p********f
发帖数: 5148 | 1 你家饕很有可能是因为stress才病的。下面是从catinfo.org拷贝过来的。
Diet is not the only issue involved with cystitis but it is an important one
and one that we can control. Stress is also thought to play a very
significant role in cystitis and even cats that are fed a 100 percent canned
food diet may experience bouts of cystitis. This is a very frustrating
disease to deal with and one that the veterinary community does not have all
the answers for. What we do know is that decreasing stress and increasing
the water co |
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f****i
发帖数: 129 | 2 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 |
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c*****l
发帖数: 61 | 3 zhuantie
很多非专业人士可能认为：膀胱不能排尿，可能不是一个大不了的问题（或者疾病）。
其实膀胱这是一个很常见，并且很费钱，很痛苦的疾病。这是因为排尿是一个复杂的反
射过程。一般的排尿障碍主要是脊髓损伤导致。但是脊髓损伤确非常常见(neurogenic
bladder)。胚胎／先天发育异常(spina bifida脊柱裂），脊髓创伤（比如车祸、战争
中的枪伤或者爆炸伤、事故（比如跳楼、攀岩掉落）、暴力事件（刀具等的损伤）、医
疗相关（腹部手术，这种情况排尿困难只是暂时的），脊髓肿瘤，脊髓结核病等等。著
名人物有脊髓创伤的有：汪精卫，演“超人”的演员。
膀胱(urinary bladder, which is different gall bladder)是一个很容易出问题的器
官（neurogenic bladder, infection/UTI, 先天发育异常，膀胱结石，膀胱结核，膀
胱癌，维生素A缺乏会导致膀胱问题，糖尿病也会影响膀胱，在非洲和中东还有膀胱的
寄生虫疾病），但是确实是一个被忽视的器官。很多Biomedical科学家clone了一个新
基因（gene)，他们中... 阅读全帖 |
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M*****e
发帖数: 279 | 4 我在Biology版说过和LZ类似的话（http://www.mitbbs.com/article0/Biology/31414639_0.html），也遭到围攻，但是视而不见Journal of Urology的Editor也说过同样的话。
The editor (Eric A. Kurzrock) said,"... I congratulate the authors for taking
on this challenge. I hope this study leads to a ribirth or refocus
regarding neurosurgical treatments of neuropathic bowel and bladder. I
strongly agree with the authors that this procedure should remain on a
research protocol only."
The above is what the editor's comment about a paper published rec... 阅读全帖 |
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N****a
发帖数: 513 | 5 补充一下：
Adenoviruses are a group of viruses that can infect the membranes (tissue
linings) of the respiratory tract, eyes, intestines, and urinary tract. They
account for about 10% of acute respiratory infections in kids and are a
frequent cause of diarrhea.
Adenoviral infections affect babies and young children much more often than
adults. Childcare centers and schools sometimes have multiple cases of
respiratory infections and diarrhea caused by adenovirus.
Adenoviral infections can occur at any... 阅读全帖 |
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e****0
发帖数: 678 | 6 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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c*******7
发帖数: 3763 | 7 这个American Academy of Environmental Medicine还真的不是被学术界正式
accredited的组织。
你自己看看这个链接吧：
http://www.sciencebasedmedicine.org/?p=2564
Environmental Medicine – Not Your Average Specialty
I recently received an announcement for a conference on “Inflammation and
Autoimmunity.” The topic sounded interesting, but as I read further I saw
some red flags:
A gathering of healthcare leaders with a shared vision.
This event focuses on the the [sic] true causes and effects of inflammatory
and autoimmune diseases, ... 阅读全帖 |
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r*******g
发帖数: 5495 | 8 Selected Differential Diagnosis of Abdominal Pain
Pain location Possible diagnoses
Right upper quadrant Biliary: cholecystitis, cholelithiasis, cholangitis
Colonic: colitis, diverticulitis
Hepatic: abscess, hepatitis, mass
Pulmonary: pneumonia, embolus
Renal: nephrolithiasis, pyelonephritis
... 阅读全帖 |
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g***r
发帖数: 285 | 9
加,
maybe interstitial cystitis? |
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t*********e
发帖数: 1136 | 10 强身。
悉尼大学科学家Anthony Santella发文承认自撸强身。男防前列腺癌。女防尿道炎宫颈
炎。预防膀胱炎，糖尿病。增强免疫力。降血压，减少忧郁，增强自信。
http://www.dailymail.co.uk/health/article-2518802/Masturbation-
Anthony Santella, a public health scientist at the University of Sydney and
his colleague Spring Chenoa Cooper, a senior lecturer, say self-pleasuring
can ward off a host of illnesses, from cystitis, diabetes to prostate cancer.
They say that 94 per cent of men admit to masturbating, as do 85 per cent of
women - and that it's something even babies d... 阅读全帖 |
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z***i
发帖数: 8285 | 11 小撸怡情，大撸强身？
强身。
悉尼大学科学家Anthony Santella发文承认自撸强身。男防前列腺癌。女防尿道炎宫颈
炎。预防膀胱炎，糖尿病。增强免疫力。降血压，减少忧郁，增强自信。
http://www.dailymail.co.uk/health/article-2518802/Masturbation-
Anthony Santella, a public health scientist at the University of Sydney and
his colleague Spring Chenoa Cooper, a senior lecturer, say self-pleasuring
can ward off a host of illnesses, from cystitis, diabetes to prostate cancer.
They say that 94 per cent of men admit to masturbating, as do 85 per cent of
women - and that it's something ev... 阅读全帖 |
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z*****e
发帖数: 14786 | 12 我打算以后再收到max's house关于猫的医药方面的信息就都贴到版上，只要大家不嫌
烦的话。。
What is lower urinary tract disease?
An overarching premise is that feline idiopathic cystitis (FIC) is not just
a bladder disorder but involves complex interactions of the two main arms of
the body's stress response system:
1. The sympathetic nervous system
2. The endocrine system
The sympathetic nervous system acts through release of stress hormones such
as norepinephrine and epinephrine, whereas the adrenal glands (organs in the
endocrin |
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t******g
发帖数: 17520 | 13 update:
urine culture 出来了， 没有细菌，Vet说他的初期诊断是正确的， idiopathic
cystitis, TMD 尽然说要二瞄一辈子吃 royal Canin的 那种猫粮啊！！！！我问有没
有 alternative的方法， 丫 说没有。。。然后说， 不吃的话再犯， 严重的话会把小
鸡鸡割掉的。。。@@
有人有同样状况的吗， 说说吧
谢谢， 包子发完了， 抱拳谢谢 |
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s*****d
发帖数: 2451 | 14 家里老大患有Feline Idiopathic Cystitis的猫主人（猫奴的委婉说法）来顶一下。。。
多贴切啊。 |
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f****o
发帖数: 2770 | 15 我的猫一岁，昨天一样的情况，但是还是有尿的，几滴，经常去厕所蹲着，还蹲特别长
时间。
看了急诊，说是feline idiopathic cystitis。给了buprenorphine止痛和prazosin舒
张尿道。
不知道会不会好
今天去买parsley去 |
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p****n
发帖数: 9263 | 16 Adverse ReactionsBased upon normal doses for either indication or route. (
Adverse effects such as flushing, diarrhea, myalgia, and visual disturbances
may be increased with doses >100 mg/24 hours.)
>10%:
Central nervous system: Headache (16% to 46%)
Gastrointestinal: Dyspepsia (7% to 17%; dose related)
2% to 10%:
Cardiovascular: Flushing (10%)
Central nervous system: Insomnia (≤7%), pyrexia (6%), dizziness (2%)
Dermatologic: Erythema (6%), rash (2%)
Gastrointestinal: Diarrhea (3% to 9%), gastri... 阅读全帖 |
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s***i
发帖数: 32 | 17 chihpengc, thank you and I will ask ppl in pathology for 3-3-8
1-1- 4. A 21-year-old African American college student has had increasing
fatigue over the past 3 weeks. Since an episode of cystitis treated with
trimethoprim-sulfamethoxazole 3 weeks ago, he has been unable to keep up
with his physical education classes. For 6 months, he has been following a
vegetarian diet that has been supervised by student health services.
Examination shows no abnormalities. His hemoglobin level is 10 g/dL, mean |
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u**6
发帖数: 8 | 18 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 |
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u**6
发帖数: 8 | 19 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 |
|
S******9
发帖数: 2837 | 20 4. A 21-year-old African American college student has had increasing fatigue
over the past 3 weeks. Since an episode of cystitis treated with
trimethoprim-sulfamethoxazole 3 weeks ago, he has been unable to keep up
with his physical education classes. For 6 months, he has been following a
vegetarian diet that has been supervised by student health services.
Examination shows no abnormalities. His hemoglobin level is 10 g/dL, mean
corpuscular volume is 85 μm3, and reticulocyte count is 15%. Which ... 阅读全帖 |
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z**********o
发帖数: 106 | 21 Can anyone give the correct answer for the following two questions? thanks!
Q25
a 45-year old man has four episodes of involuntary twitch of the right foot.
following the last episodes, he had a tonic-clonic seizure. Which of the
following structures on the left is the most likely origin of the seizure?
A. inferior frontal cortex
B. inferior temporal cortex
c. insular cortex
D. Primary motor cortex
E. Supplementary motor cortex
I think B is the correct answer. For partial seizures, most common... 阅读全帖 |
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S******1
发帖数: 44 | 22 今天得知了step3的成绩，210+，心里的石头终于落下。终于轮到我给USMLE说再见了。
回顾从step1自己闭门造车考了只带一个9的分数， step2开始参加小组学习，做了所有
能做的题只为拿个99，虽胸有成竹且考试感觉很好，最终但又得到一个9的分数。虽然
这次成绩不高，依然很高兴，毕竟不用发愁如果没过的话住院医开始后没有时间复习该
咋办。过去的3年中得到太多人的帮助 (此处略去人名20个)，绝大多数甚至从未谋面。
今天发贴也是为了回报我们这个社区吧。
自我介绍：毕业>15年，220+/220+/1st/210+；
复习时间：6月，头4个月每天约2-3小时，周末由于陪孩子们玩（前两年欠的太多，你
懂得）及做点家务（再不做但心被老婆炒掉），反而复习不了多少；最后2个月每天4小
时，鼓励自己考了这个2年内再不用受这个罪。
复习资料：随大流，MTB 3, UW CCS, UW step3 Qbank, UW step2 Qbank;
模拟：考前2月，NBME 1 190+, 考前1周，NBME 2 220+;
体会：难，考过不容易，考高分更难。主要是因为没有合适的复习资料。UW的1300... 阅读全帖 |
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r*****1
发帖数: 805 | 23 还有部分Abx总结，以前有经验贴分享USMLEforum的经典贴。但自己总结的东西容易记
住。希望给大家一点帮助。
P.S.: 顺着iamreallybad&斑竹思路，旁注中文为mnemonics.
Menigitis: G- use Ceftriaxone; bacilli use Gentamycin; DXM- in S. pneumonia
& unknown microb infection
G+ cocci: Vancomycin+Ceftriaxon
G+ bacilli (Listeria): Ampicillin + Gentamycin +
dexamethasone
G- cocci: Ceftriaxon
G- bacilli: Ceftriaxon+ Gentamycin
Fungus: Amphotericin+ Flucytosin IV-> Flucona... 阅读全帖 |
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z******8
发帖数: 844 | 24 ☆─────────────────────────────────────☆
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 |
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发帖数: 1 | 25 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 |
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a*****8
发帖数: 2115 | 26 第一个问题：What is the mic to cefazolin? Like fiorio said, beta-lactam PD
is time above MIC which means the longer time above MIC the better efficacy.
That being said, in general, if the target attainment is approximately 50%,
it will have a good efficacy. Based on the PK data, in average person, Cmax
after 250 or 500 mg dose is 9 and 15 respectively, and it will decline to 1
.6 and 3.4 mg/L after 3 hour of the dosing. Since I am not sure what bug it
is, and whether it is cystitis or uncomplicated UT... 阅读全帖 |
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l*****n
发帖数: 81 | 27 Cipro is a very good medicine for outpatient UTI and even Pyelonephritis.
From what you said, you may need to rule out vaginitis which occasionally
causes frequent urination, mimicking cystitis. You may consider see your OB
if you failed cipro. |
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