s******h
发帖数: 103 | 1 因为时间短，纽约学习班的重点是查体，问病史教的很简略，而SP是随机抽取case，老
师即兴讲。问题就是不一定能完全覆盖，而且笔记也不一定记完整。所以自己回来总结
口诀反复练习是很重要的。比如我总结的Fatigue的鉴别诊断：
Fatigue and weight loss (DAMN SHiT)
Diabetes mellitus
1. Do you have any change of urination?
2. Are you more thirsty? Increased snacking?
3. How about your appetite? Do you have any change of your body weight?
Diet?
Depression:
1. How is your mood?
2. Did you thought to hurt yourself? Do you have any plan?
3. Do you have family to support you? Do you have any friend... 阅读全帖 |
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B****r
发帖数: 1737 | 2 看了三次医生，没有任何进展。可能下周要收入院了。小地方没有儿童医院，也不知道
该不该换个别的医生。恳请大家帮着瞧瞧 （病人情况如下）。万分感谢。
5 yo female with persistent cough x 14 days and fever x 10 days. Fever runs
102-104 F, but does normalize when given motrin or tylenol. Symptom no
improvement after 4 days of Azithromycin. Began to have loose stool /watery
diarrhea for past 3-4 days. She had complained of abdominal pain (mostly
peri-umbilical) intermittently for the past 2-3 weeks. Has a history of
problems with constipation. Slightly decreased PO intake, ... 阅读全帖 |
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e****0
发帖数: 678 | 3 • leukemia
ALL AML CLL
child adult elderly
BM lymphoblasts 25%myeloblasts
lab Lymphocyte 5000, mature-appearing cells
• Osgood-schlatters disease
Adolescent male athletes
Traction apophysitis—quadriceps tendon put the traction on the
apophysis of the tibial tubercle where patellar tendon inserts.
A firm mass =heterotopic bone formation
Pain can be reproduced by extending the kne... 阅读全帖 |
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h*******y
发帖数: 1220 | 4 Sorry for hacking your thread. Those who have not taken CK may learn a point
or two:
From wiki
VIPoma：A VIPoma (also known as Verner Morrison syndrome, after the
physicians who first described it)[1] is a rare (1 per 10,000,000 per year)
endocrine tumor,[2] usually (about 90%) originating from non-β islet cell
of the pancreas, that produce vasoactive intestinal peptide (VIP). It may be
associated with multiple endocrine neoplasia type 1.
The massive amounts of VIP in turn cause profound and chro... 阅读全帖 |
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r*****1
发帖数: 805 | 5 My CCS protocol:
P.S.：多有重复，谨防遗漏，仅供参考。
Screening test: General—Lipid profile/ multi-vitamin; Elderly—DEXA scan&
Calcium& VitD/ Colonscopy or FOBT/ vaccination; F-- >18yo Pap smear; >50yo
Mammogram; reproductive age- folate; menopause- Lipid/DEXA/FOBT; M-- >50yo
PSA; sickle cell dz child-prophylaxis w penicillin till 5yo, CF-prophylaxis
w Abx
Prophylaxis: Pantoprazole, pneumatic compression stocking;
Acute abd w perforation: triple Abx- Gentamycin/ Ampicillin/
Metronidazole (口诀：阿扁举旗庆国庆)
E... 阅读全帖 |
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z******8
发帖数: 844 | 6 ☆─────────────────────────────────────☆
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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r*********n
发帖数: 130 | 7 自己当时整理了不少。。等有空了再整理出来分享。现在先分享下网上当时找到的一些
觉得不错的。
PANICS( taken from FA for step 1)
1.Panic, paresthesia
2.Abdominal disturbances, anxiety
3.Nausea
4.Intensive fear of dying
5.Chest pain, chills, chocking
6.Sweating, shacking, shortness of breath
Jaundice case.
JAUNDICE B
1.Journey overseas/Joint pain
2.Abdominal pain/appetite changes
3.Up temperature( fever)
4.Nausea/vomiting
5.Diarrhea/constipation
6.Itch(rash)/Immunizations
7.Color of urine and stool
8.Eating habits -weight changes
9.Blood transf... 阅读全帖 |
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l*******y
发帖数: 144 | 8 http://www.nextag.com/docusate-sodium-100mg/search-html
这个网页里的Dulcolax Stool Softener ，它的成分是Docusate Sodium USP 100 mg。
，其他的例如Colace Stool Softener ，成分是Docusate Sodium 100 mg。
请问这个Dulcolax和Colace是不是一个东西呢？这个Dulcolax的成分后面多了USP，是
什么意思？
医生给开了Dulcolax，整理药时发现自己以前还有Colace，要是一个东西的话，就不用
再买了。谢谢 |
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c********y
发帖数: 33 | 9 准备第一步evaluation exam总结的，都是参考别的书的，也不是很全面，所以如果有
错误请多包
涵，如下：
Methyldopa —— galatorrhea, SLE
Levodopa - taste disturbance
Procainamide - SLE, agranulocytosis,torsade de points
Captopril - agranulocytosis
ACEI - taste disturbance, dark stool
Cyclosporin - acute gout, gingival overgrowth
Phenytoin - SLE, gingival overgrowth
Thiazide - SLE, pulmonary edema, gout
Sulfasalazine - Pulmonary fibrosis, SLE
Chlopramazine - SLE, seizure, dry mouth
Verapamil - galactorrhea, bradycardia
PTU - agranulocytosis, S... 阅读全帖 |
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s********4
发帖数: 64 | 10 Chief Complaint: “I have blood in my stool, and nausea with coffee-ground
emesis.”
History of Present Illness: TH is a 55-year-old man with a past medical
history significant for liver cirrhosis secondary to alcoholic liver disease
and portal hypertension with multiple episodes of esophageal varices who
presented to the emergency room with a two week history of black tarry
stools 2-4 times per day sometimes mixed with bright blood. He also had some
nausea with intermittent vomiting for the same ... 阅读全帖 |
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l*****9
发帖数: 9501 | 11 腹泻发热前一天出现，一过性，当时没做stool test,来我们医院后的stool test正常
-: 另外,每天输丙球?他的抗体水平低? IgG 半衰期是21天,要天天输吗?还有保肝,有这说
法么?除了给点vitK,怎么保肝?
ferritin |
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l*****9
发帖数: 9501 | 12 腹泻在发热前一天出现，一过性，当时没做stool test,来我们医院后的stool test正常
没有关节肿胀疼痛，没有胸痛，皮肤黏膜没有皮疹、出血点、瘀斑，颈部有潮红，扁桃
体及咽后壁有深溃疡和假膜，颊黏膜等地方没有溃疡，生殖器也没有疱疹
患者提供的病史说他以前经常扁桃体化脓伴发热十几年，这是在基层医院的诊断，没有
血培养，一年发病3——6次， 打了抗生素或者自己服用抗生素后3天左右就可以完全好
转， 下面使用抗生素一般都不规范，患者说的既往史只能供参考，必需分析，为什么
会出现他所说的扁桃体化脓，抗生素有效说明存在细菌感染可能，但不能排除免疫缺陷。
发病前两天在德宏（恙虫疫区）住宾馆用浴巾后感觉臀部似乎被虫子咬了一口，当时感
觉很痒（恙虫一般不会痒），抓破后至今仍有一个干痂未愈合，所以恙虫感染并不排除
，外斐氏反应送疾控中心，结果要一周才出，现在肝功能一塌糊涂，不敢用四环素，氯
霉素等。只是单纯用恙虫病不好解释患者一开始就出现咽喉剧烈疼痛和大面积脓膜及溃
疡。
家族中没有遗传病史和特殊病史，没有免疫缺陷病史。
患者做开挖机工作，除了“扁桃体经常化脓”，平时“身体很好”。经常喝酒，... 阅读全帖 |
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B****r
发帖数: 1737 | 13 看了三次医生，没有任何进展。可能下周要收入院了。小地方没有儿童医院，也不知道
该不该换个别的医生。恳请大家帮着瞧瞧 （病人情况如下）。万分感谢。
5 yo female with persistent cough x 14 days and fever x 10 days. Fever runs
102-104 F, but does normalize when given motrin or tylenol. Symptom no
improvement after 4 days of Azithromycin. Began to have loose stool /watery
diarrhea for past 3-4 days. She had complained of abdominal pain (mostly
peri-umbilical) intermittently for the past 2-3 weeks. Has a history of
problems with constipation. Slightly decreased PO intake, ... 阅读全帖 |
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m******r
发帖数: 1904 | 14 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: Blazer (--), 信区: MedicalCareer
标 题: 求助：５岁小孩高烧１０天
发信站: BBS 未名空间站 (Sat Feb 2 23:01:40 2013, 美东)
看了三次医生，没有任何进展。可能下周要收入院了。小地方没有儿童医院，也不知道
该不该换个别的医生。恳请大家帮着瞧瞧 （病人情况如下）。万分感谢。
5 yo female with persistent cough x 14 days and fever x 10 days. Fever runs
102-104 F, but does normalize when given motrin or tylenol. Symptom no
improvement after 4 days of Azithromycin. Began to have loose stool /watery
diarrhea for past 3-4 days. She had complained of abdominal pain (mostly... 阅读全帖 |
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w*******y
发帖数: 60932 | 18 JC Penney
Drum Kit, Kids Metal Set With Stool
Sale $14.99
Original $39.99
On this Drum Kit your little rock star will turn up the beat on fun.
Drum Kit:
fully chrome-plated rims
1 stool, 1 cymbal, 1 foot pedal, 2 drum sticks, 3 different sized drums
ages 3 and up
21x12絰20quot;H
batteries not required
Link:
http://www.jcpenney.com/jcp/X6.aspx?catnum=FC655-8011B&action=E
I just bought these drum sets at 19.99 I called and they adjusted my payment
down. Great gift for lil ones, even better if they ... 阅读全帖 |
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E*********e
发帖数: 10297 | 19 那种可调的是高级琴凳
窝家的是死的
JK瘦小，脚下加一个STOOL才能不悬空，老师让加STOOL
昨天IAYA提醒了，我看了一下，上头也短呢，昨天给垫了一本我的CELL
， |
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b******r
发帖数: 3206 | 20 崇拜啊！
我回头把这诗说给九九听，小茜就是她的偶像叻。
可是这个“eat some stool", 我到底要不要讲呢？（实在太好笑了，还押韵，还make
sense，可是我敢保证，如果我跟丫头讲了最后这一句，那前面那些优点就都会被忽略
不计了，而且我每天都会不停听到这个吃屎的话滴。）
When he tried to count to two
He cried because he couldn't do
"Oh how come I am such a fool"!
A cow nearby said MOO
He told the cow
(以下部分请自行想象全大写加惊叹号！！！！）
EAT SOME STOOL！ |
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s**g
发帖数: 3271 | 21 可是我们家的娃基本上在家里才上大的
所以ring就很必要
我们的就是最普通的
ring+step stool+inner bowl
现在ring 和stool还都可以用 |
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S******Q
发帖数: 475 | 22 You may want to read it again?
At 1 year 7 patients (78%) had a reproducible increase in bladder pressure
with stimulation of the dermatome. Two patients were able to stop
catheterization and all safely stopped antimuscarinics. No patient achieved
complete urinary continence. The majority of subjects reported improved
bowel function. One patient was continent of stool at baseline and 4 were
continent at 1 year. Of the patients 89% had variable weakness of lower
extremity muscle group at 1 month.... 阅读全帖 |
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x*****9
发帖数: 48 | 23 TWO-YEAR OUTCOMES WITH LUMBAR TO SACRAL NERVE
REROUTING IN SPINA BIFIDA
Kevin Feber*, Damon Dyche, Benjamin Girdler, Cindy Turzewski,
Gary Trock, William Nantau, Evan Kass, Kenneth Peters, Royal
Oak, MI
INTRODUCTION AND OBJECTIVES: Restoring bladder and
bowel function in spina bifida by the creation of a skin-CNS-bladder
reflex arc via lumbar to sacral nerve rerouting has a reported success
rate of 87% in China. The purpose of this abstract is to report the 2 year
analysis of the first North Ame... 阅读全帖 |
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v*s
发帖数: 946 | 24 food, book, cook, look, soon, spoon, cool, tool, moon, saloon,fool,
noodle, balloon, troop, stool, zoo, good mood |
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c******n
发帖数: 5697 | 25 方呆子显然对医学一窍不通，没工作被逼上梁山靠打假赚饭吃，这次的确打错了人。这
种手术实验人数都不可能多，能有一点效果就很了不起了，这种数据在美国就可以申请
医疗保险付费了。 JofUrology也已经肯定手术是有效的：At 1 year 7 patients (78%
) had a reproducible increase in bladder pressure with stimulation of the
dermatome. Two patients were able to stop catheterization and all safely
stopped antimuscarinics. No patient achieved complete urinary continence.
The majority of subjects reported improved bowel function. One patient was
continent of stool at baseline and 4 were continent at 1 year. Of the |
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d*******o
发帖数: 56 | 26 I had similar bad experience 17 years ago when I was traveling with my
classmates on a train in Jiangsu province. It was already extremely crowded
on the train. Some workers still brought extra wooden stools onto the train
and sold those extra seats to people for 10 RMBs to make their own money. I
just murmured out "gangster". Some violent workers jumped over and gripped
my throat so tightly. It was the first time that I was so close to death.
Fortunately, my classmates helped me out. What a nig... 阅读全帖 |
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T*********s
发帖数: 39 | 27 can't be burn because in NICU babies are all lying on their backs to help
with breathings.
can't be pressure ulcers, the weight of babies couldn't be that much to
cause bed sores.
Possible reasons: first might be neglect and the baby was lying in her own
urine and stool for a prolonged period of time which could cause skin
breakdown.
second, skin infections caused by nosocomial source.
third, systematic allergic reaction caused by introducing antibiotics or
other cream or body lotions put on her... 阅读全帖 |
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B*G
发帖数: 13438 | 29 胡适到底多大学问啊，他儿子这名字起的可真一般，name after Dewey还偏要用中文，
胡stool... |
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u***r
发帖数: 4825 | 32 http://www.nytimes.com/2011/04/23/world/asia/23tombs.html?_r=1&
China Curbs Fancy Tombs That Irk Poor
Sim Chi Yin for The New York Times
A large and ostentatious tomb in the Chinese city of Chengdu includes three
split levels and two flights of stairs. More Photos »
By SHARON LaFRANIERE
Published: April 22, 2011
* Recommend
* Twitter
* comments (31)
* Sign In to E-Mail
* Print
* Single Page
*
Reprints
* ShareClose
o Linkedin
o Digg
... 阅读全帖 |
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g**********g
发帖数: 1145 | 33 当然。其实谁不明白这个事儿啊，yahoo上几乎就看不到支持希拉里的评论，全是一片
骂声。看看yahoo上这个非洲人的话：
Fed 11 hours ago
How about we Africans warn China not to lend more dollars to the US? Sounds
like a loser. Wake up ma'am. Capacity building and infrastructural
development done by the Chinese on the African continent within the past
five years surpass what western nations have been doing in Africa for the
past fifty years. Western nations have been weakening, demoralizing and
exploiting Africa. America; a typical exploitative country d... 阅读全帖 |
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c**i
发帖数: 6973 | 34 (1) We in Taiwan know little about China--maybe sadly. Hence I have no say.
However, I will recommend a comprehensive cover story.
泡汤城市: 地下不通，地上则痛。大雨浸泡的不仅是人民和车子，也报括城市的规划理
念。南都周刊, May 31, 2011
http://past.nbweekly.com/Print/776.shtml
, which is made up of four articles
(a) 都市水患 致命的约会: 李淑芬从清远赶来广州和男友相会，庆祝她的20岁生日。
然而，繁华都市的一场暴雨却夺去了她的生命。
(b) 广州“水战”: 一周三场罕见暴雨之后，所有广州人都在问同一个问题：在持续多
年耗费巨资的排水系统改造后，这座治水模本城市为什么还会一次次在暴雨面前沦陷？
(c) 青岛古力, 一百年前的远见: 战败的德国人给日本人，留下了一座号称“东方瑞士
”的现代化城市。其中，极具现代意识的城市下水管网，让100年后的青岛人依旧受益。
(... 阅读全帖 |
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g***j
发帖数: 40861 | 35 better
I want to see the third stool |
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Z**S
发帖数: 1211 | 36 Outcomes of Lumbar to Sacral Nerve Rerouting for Spina Bifida
The Journal of Urology. Volume 184, Issue 2 , Pages 702-708, August 2010
Purpose
Restoring bladder and bowel function in spina bifida by creation of a skin-
central nervous system-bladder reflex arc via lumbar to sacral nerve
rerouting has a reported success rate of 87% in China. We report 1-year
results of the first North American trial on nerve rerouting.
Materials and Methods
Nine subjects were enrolled in the study. Intradural lum... 阅读全帖 |
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S**********b
发帖数: 3142 | 37 http://digestive.niddk.nih.gov/ddiseases/pubs/viralgastroenteri
How is viral gastroenteritis transmitted?
Viral gastroenteritis is transmitted from person to person. Viruses are
present in the stool and vomit of people who are infected. Infected people
may contaminate surfaces, objects, food, and drinks with viruses, especially
if they do not wash their hands thoroughly after using the bathroom. When
an infected person with unwashed hands shakes hands with or touches another
person, the virus ca... 阅读全帖 |
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h******e
发帖数: 105 | 38 皮肤瘙痒作为肝炎的常见症状之一，网上一搜一大片，且是广泛性痒，真的说不出哪里
痒，主要是胆红素刺激皮肤导致的。
疥疮是寄生虫导致的皮肤病，被疥螨叮咬的地方出现明显的丘疹，很容易定位。
Hepatitis may start and get better quickly (acute hepatitis), or cause long-
term disease (chronic hepatitis). In some instances, it may lead to liver
damage, liver failure, or even liver cancer.
How severe hepatitis is depends on many factors, including the cause of the
liver damage and any illnesses you have. Hepatitis A, for example, is
usually short-term and does not lead to chronic liver problems.
Th... 阅读全帖 |
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m****n
发帖数: 886 | 39 好象希腊哪个船王的bar stool用料就是鲸鱼的包皮 |
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G**L
发帖数: 22804 | 40 你点开你这句wiki引文里的Tang dynasty,就有下边这一句
The Chinese also gradually adopted the foreign concept of stools and chairs
as seating, whereas the Chinese beforehand always sat on mats placed on the
floor.
你这人是无知还要不断出来现,还有更无知的给捧臭脚 |
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s*****r
发帖数: 11545 | 41 You think it is easy?
It requires lots of patience and talent of design. It is very hard to
measure and cut wood into joining pieces. Those who have propensity to
become carpenters can do many other things. Think about Einstein, he made
ugly stools.
I won't even trust some people at laying bricks.
Maybe falling trees is a good task. Or picking fruits, vegetables. |
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l********g
发帖数: 6760 | 42 【 以下文字转载自 Dreamer 讨论区 】
发信人: Dreamer (不要问我从哪里来), 信区: Dreamer
标 题: 奉劝外嫁的姐妹们不要肛交
发信站: BBS 未名空间站 (Thu Jul 25 22:11:30 2013, 美东)
看了sugarstar的经历真是深有同感
白男不知怎的都对后面有特别大的兴趣
我交往了两个都是这样
最开始的时候怎么也进不去，用了好多润滑液都没用。
后来他可能憋得不行了，就把我使劲压在身下，用大力一捅。
当时疼得我就哭了，比破处还疼。（做女生真是辛苦。）
可他却兽性大发，来回弄了几十次，射在里面才罢休。
我被一百八十磅的他压在身下根本无力反抗，疼得浑身发抖，直冒冷汗。
完了之后趴床上五分钟才敢起来，血都顺着腿往下流。
而且那里撕裂特别不容易好，头几天每次大便伤口都要裂开，
用纸一擦全都是血，特别可怕。然后吃了半个月的stool softener才慢慢痊愈。
再后来换了一个白男，他也想弄后面，特别受不了。
现在还是找了个中国人，比较温柔，也尊重我的意见和感受。
我觉得如果行的话，还是跟中国人谈吧。 |
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w********9
发帖数: 8613 | 43 这是Shorter Oxford American English Dictionary第五版列出的与德语或者日耳曼语
相关的英语词根或词汇。
-at, suffix2. + -dom, suffix. + -ed, suffix1. + -ed, suffix2. + -en, suffix1
+ -en, suffix2 + -en, suffix5 + -en, suffix6 + -er, suffix1. + -er, suffix3
. + -er, suffix5. + -est, suffix1. + -est, suffix2. + -et, suffix2. + -eth,
suffix1. + -hood, suffix. + -ing, suffix1. + -ing, suffix3. + -ish, suffix1.
+ -kin, suffix. + -le, suffix1 + -le, suffix3 + -less, suffix. + -ling,
suffix1. + -ling, suffix2 + -ly, suffix1. + -ly, s... 阅读全帖 |
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t***o
发帖数: 4265 | 44 Luo Gang: Abducted, then reunited
http://www.bbc.co.uk/news/magazine-24526210
In 1990, at the age of five, Luo Gang was kidnapped and sold to a family in
another part of China. Unable to remember his parents' names or the village
they lived in, he stood little chance of ever going home. But 23 years later
he did.
Luo Gang had waited a long time for this bowl of noodles.
"Is it tasty?" his mother asks. "Do you want some chilli sauce or something?"
"No, no. It's OK," he replies.
Luo had been a sma... 阅读全帖 |
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T*R
发帖数: 36302 | 45 心梗后医生ORDER STOOL SOFTENER是PROTOCOL。
美国这边一切都按标准程序走，这种危险就降低了。
至于7天不许下床那倒是没必要。 |
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g***j
发帖数: 40861 | 47 屎：
cowchip nounamericaninformal
a hard dried cowpie
cowpie nounamericaninformal
a round flat piece of solid waste from a cow
crap nounimpolite
solid waste that has left your body
doo-doo nouninformal
solid waste from the body. This word is used mainly by children or when
speaking to children.
droppings noun
the feces (=solid waste) of animals or birds
dung noun
waste from the body of a large animal such as an elephant or a cow
excrement nounformal
the solid waste that your body gets rid of
excre... 阅读全帖 |
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M*******n
发帖数: 10087 | 48 他要不就是强词夺理，胡搅蛮缠
要不就是脑子坏了，一点常识都没有。
你Google “dog eat poop”，第一个link点进去，连老外都承认：
Your Dog Was Born to Eat Poop!
Before dogs were domesticated they were scavengers, living off of whatever
they could find. Dogs commonly fed on the waste of other animals (and other
dogs) thousands of years ago. Poop eating may just be a remnant of dog
history.
In certain situations, as with a newborn litter of puppies, eating poop is
instinctual and completely normal. A mother with pups is wired to keep her
den clean so ... 阅读全帖 |
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d**z
发帖数: 3577 | 50
Gallstones
In addition to the prevention of kidney stones there is evidence that
magnesium can prevent gallstones. Our medical dictionary says that the
gallstone is a concretion formed in the bladder or the biliary ducts,
composed, in varying amounts, of cholesterol, bilirubin, and other elements
found in bile. The biliary ducts are in the liver. In this case also,
magnesium is a specific preventive factor in the formation of gall- or liver
stones. For one thing, in a previous chapter, we showe... 阅读全帖 |
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