单啊?
m*****3
发帖数: 13701
25
ER 是不会这样收费滴,一般就一个 co-pay,交100大洋啥的就没你啥事儿了。俺的理
解,你们的错误是,在去那个啥 center 之前没有和自己的保险公司联系过,保险公司
没有给你们 approve 过,估计这个 center 根本就不在你的 network 里,所以贵,而
且已经去过了,生米煮成熟饭了,很不好办。看病为啥非得去 urgent care?你们没有
PCP? 还有一点儿,你查查你们保险的 annual deductible 是多少?用掉多少了?

【 以下文字转载自 Family 讨论区 】
发信人: altoid (altoid), 信区: Family
标 题: medical center可以像ER一样收费么?
发信站: BBS 未名空间站 (Mon Dec 1 23:21:10 2014, 美东)
老公静脉曲张,9月份的时候有个溃疡一直没好,在urgent care看了几次,后来被
urgent care refer过去一个wound care center,除去医生的office visit和lab bill,
现在收到一张3600多刀的bill,是me... 阅读全帖
a****d
发帖数: 152
26
还有一个问题就是,医院给保险公司寄账单的时候,这个coding会不会出错?比如我家
收到的这3个收费:
clinic $2,112-- code 11042--debridement
clinic $341.25--code 99212--office visit
vascular study $1,085--code 93922--vasular study
我在另外一个连接上看到的Coding Guidelines:
1. Active wound care, performed with minimal anesthesia is billed with
either CPT code 97597 or
97598.
*2. Debridement of a wound, performed before the application of a topical or
local anesthesia is
billed with CPT codes 11042 - 11047
11042的价格$2,112,... 阅读全帖
gq
发帖数: 321
27
来自主题: Medicine版 - 心脏问题:求救
nice and neat explanation!
cardiac MRI or ultrasound would be quite helpful in ruling out other
occult entities..such as small coronary aneurysm or other developmental
vascular abnormalities, cardiomyopathy, or neoplastic ... given the
possibility.

considering
try
esophageal
other
not
c********e
发帖数: 496
28
I did not confirm that, while I think the bone pain caused by magnesium
deficiency should be mediated by calcium.
Mg is essential for the metabolism of calcium, some cases of refractory Ca
deficiency, the doc should check Mg.
on the other hand, the pain caused by Mg or Ca deficiency is not that sharp
and severe, should be dull.
The possible reasons for constant, sharp, severe pain in the leg include
vascular (atheroslcerosis), nerve (herniation) or psychia/psychological.
f******I
发帖数: 769
29
来自主题: Medicine版 - 精神运动性癫痫(颞叶癫痫)
wouldn't trust a whole lot of wikipedia,
temproal lobe seizure is often from the lesions in hippocampal region,
either sclerosis, or tumor(glioma), or vascular malformation, it is often
partial simple or complex seizure but can generalize, one of the old drugs,
like dilantin, is effective, one of the newer drugs keppra, i think would
also be quite effective,
regardless your relative would need a brain MRI imaging test to rule out
cancer,
sometimes if the foci of the lesion can be localized, surg
l*******n
发帖数: 68
30
来自主题: Medicine版 - 尿里有少量蛋白
Proteinuria means the presence of an excess of serum proteins in the urine
and may be a sign of kidney damage.
Proteinuria may be a feature of the following conditions:
Nephrotic syndromes (i.e. intrinsic renal failure)
Pre-eclampsia/Eclampsia (seen in pregnant womem)
toxic lesions of kidneys
Collagen vascular diseases(such as systemic lupus erythematosus)
Dehydration
Glomerular diseases, such as membranous glomerulonephritis, focal segmental
glomerulonephritis, minimal change disease (lipoid ne
r*********r
发帖数: 140
31
来自主题: Medicine版 - 代友求助:紫癜妈妈的痛苦
十分感谢dww的建议!!!
就像上面说到的,现在关键不知道是什么病因,我们也很想查清楚。按照你说的建议,
我会建议朋友的妈妈去做下面的测试。
1) looking at the capillary/vascular permeability and doing basic tests
about platelet aggregation and blood coagulation.
毛细血管/血管通透性的测试 -->血小板凝固/血液凝固
有了新的进展,我会上来报告新的情况的(但是,国内预约很慢的,现在挂不上专家号
,尤其是国庆期间了)。
请问一下Dww,“allergic/anaphylactoid purpura rarely affects skin only. even
benign, it is a severe disease.”是说过敏性紫癜很少会影响皮肤,这句话是说,
不会导致皮肤紫色斑点,还是瘙痒?
再次感谢大家!!!
r*********r
发帖数: 140
32
来自主题: Medicine版 - 代友求助:紫癜妈妈的痛苦
谢谢dww的耐心解释!!!!
说实话,朋友和我实在是不敢相信所谓的专家了,因为这个病因(过敏性紫癜)也可以
被最后否定了,不知道怎么看的。但是也不知道怎么办才好,所以向大家求助的。
那现在的情况,按照你说的,我会建议去做第一项检查
1) looking at the capillary/vascular permeability and doing basic tests
about platelet aggregation and blood coagulation.
不知道你还有什么建议?
另外,不知道能不能查到你说的教科书的程序,我google了一下,因为不知道所以然,
所以,找不到合适的文章。原因就是因为不太相信医生(说来惭愧,不信医生,唉),
所以想学习一下,确认医生是不是这么按步骤来的呀。
另外,新的检查结果出来,我会在这里post上的,同时,请问可以给你发站信吗?
再次谢谢!
n******s
发帖数: 210
33
As I know gingko is good for vessel spasm, esp the cerebral vascular spasm.
In cardiology, no one uses it for coronary artery spasm, CCB is DOC, so I
don't think it works well for heart disease.
For Fructose-1,6-Phosphate, it is used for provision of energy to
cardiomyocytes, typically not used for treatment, but nutrition.
g*****j
发帖数: 1211
34
Nattokinase is a fairly new product with no proven efficacy. The most
concerning issue is the safety of such product as it is sold as supplement
that does not require rigorous FDA approval and quality monitoring.
There are many effective medicine available for the treatment of vascular
disease. Why not start from those?
g*****j
发帖数: 1211
35
How do you know these reviews are not written by the seller? Vascular
disease is often silent, and the cure of which is silent most of the time.
How would all patients feel the effect very quickly?
Here are some discussions on a blog I saw.
http://heartscanblog.blogspot.com/2007/04/nattokinase-scam.html
g*****j
发帖数: 1211
36
The most recommended non-surgical treatment for venous stasis by vascular
surgeons in the US is Unna boot. 弹力袜 (compression stocking) is also
effective, especially if the condition is not severe. The quality of the 弹
力袜 varies a lot though :)
Check this link for more information:
http://emedicine.medscape.com/article/461449-treatment
g*****j
发帖数: 1211
37
The most recommended non-surgical treatment for venous stasis by vascular
surgeons in the US is Unna boot. 弹力袜 (compression stocking) is also
effective, especially if the condition is not severe. The quality of the 弹
力袜 varies a lot though :)
Check this link for more information:
http://emedicine.medscape.com/article/461449-treatment
g*********s
发帖数: 280
38
来自主题: Medicine版 - 问问关于乳房纤维瘤biopsy
mm年检B超显示一侧乳房有纤维瘤. Radiologist said the following on the report:
"well-defined 1cm hypoechoic solid nodule. May represent fibroadenoma. Core
biopsy should be considered",BIRADS4.另外,mm无任何症状,自己也感觉不到lump
,医生检查说mm的乳房比较lumpy,即使B超无发现的那个乳房感觉也很lumpy。
妇科医生让mm去看一general surgeon。请教:
1)是否直接去找个breast cancer的surgeon看比较好?妇科医生推荐的外科医生专做
vascular surgery,是不是不太好?我们这边有个比较好的cancer center,想去找那里
的breast surgeon,而不是妇科医生推荐的外科医生,这样行不行?有何利弊?
2)biopsy是否会insert a microchip?网上看到很多有说会放chip,而且一般术前不
通知病人,有些担心。
3)如果不想做biopsy,有没有其... 阅读全帖
f****o
发帖数: 2770
39
catheter directed thrombolysis using alteplase
不知道国内的vascular surgeon有没有这个技术
如果肝癌的话那就......
t*******n
发帖数: 4445
40
Still possible if cancer is confined within liver.
The Milan criteria:
* < 5 cm for a single lesion, or no more than 3 lesions with the largest
measuring ≤ 3 cm
* No extrahepatic manifestations
* No vascular invasion
The USCF criteria:
* Single lesion ≤ 6.5 cm, or multiple lesions ≤ 3 cm
* largest tumor diameter if multiple ≤ 4.5 cm
* Total tumor diameter if multiple ≤ 8 cm
y*****g
发帖数: 193
41
来自主题: Medicine版 - 请教一下关于乙肝 肝硬化
I am not a doctor and I try to answer some questions you have. Hopefully, it
will clear some things up for you.
胃镜 will not cause 阴影. The reason the doctor asking whether your dad has
胃镜. He wants to know whether he has esophageal varices which could be
caused by liver cirrhosis or portal hypertension, or stomach ulcers, etc..
Usually, CT-scan with IV contrast will give some details about the liver
nodule, whether it has vascular invasion or not. AFP is serum tumor marker
for hepatocellur carcin... 阅读全帖
l*h
发帖数: 4124
42
来自主题: Medicine版 - 替妈妈问一下记忆力衰退的问题
there are various types of dementia. in short, there are four major groups.
hypertension patients have a high chance of developing vascular dementia.
f****o
发帖数: 2770
43
POSSIBLY EFFECTIVE
Age-related memory impairment. Taking ginkgo leaf extract orally seems to
improve cognitive function in some elderly people with mild to moderate age-
related memory or cognitive impairment. Ginkgo leaf extract might modestly
improve some measures of cognitive function, particularly short-term visual
memory and possibly speed of cognitive processing, in non-demented patients
with age-related memory impairment (5717,6216). But taking ginkgo leaf
extract does not improve memory ... 阅读全帖
l*h
发帖数: 4124
44
AFP: yolk sac tumors, 100%.
biopsy can be done but is strongly discouraged because these tumors are
highly vascular and debulking doesn't improve outcome, ie, risk outweighs
potential benefit.
lumbar puncture: it depends on whether she has CSF blockage and if yes,
where the blockage is.
dexamethasone is routinely given if brain edema is suspected. it is also
routinely given during radiation and in some cases chemotherapy.

germ
d********1
发帖数: 77
45
Sorry I cannot type Chinese on this computer.
My wife (33 years old) has some 腿麻, 胳膊麻 etc lately. Her numbness is
sometimes on the left or right leg, arm, toes, fingers, and even face, but
never on all these places at the same time.
We went to our family doctor and he ordered a non-contrast brain MRI for her
. It turns out there is a sub-centimeter focus on her brain. Then our doctor
ordered a contrast MRI, the sub-centimeter focus is still there. Report 1)
below is the full report by the radiol... 阅读全帖
l*h
发帖数: 4124
46
来自主题: Medicine版 - 偏头痛要做 MRI for brain 吗?
migraine is diagnosed by symptoms and signs only. however, there are a lot
of misdiagnoses, especially if the patient claims it's migraine to the
physician instead of just describing how the headache feels.
migraine accounts for only ~10% of chronic headaches. but a lot more
patients, especially Chinese patients self-diagnose their headaches as
migraine, probably because the Chinese word makes it so easy to remember and
it masks the true meaning of it.
MRI is done if other causes, such as vascul... 阅读全帖
a**********2
发帖数: 3726
47
来自主题: Medicine版 - 血脂检查结果求教
Does he smoke cigarettes? Any history of HTN? MI? Diabetes? Peripheral
vascular diseases? Stroke? family history of hear attack?
Those are all used to estimate the risk for heart problem. If he didn't have
heart attack history or not diabetic, his LDL is perfectly fine. Otherwise,
LDL below 100 or 70 is the goal.
a**********2
发帖数: 3726
48
来自主题: Medicine版 - 这种情况是糖尿病吗
His A1C is 6.2, unlikely diabetes. HCTZ can cause hyperglycemia, part of
side effect. His symptoms more than likely are caused by something else.
Cervical spine vs. cerebral vascular diseases vs. CNS. He needs some work up.
l*h
发帖数: 4124
49
I don't think there is 原发性的脾亢进 in modern medicine. Causes from within
the spleen for 脾大 are malformation (such as hamartoma and vascular
malformation) and primary splenic lymphoma.
"胃底血管於张,门脉高压,肝前血管海绵样化" warrants further investigation.
Unless her 脾大 is extreme, it is very possible her 脾大 is simply secondary
to her 门脉高压.
脾大 itself only causes mild decrease in blood cells, but it should also be
in all cells, unless there is some autoimmune mechanism against platelets,
or improper blood formation, ... 阅读全帖
l*h
发帖数: 4124
50
seizures occurring for the first time in 40s: the patient should be
thoroughly checked for diseases that cause seizures, such as vascular,
neoplastic etc.
it should not be called 癫痫 until completely checked.
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