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p********f 发帖数: 5148 | 2 This is called scooting.
"The most common cause of scooting is anal gland disease. Diseases of the
anal gland include impacted anal glands (by far the most common cause),
infected or abscessed anal glands and anal gland tumors. Other causes of
scooting include allergic dermatitis (allergies), acute moist dermatitis (
hot spots), abnormal materials adhered to the anal area (hair mats or fecal
material), tapeworms, skin parasites (fleas or ticks), and perianal fistulas
." |
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h***i 发帖数: 117 | 3 看得我眼泪汪汪
太理解你的心情了
我的兔兔当时得了abscess 那段时间真的是以泪洗面 在vet哪里就控制不住地哭
mm坚强些 奇迹会有的 你开心些 小豆也会开心些 对你俩身体都好
bless!
儿特别懂事,没
也不闹让我安
开怀。
antibiotics,然后vet
以肚子胀鼓鼓
除掉。昨天
感。当时感觉这
,就马上预约
来很有经验也
不是粪便积滞引 |
|
y*********u 发帖数: 14561 | 4 ☆─────────────────────────────────────☆
icyhui (Coco) 于 (Thu Jan 6 12:47:59 2011, 美东) 提到:
在此首先注明:小豆儿是一只4个月大的小女猫,不是小孩儿。sorry for the
misunderstanding
不知道该从哪里说起该怎么说该说什么,昨天从vet那里回来一边开车一路哭,小豆儿特别懂事,没
用carrier,只用leash套上放我怀里,小家伙儿静静地坐着睁大眼睛看着我哭,不叫也不闹让我安
心开车。她好像知道麻麻伤心了,自打她来我家从来没见我哭过,抱着她从来都是笑开怀。
小豆儿前些天精神不振,不爱玩,嗜睡,先前看了vet说没有大碍,开了点antibiotics,然后vet
提到小豆儿肚子有点大,让去化验下有没有寄生虫。我一开始以为是小豆儿吃太多所以肚子胀鼓鼓
的,没有太在意,但是还是把stool sma... 阅读全帖 |
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y*********u 发帖数: 14561 | 5 Indoor vs Outdoor Cats
Indoor vs outdoor catFrom first time kitten owners to seasoned cat
companions, cat owners are divided whether or not cats should be allowed
outdoors. Traditional beliefs that cats need freedom to roam are fading in
the light of statistics that indicate the indoor cats have a longer life
span and better health. Deciding whether or not a cat should be an indoors
or outdoors animal is up to individual owners but the pros and cons provide
substantial evidence toward indoor c... 阅读全帖 |
|
N******t 发帖数: 16051 | 6 胳膊上有个红红的鼓包,周围的毛秃了一片
听说上年纪的鼠,得肿瘤的不少
这么快就一年多了,最近总是想着时日无多
明天去看医生,也许只是abscess,drain一下就没事了,也许还有几个月的时间
挺苦闷的,挖个洞感叹一下
没有新照,上几张模糊旧照 |
|
L*******e 发帖数: 2540 | 7 bless.....小黑...........
A dog abscess is a sac or lump that contains pus. Trauma to the skin such
as a dog bite or other puncture wound introduces bacteria under the skin.
The body’s immune system then sends extra white blood cells to the area in
an attempt to rid the body of the bacteria. Pus is formed when the white
blood cells die and accumulate in the affected area.
http://zhuli.aigou.com/assis/readingdetail_3_8__93119.html |
|
l*****4 发帖数: 419 | 8 谢谢lovlybone. 看上去很象 abscess。 都是我不好, 上个礼拜小黑不肯睡觉,大家
都叫我陪睡,我礼拜五就给她洗了个澡。可是当时没看见任何伤口。 |
|
l*****4 发帖数: 419 | 9 特别去 google image 了一下 dog abscess,太恶心了, 看上去又不像。 |
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s*****d 发帖数: 2451 | 10 比较长,但是很写实。
The thing I hate about being a veterinarian
In my day to day life as a veterinarian, there is something that I dread
doing. This particular thing makes me squirm, twitch, drool and retch. I try
to avoid it at all costs, and I consider myself to be blessed if I have
technicians willing to do it for me. Want to guess what it is?
Expressing anal glands? (Nope. I secretly think it is rewarding to do this)
Doing a dental on a pus filled, rotting mouth? (Fun times!)
Sifting through dog puke... 阅读全帖 |
|
s*****d 发帖数: 2451 | 11 1. They’re patient. Their furry patients can be stubborn and aggressive.
Vets respond to chaos with patience, gentleness and a calming demeanor.
Just don’t expect your date to extend you the same patience when she’s
just finished a 14hour shift being lacerated by angry cats and trying to
convince her clients that 5+ years of training means she probably knows
better than the 16 year old sales clerk in Pets at Home.
2. Veterinarians are passionate about their work. They don’t choose the
career for... 阅读全帖 |
|
l*******o 发帖数: 986 | 12 今天看vet,牙医说毛毛有个牙齿有tooth root abscess, 要拔掉。还有另外一个牙齿
牙龈红肿。然后给了拔一颗牙齿的estimate。
vet说这个治不好的,只能拔牙。我想请教一下板上的大大门,这种情况是不是必须拔
牙?我网上搜索了一下,好像也说必须拔。
另外,我还想麻烦板上有给宠物拔牙经历的亲们,帮我看看这个estimate合理不。 我
在Fremont CA,已经预约了3月9号拔牙,但如果这个收费有问题,我就立马重新多找几
家vet看看. 比较奇怪的是,里面没说x-ray,是不是不需要啊?
Total: 507.48 ( one canine tooth)
office visit 19.95
Vet CBC 95
Extract Canine Tooth 180
suture 20
buprenorphine 16.24
ClindaCure 25
Metaca... 阅读全帖 |
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G***G 发帖数: 16778 | 13 how to do clinical analysis based on clinical data?
maybe this is a big question.
let's give an example. suppose we have the 200 gastric patients' data like
the following. What kind of analysis should be done? what parameters should
be focused
and what parameters should be ignored?
Classification by age
hospital days
Postoperation hospital day
Family history
Biopsy before surgery
Operation duration(min)
Surgeon
Anesthesia
Volume of blood transfusion
Ascites
Peritoneal metastasis
Hepatic metastas... 阅读全帖 |
|
k**********n 发帖数: 438 | 14 ☆─────────────────────────────────────☆
JDJ (小兔乖乖) 于 (Mon Jul 21 02:34:52 2008) 提到:
HIV positive patient, CD4 count<200, presents with bloody diarrhea.
Colonoscopy showed reddish lesions with crypt abscesses.
What is the associated pathology?
1. adenocarcinoma
2. Kaposi's sarcoma
☆─────────────────────────────────────☆
soaplover (Ha) 于 (Mon Jul 21 02:40:55 2008) 提到:
interesting...2?
☆─────────────────────────────────────☆
magua08 (麦地麻瓜~回归) 于 (Mon Jul 21 03:09:29 2008) 提到:
it's int |
|
f*****w 发帖数: 1451 | 15 Thanks.
But why not lung abscess for the first question? |
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h****g 发帖数: 125 | 16 "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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a****9 发帖数: 773 | 17 45. Six weeks after spontaneous drainage of an anal abscess, a 32-year-old
man has persistent blood-stained purulent fluid on his underwear. He has not
had significant anal pain since drainage of the boil. Bowel movements are
normal. Which of the following is
the most likely diagnosis?
A) Anal fissure
B) Fistula in ano
C) Pruritus ani
D) Thrombosed external hemorrhoids
E) Thrombosed internal hemorrhoids |
|
a****9 发帖数: 773 | 18 45. A 42-year-old woman comes to the physician because of increasing low
back pain for 2 days. She is a daily intravenous drug user. She has a
history of pyelonephritis, abscesses at injection sites, and pelvic
inflammatory disease. Her temperature is 39 C(102.2 F), blood
pressure is 130/70 mm Hg, pulse is 84/min, and respirations are 20/min.
Examination shows warm, dry skin, a supple neck, and no jugular venous
distention. There is tenderness over L4. Pelvic examination shows mild
erythema arou |
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l********y 发帖数: 2295 | 19 endocarditis prophylaxis:这个以前贴过了,要和手术指征放在一起记住。
to get antibiotics, you need DRS(abbreviation of doctors, stands for Dental,
Respiratory, Skin) to give you PE & CT (Prosthetic valves, Endocarditis,
Cyanotic heart disease, Transplant).
IE什么时候valve replacement: RAPE is Fun,这样的想法多危险,赶紧的换了修理了。
R:rupture
A:abscess
P:prosthetic valves
E:embolic events
Fun:fungal endocarditis |
|
g******e 发帖数: 389 | 20 每每group study的时候总会提到生我女儿的经历。被认为可以帮助记忆。 好吧,现在
就算牺牲privacy, 来写个总回顾。感慨抒情以下先,那是多么难忘的第一次住院经历
啊。 生个宝贝真是九死一生, 一点都不夸张哦。
Chapter 1: 预产期前1天17号,好像她知道我终于不上班, 可以迫不及待的出来了
。 先是出血,出现宫缩, 开始进入labor stage 1 (latent phase)。好疼啊,从来没
有过痛经(考点:prostaglandin, tx NSAIDs), 对这种痛实在不能忍受。去医院,医
学院附属,有医学生,intern, resident, attending。 告知宫开一指, ok, 回家 (
考点: 宫开 3-4指收入院,上epidural 也是宫开4指; 另外,stage 1, active
phase, cervical dilated>=3cm)。
Chapter 2: 好不容易过了一个晚上,第二天再上医院,该收我了吧,疼得实在不行
了。 还是1-2指。还好是我的OB on call,在我的要求下,终于收治入院 (考点:病
人的aut... 阅读全帖 |
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N****e 发帖数: 31 | 21 38yr, female, present to PAH on 4/4/10 with diarrhea for 4 days, initially
loose watery diarrhea, 3-4 times/days, now worse and loose watery stool
every hour, and blood mixed with the stool, medium volume, non-foul smelling
, with mild crampy abd pain. Have had 5 BMs since yesterday, and the last
one almost all blood. (+) subjective fever, no chills, no cough/SOB. Had a
course of antibiotics (Keflex) 2 weeks ago (3/9/10- 3/14/10).
PMHx: Kidney stones, Seizure disorders, Vit D deficiency
PSHx: S... 阅读全帖 |
|
h***y 发帖数: 834 | 22 ☆─────────────────────────────────────☆
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,我想我的目的就达到了。
希望所有ID, 包括考生, resident, fellow, attending,PA/NP, nurse 和中国来
的医生不再从事医疗工作的, 都能奉献你的pearl. 英文中文都行。
我先来:
CC: Left leg pain for 5 days.
35 y... 阅读全帖 |
|
h***y 发帖数: 834 | 23 ☆─────────────────────────────────────☆
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,我想我的目的就达到了。
希望所有ID, 包括考生, resident, fellow, attending,PA/NP, nurse 和中国来
的医生不再从事医疗工作的, 都能奉献你的pearl. 英文中文都行。
我先来:
CC: Left leg pain for 5 days.
35 y... 阅读全帖 |
|
f****i 发帖数: 129 | 24 34.
A 57-year-old woman is brought to the emergency
department because of
abdominal pain for 12 hours. Over the past 3 hours,
the pain has become
severe and generalized. Over the past month, she has
had mild upper
abdominal discomfort that is relieved by eating. She
has a history of
recurrent migraines treated with sumatriptan as
needed. Her temperature
is 38.2 C (100.8 F), blood pressure is 170/95 mm Hg,
and pulse is
110/min. Abdominal examination shows mild distention;
there is marked
rigidity... 阅读全帖 |
|
l********y 发帖数: 2295 | 25 ID:
- PNA: determine type (CAP, HCAP, or HAP) and start appropriate abx regimen;
r/o COPD exac
- DM with chronic infections: r/o bone infection, check for osteo (imaging,
XR); start vanco; inherently immunosuppressed; think of fungal infxn's too
- Back pain + fever: r/o epidural abscess with MRI; call neurosurgery
- Low threshold to do LP in anyone with AMS, h/a, nuchal rigidity, concern
for meningitis; consider septic emboli and checking TTE; image head
- TB: if suspect, admit to neg airflow is... 阅读全帖 |
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f**********d 发帖数: 231 | 26 老毕业生,成绩和预计相差不大。备考期间,也有几乎过不去的坎,多亏有人搀扶,考
友鼓励支持,要不然肯定现在还没考。和我一起学得最长的考友,因故不能并肩到冲刺
,希望她们最后都能考出好成绩。很佩服我的考友。
我总是混迹于小组之间。自己学的时候,学着学着,就会走神。当时没人和我一起冲刺
,我又开始磨叽了。我走神到什么程度吧,反正最后我每做一件事就得把时间记下来。
看题也是,复习每道题都是写下时间,这样自己就知道是不是又溜号了。后来幸运的是
挂上了nunu的车,被带了一阵,学会了怎么冲刺。幸亏也有doughnut做火车头。这才冲
将下来。
12月做的 uwsim1,690/254,减掉20,觉得有点玄。我这个人正式考试从来都不会让人
惊艳,万一失手,岂不230都没了。那段时间正好突发牙疼,有时候疼得简直要在地上
打滚,晚上也睡不好。看牙医吧,有次助手给打的麻药,根本没麻到神经。学艺不精害
死人啊。那一阵被折磨得不行,以至于fa小组学习时能不说话就不想开口,感觉提不上
气来。正好有理由把考试推到1月了。后来证明推迟是对的,因为12月底去考试中心模
考,3个block就觉得受不了。
同时把sim1... 阅读全帖 |
|
f**********d 发帖数: 231 | 27 老毕业生,成绩和预计相差不大。备考期间,也有几乎过不去的坎,多亏有人搀扶,考
友鼓励支持,要不然肯定现在还没考。和我一起学得最长的考友,因故不能并肩到冲刺
,希望她们最后都能考出好成绩。很佩服我的考友。
我总是混迹于小组之间。自己学的时候,学着学着,就会走神。当时没人和我一起冲刺
,我又开始磨叽了。我走神到什么程度吧,反正最后我每做一件事就得把时间记下来。
看题也是,复习每道题都是写下时间,这样自己就知道是不是又溜号了。后来幸运的是
挂上了nunu的车,被带了一阵,学会了怎么冲刺。幸亏也有doughnut做火车头。这才冲
将下来。
12月做的 uwsim1,690/254,减掉20,觉得有点玄。我这个人正式考试从来都不会让人
惊艳,万一失手,岂不230都没了。那段时间正好突发牙疼,有时候疼得简直要在地上
打滚,晚上也睡不好。看牙医吧,有次助手给打的麻药,根本没麻到神经。学艺不精害
死人啊。那一阵被折磨得不行,以至于fa小组学习时能不说话就不想开口,感觉提不上
气来。正好有理由把考试推到1月了。后来证明推迟是对的,因为12月底去考试中心模
考,3个block就觉得受不了。
同时把sim1... 阅读全帖 |
|
H*********e 发帖数: 163 | 28 牛逼,恭喜,功夫不负有心人。
俺的牙齿保卫战已经打了快3年了吧,Abscess天天有啊,没钱看牙医,没时间回国治,
估计要等到明年夏天甚至更以后了吧。
明年俺也以250为目标试一试,也是老CMG了,估计要多搞几本书看看才行了。
每做一件事都挤时间是个好办法啊。俺这种有拖延症的可以学习一下。 |
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i**********d 发帖数: 853 | 29 Hawthrone effect: Hauthrone好手 --> 我们是“好手” --> 知道被研究时好好表现。
Collagen 4型 (部分是从别的同学那里听来的):
1型:老大硬:筋骨皮牙本硬,角膜瞪人,伤口愈合晚不怕
2型:老二软:骨软韧性好,眼睛玻璃软,脊梁髓核软
3型:三妹红彤彤:粉红皮肤,生孩子--> 子宫切,见血管,现胚胎组织,愈合有肉芽
组织
4型:最小,位置最低,住在basement
Hemophilia A (8因子) & B (9因子)--> 阿爸8必救9
Fragile X --> CGG 脆哥哥 --> 脆弱的哥哥注意力不集中 --> ADHD
Spiramycin: given to the mother to prevent vertical transmission of
toxoplasmosis. “弓”黄忠射箭, 披靡-箭是螺旋状 Spiramycin
螺旋霉素
Podophyllin (刨倒树林--把黑树林里的wart给刨了):
1. Remove genital warts; 2. Molluscum... 阅读全帖 |
|
i**********d 发帖数: 853 | 30 Hawthrone effect: Hauthrone好手 --> 我们是“好手” --> 知道被研究时好好表现。
Collagen 4型 (部分是从别的同学那里听来的):
1型:老大硬:筋骨皮牙本硬,角膜瞪人,伤口愈合晚不怕
2型:老二软:骨软韧性好,眼睛玻璃软,脊梁髓核软
3型:三妹红彤彤:粉红皮肤,生孩子--> 子宫切,见血管,现胚胎组织,愈合有肉芽
组织
4型:最小,位置最低,住在basement
Hemophilia A (8因子) & B (9因子)--> 阿爸8必救9
Fragile X --> CGG 脆哥哥 --> 脆弱的哥哥注意力不集中 --> ADHD
Spiramycin: given to the mother to prevent vertical transmission of
toxoplasmosis. “弓”黄忠射箭, 披靡-箭是螺旋状 Spiramycin
螺旋霉素
Podophyllin (刨倒树林--把黑树林里的wart给刨了):
1. Remove genital warts; 2. Molluscum... 阅读全帖 |
|
t*****r 发帖数: 1765 | 31 医学英语的定义汇总
AOT:
A common abbreviation for "adenomatoid odontogenic tumor."
ARC:
AIDS-related complex; once an intermediate between AIDS and carrier stages
AZT:
A drug that interferes with reverse transcriptase of HIV.
Abnormal Mitotic Figures:
A feature of anaplasia in which division of cells appears irregular,
deformed, and bizarre.
Abscess:
A common lesion of acute inflammation consisting of a localized area of pus.
Acidogenic Theory:
A theory of caries pathogenesis suggesting that enamel calci |
|
l**n 发帖数: 60 | 32 Specialty: I'm an FNP working for an Internal Medicine physician. It's a
good mix of PCP work, dealing with complex patients with chronic diseases,
and there's also some acute treatments sprinkled in like suturing and
abscess removal. I also do some inpatient rounding but it's part of my
normal business day. It's 5 days a week, no weekends, no call. 9-530 or 6.
Salary: When I first was given the contract it was $90k with full benefits
and a very nice incentive bonus structure. Shortly before sta... 阅读全帖 |
|
发帖数: 1 | 33 为什么说NP比CRNA强多了
一个手术室最重要的就是外科医生,好比一个诊所最重要的就是医生。没有外科医生,
其他手术室的工作人员都英雄无用武之地,诊所也一样。所以其他的辅助工作人员很容
易被替换。一个诊所可以解雇所有的员工就是不能解雇医生。同样,手术室里外科医生
就是中心,其他的都是围绕着他/她转。
不管中国还是美国,麻醉都是辅助,经常就是外科医生骂麻醉医生像骂孙子一样。
而FNP是百搭。哪里都需要。精神病院也要。监狱也要。养老院也要。邮轮也要。有
refer 病人的权力。
这个人神公愤的abscess, 就给这个医生吧。听说他手最近有点抖。只能做这种手术。
我refer 的时候, 想一想。这个女病人,还是找一个帅哥外科医生可以增加幸福感。
好, 这$1000 就某某的了。
听话的外科医生我们让他发财,听话的心脏内科医生让他发财。
有一次一个女外科医生不肯来医院看病人。我就直接打电话给她。跟她说: I need
you badly. 她乖乖的来医院做手术。
有一个外科医生脑子不正常。就再不用了。
哪个外科医生不懂事。以后就不refer.
懂事的有生意。
我在医院感觉就... 阅读全帖 |
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s********o 发帖数: 3319 | 34 【 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 |
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s********o 发帖数: 3319 | 35 【 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 |
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A*******s 发帖数: 9638 | 36 有一个病人,50岁, 一天前因为不能行走收住院, 第二天我order了MRI, 一个
spinal tap, 第三天night shift hospitalist告诉我MRI是normal,spinal tap不能
做, 因为病人on fragmin, 要等24hr。
我自己看了一下MRI, 这个病人有spinal abscess。 当天就手术了。
这个radiologist的误读让人很恼火, 可是这个fragmin更是火上浇油。 我不明白,
现在的hospitalist都用fragmin for DVT prophylaxis? Why not SCD + heparin for
high risk patients? 这个病人根本没有on SCD. |
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L****n 发帖数: 12932 | 37 这个screw up的离谱。
is this guy an addict? i ran into one spinal abscess case last week. also
about 50 yo, no previous medical history except heroin addiction.
for |
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L****n 发帖数: 12932 | 38 man, your hospital makes me worry.
radiologist can miss a spinal abscess, and hospitalist doesn't know how to
use DVT prophylaxis... |
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b******a 发帖数: 704 | 39 来自主题: Medicalpractice版 - 两个病例 谢谢楼上的老师们。 看见ultrasound就傻眼了。
If it's cystic mass, fine needle aspiration cytology (FNAC) is required
according to my review book.
DDX: fat necrosis of the breast;
breast infection, abscess, mastitis;
Fibrocystic lesion;
Fibroadenomas;
Breast cancer
I also found a review about fat necrosis of the breast :
http://www.ncbi.nlm.nih.gov/pubmed/16198567
Breast. 2006 Jun;15(3):313-8
The aetiological factors includes trauma (21–70%), radiotherapy,
anticoagulation (war farin),cyst aspiration, biopsy,... 阅读全帖 |
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f*********1 发帖数: 189 | 40 Rheumatologist was consulted, and said it looked like sarcoidosis:)
Patient was treated with steriod, and symptoms get better:) We were
joked at for telling them that the imaging findings are most consistent
with CNS lymphoma, and the brain and mediastinum were separate
processes:)
However, according to Icetea
"Corticosteroid has no direct anti tumor activity towards GBM however it
is
very helpful reducing edema and inflammation, this is also true for
metastatic brain lesions. Regarding edema ... 阅读全帖 |
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I****a 发帖数: 407 | 41 It is rare to have splenic metastasis. I suspect this is some sort of
infection with abscess formation or bleeding. |
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I****a 发帖数: 407 | 42 Corticosteroid has no direct anti tumor activity towards GBM however it is
very helpful reducing edema and inflammation, this is also true for
metastatic brain lesions. Regarding edema caused by bleeding/abscess, I
guess it is not very clear, it depends on each patient's clinical situation.
For CNS lymphoma, corticosteroid does have substantial anti tumor activity.
You would want to talk to hem/onc before you give steroid for somebody whom
you suspect CNS lymphoma because it will substantially l... 阅读全帖 |
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s******t 发帖数: 579 | 43 An inpatient was seen by us because of anxiety. He was having an abscess at
private area and was suffering from terrible pain from the infection. His
wife was hospitalized too because of the potentially fatal fungal meningitis
2/2 steroid injection.
While asked him about his anxiety. He said that he has been anxious about
pretty much everything in his life, but he was most anxious about if he
could be discharged before the Election Day so that he could vote.
Fortunately, he was discharged yester... 阅读全帖 |
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B****r 发帖数: 1737 | 44 Thanks a lot for your kind reply
They did consider incomplete kawasaki once....but she has no other symptoms
besides fever/cough/abdominal pain. Appendix abscess is not likely based on
normal u/s although the visualization is limited. They even did HIV test
which was negative.
No PPD has done yet, and CXR does not support it apparently.
I thought mostly likely viral infection, but persisting high fever really
worrisome. Plus, she frequently wakes up due to spiking fever or bad cough
in night,... 阅读全帖 |
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d**o 发帖数: 618 | 45 嗯, 不过可能性不大, X光没做也没关系. 主要的可能性还是osteomyelitis继发pelvic
abscess and radiculopathy. 如果病人有糖尿病/高血糖病史则可能性更大。
现在就是在等血培养结果么?既然最新的MRI显示右侧腰大肌可能有积液, 或可考虑用
介入放射引导(IR-guided)对积液引流然后做细菌培养,如果医院有这条件的话。 |
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z**********4 发帖数: 467 | 47 Obamacare is the vast majority paying heavily for the minority who really
need it.
呵呵 身上有无数种病的人最划算。 对绝大多数人来说是非常不划算的 小磕小碰感冒
都不cover 我这边一个病人就是obamacare, 这兄弟干活的时候被钉子戳进了拇指,
他自己给拔了出来 好像没做任何处理 结果拇指骨髓炎 感染灶扩散 腰椎骨髓炎 浑身
多处abscess 感染性休克 死亡。
劳动人民真可怜 原来想省点银子 DIY一把。结果命都搭上了。如果当时 这种例子不计
其数。
我觉得obamacare如果能学学中国的基层保险就好了 cover小病不cover大病 把钱花道
预防上 这样广大人民群众会受益。 |
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