n*****n
发帖数: 119 | 1 别处看到的，觉得还不错，不排除有些拼写错误~
POMR (Problem-Oriented Medical Records)表格式住院病历
Biographical data:
一般项目：
Name Age Sex Marital status Nativity Race
姓名 年龄 性别 婚否 籍贯 民族
Occupation Date of admission Informant History
职业 入院日期 病史叙述者 病史
Chief complaint
主诉
History of present illness
现病史
Past history
既往史：
Previous health status: well ordinary bad Infectious diseases
平素健康状况： 良好 一般 较差 传染病史
Immunizations Allergies: N Y clinical manifestation
预防接种史 过敏史 无 有 临床表现
allergen: Trauma: Surgery:
过敏原 外伤... 阅读全帖 |
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h***y
发帖数: 834 | 2 ☆─────────────────────────────────────☆
zhzhaa (麦地) 于 (Fri Jun 24 16:27:52 2011, 美东) 提到:
没有绿卡，怎么办？用H1。网站信息不全？自己努力！
每一个我都打电话或者 email确定过，
如果写的含糊，说明这个pregram电话没有接通，email也不回。
信可以写的很简单：
Dear Dr. Scorpion,
I am interested in the general cardiology fellowship in your institution
starting 2012. Could you please let me know if your institution sponsors H1B
visa?
记得 检查拼写正确就是了。
这个没有包括阿拉私家。
心脏科依然挣钱多，但是lifestyle不好。任何一个call 都是要命的。
但是，生活方式都是自己选的。祝愿 各位心想事成。
----
刚刚发现 没办法添加word附件，只好 后面慢慢贴上来：
☆─────────────... 阅读全帖 |
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f****i
发帖数: 129 | 3 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 |
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h*****3
发帖数: 91 | 4 家有3岁小女患先天性白内障导致的形觉剥夺性弱势，目前国内治疗无效，病情恶化。
急求各位看看，美国对此有无更好的治疗方法。
目前国内治疗方案：1）配镜
2）遮盖疗法：每天遮盖健康的左眼8小时，一周遮盖6天。
3）精细目训练：每天遮盖健康的左眼后穿针60根。
治疗时间：12个月 |
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x*******5
发帖数: 3 | 5 A Lab (Department of Developmental Biology, University of Pittsburgh,
Pittsburgh, PA): Seek a sonographer or postdoctor who is capable to perform
mouse mutagenesis screen using echocardiography to identify mutant lines
with congenital heart disease.Echocardiographic background is required.
Resume to: x***[email protected] |
|
l*******4
发帖数: 97 | 6 和大家探讨一下学习方式把。
1)比如，我目前复习的儿科的antidose. 对于
anticholinergic的toxic sign， antidose是 Physostigmine sulfate.我期望我能够
大脑里反映的出 anticholinergic + physostigime sulfmate的生理反应机理和药理.
2)比如看congenital adrenal hyperplasia，我就会回去看看adrenal gland 的生理机制
，还有在不同步骤各种酶。这样我就会回去看看病例生理的书。
3)UW中的解释的各个选项，我也会大概的翻翻书了解一下
我这样是否太细了？我也知道越是不熟悉的科弄得越细，熟悉的科目，自己都知道那里
是重点那里掠过。所以时间安排也合理。
关于药物治疗，是否适应UW的那样要求就可以了？
大家帮我提提建议。
谢谢。 |
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q**d
发帖数: 109 | 7 1)比如，我目前复习的儿科的antidose. 对于anticholinergic的toxic sign，
antidose是 Physostigmine sulfate.我期望我能够大脑里反映的出 anticholinergic
+ physostigime sulfmate的生理反应机理和药理.
一般ck会出一大堆症状体征，首先，你要判断是不是中毒，然后选药物。
2)比如看congenital adrenal hyperplasia，我就会回去看看adrenal gland 的生理机
制，还有在不同步骤各种酶。这样我就会回去看看病例生理的书。
CK一般不考机制，但是考诊断，一大堆体征，症状，似是而非，让你选诊断。
3)UW中的解释的各个选项，我也会大概的翻翻书了解一下
CK就是要教你在无限的模糊的data中找出你的正确诊断。所以，不论什么熟悉不熟悉，
能辨伪存真才是硬道理 |
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b*****l
发帖数: 8603 | 8 2007年的，不知道你们说的是不是这个。祝好。
medical ethics more than hundred cases
Sep 24th, 2007, 12:17pm
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in ma... 阅读全帖 |
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e****0
发帖数: 678 | 9 • 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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e****0
发帖数: 678 | 10 Endometrial hyperplasia types. Risk of cancer treatment
simple 1% Cyclic progestin
complex 3% Cyclic progestin
Simple atypical 8% THA or progestins
Complex atypical 29% THA or progestins
• Prolatinoma and hypothyroidism galactorrhea
• Anesthesia can reduce uterine activity if in the latent phase
• Contraceptive for lactating mother
Progestin-only oral contraceptive
• Pregnancy luteoma
African-ameri... 阅读全帖 |
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r*******n
发帖数: 135 | 13 各位大虾，‘一个周围都是Ca的密室里’这是何解啊？看来这条是CMV=HHV-5和
（Congenital Rubella Syndrome = Tongavirus）的合孢体？？
'又聋又瞎又咳嗽又吃不下东西'好像也是CRS? Owl's eye is CMV for sure. |
|
l******p
发帖数: 71 | 14 NBME 1 Block 2 question 25
A clone of cancer cells is resistant to vincristine, doxorubicin, and
dactinomycin but not to methotrexate and various alkylating agents. The
mechanism of resistance is most likely to involve
a) absence of superoxide dismutase
b) altered DNA polymerase
c) enhanced drug transport out of cell
d) inability to form polyglutamates
e) increased DNase
NBME 1 Block 2 question 42
A 49 yrs old man has a 1week history of shortness of breath ,with no fever ,
chills or cough.Breath... 阅读全帖 |
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f*****g
发帖数: 37 | 15 Let me try
1st page:
Diagnosis:
Congenital heart disease
VSD+s/p repair of pulmonary valve atresia
Bi-directional shunt at ventricle level
Left pulmonary artery stenosis
No obstruction in pulmonary valved conduits |
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i**********d
发帖数: 853 | 16 我的MTB2书就要送人了，最后把记在书上的一些口诀记录下来：
1). 儿科最后一页上的Musculockeletal Diseases是考试的重点，在CK和Step3中考了
很多次，不是诊断就是治疗
A. Congenital Hip Dysplasia: 小小Baby骑在马具(harness)上操纵(maneuver)玩具小
马.
B. Legg-Calve-Perthes disease: 2-8岁，"Terrible two"两岁的孩子坏死了(
Avascular necrosis),两侧hip同时手术（Legg=leg+leg）.
C. Slipped capital femoral epiphysis: 肥胖的青少年，逃课(slip)到学校外(
externally rotated leg)，用钉子(pinning)把他/她固定在教室内(internal
fixation)椅子上。
2). 含有egg成分的vaccine：influenza + yellow fever：流蛋黄。
3). 低钾 or 高钙 à inhibit V2 related adenylate cycl... 阅读全帖 |
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i**********d
发帖数: 853 | 17 我的MTB2书就要送人了，最后把记在书上的一些口诀记录下来：
1). 儿科最后一页上的Musculockeletal Diseases是考试的重点，在CK和Step3中考了
很多次，不是诊断就是治疗
A. Congenital Hip Dysplasia: 小小Baby骑在马具(harness)上操纵(maneuver)玩具小
马.
B. Legg-Calve-Perthes disease: 2-8岁，"Terrible two"两岁的孩子坏死了(
Avascular necrosis),两侧hip同时手术（Legg=leg+leg）.
C. Slipped capital femoral epiphysis: 肥胖的青少年，逃课(slip)到学校外(
externally rotated leg)，用钉子(pinning)把他/她固定在教室内(internal
fixation)椅子上。
2). 含有egg成分的vaccine：influenza + yellow fever：流蛋黄。
3). 低钾 or 高钙 à inhibit V2 related adenylate cycl... 阅读全帖 |
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z******8
发帖数: 844 | 18 ☆─────────────────────────────────────☆
zhu84518 (Henry) 于 (Mon May 5 23:08:37 2014, 美东) 提到:
一个好的口诀胜读10遍书，记住的知识点那是经久不忘，真是受益匪浅。我和Jeff一起
学习的时候编了不少好的口诀，现在Jeff考试考完了，match完了，抽点时间和我一起
把我们之前的口诀总结出来，一来是奉献麦地，也希望能够帮助后来的同学，二来是防
止我们的口诀继续在那里吃灰，这可都是我们耗费了多少脑细胞的成果。我们打算每天
抽点时间把口诀贴到此贴，如果有同学有自己的口诀想要分享，欢迎跟帖！
☆─────────────────────────────────────☆
zhu84518 (Henry) 于 (Mon May 5 23:12:40 2014, 美东) 提到:
☆─────────────────────────────────────☆
zhu84518 (Henry) 于 (Mon May 5 23:19:23 2014, 美东) 提到:
Toxopl... 阅读全帖 |
|
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h******y
发帖数: 3501 | 20 请问各位，知不知道有什么好的网站提供医学名词的中英对照？有IPHONE的APPS当然更
好了。最好是有关小儿先天性心脏病方面的(Congenital heart defect) 。
多谢。 |
|
a*******g
发帖数: 2813 | 21 DESCRIPTION OF Traditional Chinese Medicine
Course Name: Traditional Chinese Medicine
Theory Hours: 40 (1 semesters)
Clinical Hours: 40
Objectives:
This course is very foundation of Traditional Chinese Medicine, mainly
focuses on fundamental principles, theory knowledge and diagnostics skills
of Traditional Chinese Medicine. This course is designed to introduce
Chinese medical theories and clinical uses, help users learn basic concepts
in Chinese diagnostics such as diagnosis, symptoms, patterns... 阅读全帖 |
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a*******g
发帖数: 2813 | 22 DESCRIPTION OF Traditional Chinese Medicine
Course Name: Traditional Chinese Medicine
Theory Hours: 40 (1 semesters)
Clinical Hours: 40
Objectives:
This course is very foundation of Traditional Chinese Medicine, mainly
focuses on fundamental principles, theory knowledge and diagnostics skills
of Traditional Chinese Medicine. This course is designed to introduce
Chinese medical theories and clinical uses, help users learn basic concepts
in Chinese diagnostics such as diagnosis, symptoms, patterns... 阅读全帖 |
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d***g
发帖数: 9 | 23 很多年轻人到美国都想要申请大学的护士专业，也就是英文所说的Nursing，因为几乎
每个人都说护士可以在美国申请到绿卡，可以赚年薪起薪6万，那为什么有人说简单，
有人说复杂，这其中究竟有什么诀窍呢？
那么下面整个介绍一下在美国做护士的步骤，以及申请绿卡的条件。
这篇文章会介绍几个部分的内容，
包括：
1 申请护士职业移民最基本的条件和优点。
2国内护士专业毕业，人在美国，或人不在美国，如何申请美国大学的护士专业或申请
护士执照考试和如何进行职业规划。
3国内高中毕业，有高中毕业文凭，人在美国，如何申请美国大学的护士专业。
4国内大专或本科毕业（非护士专业），有高中和大学文凭，如何申请美国大学的护士
专业。
5 已经有身份（有绿卡或是美国公民），但是想申请护士专业，如何申请美国大学的护
士专业。
6 通过考试后，取得美国护士执照，通过托福考试后，如何找医院面试谈判，如何找律
师递交移民申请，如何关注职业移民配额，最终申请绿卡。
7 注册护士考试的英文名称和考试内容，那里可以买参考书，网上有哪些资源。
8 申请过程中常见的困难和困扰有那些
9 托福考试的复习与报考准备
10 附录 护士注册... 阅读全帖 |
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A*******s
发帖数: 9638 | 24 我google了一下， 希望有所帮助：
Most neonates with hypopituitarism have normal or even high birth weights
and lengths and no history of intrauterine growth retardation. However, they
often have histories of breech presentation (particularly neonates with
MPHD), although the explanation for this is unclear. Microgenitalia, mainly
in males, may result from a gonadotropin deficiency or from GH deficiency.
The hypoglycemia risk is higher in neonates with hypopituitarism, with
various manifesting symptoms, such ... 阅读全帖 |
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A*******s
发帖数: 9638 | 25 I would think so if he has a history of seizure. Of course I could not rule
out the possibilty he just started a new onset seizure and had "Sudden
Unexpected Death in Epilepsy".
Autopsy should help if he has died of respiratory failure or a congenital
cardiac disease. |
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P******b
发帖数: 5 | 26 病症在update 里。请给于建议。
【 以下文字转载自 NextGeneration 讨论区 】
发信人: PandaCub (godblessmybaby), 信区: NextGeneration
标 题: 更新：宝宝可能会失明，新妈求祝福与建议
发信站: BBS 未名空间站 (Sat Jan 7 01:31:40 2012, 美东)
晴天霹雳，宝宝可能会失明，新妈求祝福与建议！
现在我们都快要崩溃了。。。以前一直在宝宝版上潜水，看到过好多故事，宝宝版的祝
福最灵验，宝宝版的留言最善良。孩子刚满四个月，满了预产期才出生，宝宝活泼聪明
，全家都很喜欢。怀孕和出生都没有查出过任何异常，我也不到三十岁，所以不算高龄
。我只是发现她的眼睛有些游离不固定，不能盯死一个地方，对人脸好像还有些反映，
但是对我们给她的玩具似乎都不感兴趣。以前一直在一个ob推荐的台湾私人儿医诊所那
里例行检查，每次都告诉我们是健康宝宝，也没有给出任何发育的assessment，所以我
也没有怀疑和担心，总是觉得她还小。直到最近因为colic原来的儿医没有给出任何建
议，我们有些担心就找了一个朋友的美国儿医，我提... 阅读全帖 |
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f******w
发帖数: 10267 | 27 版上至今好像还没有眼科大夫，bless一下吧。 |
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h*****3
发帖数: 91 | 28 非常感谢您的回复。
的确发现得迟了。因为一只眼睛是好的，所以并没有感觉到孩子的视力有问题。
请求您谈谈我们应该怎么做才能最大程度的挽回孩子的视力？
现在孩子在国内。已经去过全国top2的医院，接受了手术和术后治疗。
谢谢了。感激不尽！！
between
lens
is
would
way |
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R*******t
发帖数: 367 | 29 Yes MRI in the first trimester is not encouraged at all. Rare exceptions
include equivocal ultrasound for ectopic pregnancy (usually cornual ectopic
pregnancy, which is harder to diagnose with U/S), or acute appendicitis
during the first trimester, etc.
Second and third trimester fetal MRI is not uncommonly done, which is
reserved for definitive diagnosis of fetal anomalies such as hydrocephalus,
congenital heart disease, kidney disease, etc, which is helpful for surgical
planning right after bi... 阅读全帖 |
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h***y
发帖数: 834 | 30 关于dilantin，刚去看了一下pfizer的网页：
Unusually high levels result from liver disease, congenital enzyme
deficiency, or drug interactions which result in metabolic interference. The
patient with large variations in phenytoin plasma levels, despite standard
doses, presents a difficult clinical problem. Serum level determinations in
such patients may be particularly helpful. As phenytoin is highly protein
bound, free phenytoin levels may be altered in patients whose protein
binding characteristics differ fr... 阅读全帖 |
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h*******r
发帖数: 182 | 31 版大你消消气.大人有大量.
我无名小辈来这里就是想学习前辈看病治病, 今天看到一Adult congenital cardiac
defect, lmh 前辈有不同意见, 让我们好好学习,天天向上.版大虚心求一link, lmh 何
必吝啬? 双方不冷静, 岂不被他人侧目?
请教lz 和前辈, ASD 导致肺动脉高压,右心房室增大,在出现房颤,房扑及心衰前, 有什
么症状? 是容易肺部感染吗? No symptom, no treatment? |
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t******n
发帖数: 93 | 32 朋友写了篇论文，想找人帮忙在语言方面做一下修改和润色。可以将修改的人挂在作者
之列（可能是第4或第5）。论文题目为
Tiny congenital renal arteriovenous malformation :diagnosis and evaluation
role of 64-MSCTA
如果是学相关领域愿意帮助的，请站内联系。谢谢。 |
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A*******s
发帖数: 9638 | 33 Muscular dystrophy at least includes the following:
Duchenne muscular dystrophy; Becker's muscular dystrophy; Emery-Dreifuss
muscular dystrophy; Limb-girdle muscular dystrophy; Amyotrophic lateral
sclerosis and Congenital muscular dystrophy
There is no effective treatment so far. |
|
L******i
发帖数: 124 | 34 That's sad! Have they checked ERG (Electroretinography)? Sounds like Leber'
s Congenital Amaurosis. Fundus exam at birth is usually normal. A subset of
those patients could have combined hearing loss and other central nervous
system abnormalities. Genetic testing/consoling might
be necessary. |
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A*******s
发帖数: 9638 | 35 首先声明我不是儿科专家，我的看法仅供参考：
Per wiki, Shwachman–Diamond syndrome (SDS) is a rare congenital disorder
characterized by exocrine pancreatic insufficiency, bone marrow dysfunction,
skeletal abnormalities, and short stature.
既然基因检查证实是SDS，就是你说的SBDS，我是相信这个结果的，因为这个就是科学
证据， 在没有其他科学证据与它相悖的情况下就得买这个帐。
至于国内医生说有不相符的地方，他们应该了解，syndrome的意思是综合征，也就是一
系列症状的综合，不是一个特定的病， 所以符合一些症状就可以诊断了。 我从来不把
综合症当会事，但如果有了基因检测这个实实在在的证据，这个综合征就是科学产品了。
所以我建议孩子父母在要第二个孩子前做一下genetic consultation。 |
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x********0
发帖数: 190 | 36 1. There is slight reversal of lordosis at the L1-L2 level and possibly
some very subtle dextroscoliotic curvature of the lumbar spine. Correlation
with plain film scoliotic series may be helpful as clinically indicated.
2. There is borderline congenital narrowing of the central canal along
the course of the mid to distal lumbar spine, however with no significant
central stenosis at any level .
3. At L5-S1 there is mild posterior annular disc bulging/diffuse endplate
spurring with slig... 阅读全帖 |
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f**********n
发帖数: 246 | 37 Even though you have got the shots,and the risk of having fetal congenital
malformation is usually between gestational 8-20 weeks. If I were you, I
would still not take this risk. Like I said I would postpone the flight to
at least 3 weeks later. |
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A*******s
发帖数: 9638 | 38 Not an ophthalmologist. It sounds like congenital cranial fourth nerve palsy
. So surgery is an option. See a
strabismologist.
3 |
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A*******s
发帖数: 9638 | 39 The nystagmus may have little to do with CN 4 palsy. I guess it could be
2nd to congenital cerebellar defect. |
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