m*******1
发帖数: 229 | 1 I recently found out the Goljan audio said the alpha/belta thalassemia have
nothing about the iron.
So I think the iron, TIBC, %saturation, ferritin should be normal.
But later Goljan said the alpha/belta thalassemia have normal iron, High
TIBC, high %saturation, high ferritin.
This really makes me feel confusing.
Can anybody explain it, please?
thanks! |
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e****0
发帖数: 678 | 2 翻翻我的箱子底， 找到我自己临考前的单子。
•Pregnancy
CBC/BMP
Blood type and Rh
Atypical antibodies/rubella AB
UAUCX
HIV/RPR/HBSag
Chlamydia/pap smear
•All disease
Diet
Exercise
Consult/counseling/consent/vaccine/screening/monitoring
PT/OT
•Acute R distress
Oxygen
ABG
Chest X ray
Pulse oximetry q 1hour
•COPD/asthma PEFR+Elevated head of bed
•All arthritis
Synovial fluid
•All office cases
CBC/BMP, PT/PTT, UA/UCX, FOBT, LIPD/LFT, ESR/TSH, EKG/Glucometer/CXR
•Surgery
NPO/bedres... 阅读全帖 |
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r*****1
发帖数: 805 | 3 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 | 4 ☆─────────────────────────────────────☆
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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y***d
发帖数: 33 | 5 OK, labs:
I was hoping that people would ask for more stool studies, but maybe people
just assume that since she's had extensive work up, all the stool data would
be available. Anyway, here are the labs from this hospitalization and from
before. If a lab is not listed, then it wasn't done. The stool studies were
mostly done on a low residue, lactose free diet.
Several people asked for LE dopper and echo. We didn't do them bacause based
on her H&P along with labs, the patient's anasarca is more c... 阅读全帖 |
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r*******n
发帖数: 51 | 6 Thanks for the suggestions and I do appreciate them!
A++: Is there any alternatives other than liver biopsy to confirm the
disease?
Icetea: My TIBC is actually low. I am a guy. My family doctor said my
weight is just below the upper bound of the normal range and need to control
weight from now on.
I talked to my family doctor and she said it would be possiblely related to
AIN or RA. But she would let liver specialist to do further investiagtion.
Are there any further tests to confirm that?
Many... 阅读全帖 |
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