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c**********k
发帖数: 4 | 3 请教几个问题：
1 A previously health 23-year-old woman, gravida 2, para 1, at 32 week's
gestation comes to the physician because of urinary urgency and pain with
urination for 3 days. Her pregnancy had been uncomplicated.Her temperature
is 37.C, pulse 78, BP 110/68. Examinations show a uterus consistent in size
with a 32-week gestation. There is mild suprapubic tenderness but no
costovertebral angle tenderness on palpation. Urinalysis show numerous WBCs
and RBCs and 3+ bacteria. The patient is at great |
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n*******c
发帖数: 501 | 4 1) 24 yo male w/ type I DM was sent by EMS for AMS. EKG showed V-tech. What
is the first thing I let nurse do?
check blood glucose? could be hypoglycemia, prepare to shock him at the same
time.
2) 70 yo male in ER with AMS. BMP showed Ca 18.5.
rehydration and lasix, consider dialysis
3) 75 yo female sent by PMD w/ BUN/Cr 250/18.
ECG,check if widened QRS,ABG,BMP for k.
4) 34 yo HM w/ new onset DM w/ Glucose 2500.
urinalysis for ketone, rehydration and insulin drip
5) 38 yo AA male w/ DM,depressio |
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f******y
发帖数: 73 | 5 39. A 63-year-old man is brought to the emergency
department 3 hours after the acute onset of severe right-sided flank
pain. He has a 9-year history of gout. His blood pressure is 110/84
mm Hg, pulse is 78/min, and respirations are 16/min. Examination
shows normal bowel sounds and no abdominal tenderness or masses. Urinalysis
shows 40 erythrocytes/hpf. Intravenous pyelography confirms a
right ureteral calculus. Which of the following is the most likely
underlying mechanism of this patient's urol |
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h**i
发帖数: 148 | 6 not sure, I choose A
chronic gout--need increase pH to lower the risk of uric acid stone, while i
ncrease the risk of calcium stone.
ureteral calculus -- calcium oxalate
Urinalysis |
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x*s
发帖数: 236 | 7 最近刚做了体检，有些异常，请帮我看看：
Urinalysis
(1) BLOOD ---- Small (1+)* ------- Reference Range: Negative
(2) Squamous Epithelial Cells ------ 6-10 H ----- Reference Range:
(2) RBC ------ 4-10 H ------ Reference Range:
医生给我的诊断是少量血尿，一个月后复查。请问严重吗？
这个血尿应该是镜下的，因为我肉眼没看出来。另外，我今年春节回国的时候，无意中
吃了不新鲜的食物，曾经引起连续5天的高烧，39.5度以上，在医院化验“潜血+++”，
但当时医生也没说什么，我也就没在意，回来也没有复查。不知道这两者有没有什么关
联？
谢谢。 |
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t**m
发帖数: 60 | 8 今天收到医院的账单，单词都看不懂，版上的大牛帮忙看看，翻译一下
这里面包括救护车的钱吗？
还是救护车的钱另外寄一个账单？
Pepcid 20mg permix 20mg/50mL
ED-level 4
IV Solutions
CS, Catheter, IV
CS, Heparin Lock
CS, Gauze, Adaptic
ED-Procedure 1
Autom Urinalysis WO micro
HCG, QUAL
Compl CBC W PLT W Autom Diff
Basic Metabolic Panel
Hepatic Function Panel
Amylase
Lipase
Ondansetron 4mg
这些都是啥意思啊？ |
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s*******w
发帖数: 1879 | 9 Pepcid 20mg permix 20mg/50mL 药
ED-level 4 挂号
IV Solutions 输液
CS, Catheter, IV 输液管的一部分
CS, Heparin Lock 输液管的一部分
CS, Gauze, Adaptic 输液管的一部分
ED-Procedure 1
Autom Urinalysis WO micro 尿检
HCG, QUAL 孕检
Compl CBC W PLT W Autom Diff 血常规
Basic Metabolic Panel 血常规生化指标
Hepatic Function Panel 肝功能
Amylase 淀粉酶
Lipase 脂肪酶
Ondansetron 4mg 药
google吧，google都有 |
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p******9
发帖数: 114 | 10 1. A 5-year-old boy is brought to the physician 1 hour after urinating
bright red blood. He has been taking ibuprofen since injuring his right
flank while wrestling with friends yesterday; he also has been taking
penicillin for 3 days for streptococcal pharyngitis. His temperature is 36.7
C (98 F), blood pressure is 90/48mm Hg, pulse is 108/min, and respirations
are 18/min. Examination shows purple ecchymoses over the shins and right
flank; there is tenderness of the right costovertebral area. T... 阅读全帖 |
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L********a
发帖数: 576 | 11 A 42 year old man is admitted to the local hospital with a diagnosis of deep
vein thrombosis. On physical exam, he has bilateral pitting edema of the
lower extremities. On standard chemistry testing, his albumin is 2.5g/dl.
During further interview, the patient states that this past year he noticed
he had more "cold" than usual. A 24 hour urinalysis shows 4 g of protein
with no hematuria or red blood cells. If a renal biopsy is performed, which
of the following findings would be expected?
A) Nor... 阅读全帖 |
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a****9
发帖数: 773 | 12 A 28-year-old white woman returns to the office for follow-up of
hypertension. She says, "My blood pressure keeps getting
worse, no matter what I do." Her hypertension had been controlled with a
diuretic and a β-blocking medication for 4 years,
but her blood pressure has steadily increased in the past 8 months despite
taking maximum doses of the medications. She
insists she takes her medications as directed. Family history is negative
for hypertension. She does not smoke cigarettes.
Height is 16... 阅读全帖 |
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l********y
发帖数: 2295 | 13 【 以下文字转载自 Pre_Resident_Club 俱乐部 】
发信人: lovelypony (pony), 信区: Pre_Resident_Club
标 题: case presentation 学习笔记
发信站: BBS 未名空间站 (Tue Feb 22 20:03:05 2011, 美东)
昨天第一次参加了由现任斑竹chipmunk和元老knockingdown主持的case presentation
，觉得收获很大，后面慢慢的把自己的学习笔记贴出来，后面的同学看了可以少犯些我
们犯过的低级错误，这样前辈们也可以省些力气。前辈们牺牲自己宝贵的私人时间，聆听我们支离破碎，毫无章法的presentation ，耐心细致的指出错误，提出建议，pony真的觉得没有更好的语言来表达自己的感激之情。就希望能抛砖引玉，大家能互帮互助，提高我们CMG的整体水平，这样前辈们的心思也算没有白花，希望大家都能来补充和指出错误，多谢了！
要present一个case，结构一定要完整。
1. CC: 第一句话永远是chief complaint，怎么样用一句话简明扼要的把CC说好了，还是要花大... 阅读全帖 |
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d**u
发帖数: 278 | 14 A 70-year-old man comes to the physician because of a 2-year history of
urinary hesitancy and frequency. He states that he wakes two to three times
a night to void, and that during the past year he has had intermittent pain
with urination. Physical exam shows no abnormalities. Results of a
urinalysis are within the reference range. Ultrasonography of the abdomen
shows bilateral dilation of the renal collecting system. Which of the
following is the most likely diagnosis?
A) Adenocarcinoma of the ... 阅读全帖 |
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S*****4
发帖数: 153 | 15 【 以下文字转载自 Pre_Resident_Club 俱乐部 】
发信人: Sahara4 (ninimomo), 信区: Pre_Resident_Club
标 题: CK NBME form 2 block 3 Q2
发信站: BBS 未名空间站 (Tue May 31 15:24:20 2011, 美东)
A or C? CK super cow, would you please help for some expaination?
A 15-year-old girl is brought to the physician 3 months after she had a
blood pressure of 150/95 mm Hg at a routine examination prior to
participation in school sports. She is asymptomatic
and has no history of serious illness. Twelve months ago, she was
diagnosed with a uri... 阅读全帖 |
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T****t
发帖数: 616 | 16 UA: Urinalysis
ECG: Electrocardiogram
CBC: Complete Blood Count
LFT: Liver Function Tests
CXR: Chect X-ray
U/S abdomen: Ultrasound abdomen(liver, gallbladder, spleen, pancreas,
kidneys) |
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L********r
发帖数: 37 | 17 2. A 15-year-old girl is brought to the physician 3 months after she
had a blood pressure of 150/95 mm Hg at a routine examination prior to
participation in school sports. She is asymptomatic and has no history
of serious illness. Twelve months ago, she was diagnosed with a urinary
tract infection and treated with oral trimethoprim-sulfamethoxazole.
She currently takes no medications. Subsequent blood pressure measurements
on three separate occasions since the last visit have been: 155/94 mm Hg,... 阅读全帖 |
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z**********o
发帖数: 106 | 18 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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m******r
发帖数: 1904 | 19 1.没用过。不懂。
2.Common abbreviations for SP note
BP Blood pressure
P pulse
R respiatory rate
T temperature
yo year-old
m male
f female
b black
w white
L left
R right
hx history
h/o history of
c/o complaining of
NL normal limits
WNL within normal limits
Ø without or no
+ positive
- negative
Abd abdomen
AIDS acquired immune deficiency... 阅读全帖 |
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l******g
发帖数: 278 | 20 NBME form 4
1. A 22-year-old woman with asthma comes to the physician for a follow-up
examination. She feels well. She has been treated for six acute episodes of
wheezing and nonproductive cough during the past year; her last episode was
1 month ago. Her symptoms are exacerbated when she is outside during the
spring and fall. Current medications include an albuterol inhaler and
echinacea. She has smoked one-half pack of cigarettes daily for 5 years and
does not drink alcohol. She is employed in ... 阅读全帖 |
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J**b
发帖数: 182 | 21 10.A 40yo WM patient presents with severe pain to his back that started
earlier today. He is pacing restlessly in the exam room, clutching his flank
and groaning. Urinalysis shows red blood cells and crystals. He reports
that his pain has moved, over the last few hours, and now involves his
abdomen on the right side.
His pulse and his blood pressure are elevated and he has a low grade fever.
Before you jump to conclusions, you should eliminate other serious
conditions as followings:
A. C... 阅读全帖 |
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m******r
发帖数: 1904 | 22 ☆─────────────────────────────────────☆
oldclock (oldclock) 于 (Wed Apr 18 10:59:11 2012, 美东) 提到:
1。step2 CS的UW video要单买还是在CS的UW题库里都包括了？
2。patient note可以写ABBREVIATIONS吗？除了FA上的ABBREVIATIONS，还有其他哪些
地方的ABBREVIATIONS可以用呢？
3。此外，看到麦地里有提到过patient note用子弹体方式书写，什莫是子弹体啊？哪
里可以找到范文呢？ 给扫扫盲吧。
多谢各位了！
☆─────────────────────────────────────☆
medwater (小麦) 于 (Wed Apr 18 11:08:03 2012, 美东) 提到:
1.没用过。不懂。
2.Common abbreviations for SP note
BP Blood pressure
P pulse
R respiatory rat... 阅读全帖 |
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d*********n
发帖数: 18 | 23 Confusion case: O CFDP P ADL, IADL, TIA/stroke, depression, DM, thyroid,
normal pressure hydrocephalus, PAMHUGSFOSS
insulin induced hypoglycemia
Electrolyte abnormalities
Vitamin B12 deficiency
Medications
TIA
Multi-infarct dementia
Chronic subdural hematoma
Alzheimer’s dementia
Normal pressure hydrocephalus
Intracranial tumor
Neurosyphilis
Depression
Hypyothyriodism
DDx Confusion
DEMENTIA
D-Diabetes /Dementia/ Drugs
E-Epilepsy
M-Migraine/Mult Infarct Dementia
E-Ethanol (withdrawl / Toxicity)
N... 阅读全帖 |
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j*****o
发帖数: 137 | 24 One more:
34. A healthy 27-year-old woman comes for a routine health maintenance
examination. Her blood pressure is 185/90 mm Hg. Examination shows no other
abnormalities except for hypertensive retinopathy. Serum studies show a
sodium level of 140 mEq/L, potassium
level of 4 mEq/L, and creatinine level of 1.1 mg/dL. A complete blood count,
serum
catecholamine levels, and urinalysis are within normal limits. At two
subsequent visits, her blood pressure is 190/100 mm Hg and 182/96 mm Hg,
respecti... 阅读全帖 |
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t******a
发帖数: 408 | 25 1. where do these questions come from? can you please tell us the source? I
am really curious.
2. I will choose D.
pt is a young healthy F, has HTN.
Suspect secondary HTN.
Because (1)"healthy" pt = Board's code word for ASX(asymptomatic) and (2)
urinalysis are within normal limits ---> unlikely to be
glomerulonephritis (nephritic synd.)
Then suspect: RAS --- renal artery stenosis
In Young female: ---> consider fibromuscular dysplasia
Old male: ---> consider atherosclerosis
[This is a very... 阅读全帖 |
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s******1
发帖数: 184 | 26 尿检很便宜的。你带你妈妈去看Urgent Care, 收费比较便宜。事实上你自己可以买试
纸来自己测。试纸可以测出，是否有尿路感染，尿中是否有血，蛋白 等等。给你一个
买试纸便宜的网站。http://saveontests.com/ 买一桶Urinalysis， 大概13刀，可以用很多次。 |
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i******b
发帖数: 1780 | 27 MT is certificate for Medical laboratory scientist. To qualify to sit for
the licence exam, you need to graduate from a certified clinical labotory
science program and have at least a bachelor degree in natural science.
Medical laboratory science program is totally different from nursing program
. For example, the core courses are clinical chemistry and urinalysis,
hematology,blood bank,diagnositic microbiology.It belongs to pathology
department. The course is very thorough.For example,microbiol |
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i******b
发帖数: 1780 | 28 Sometimes you do. But it depends. Clinical lab science(basically it is
pathology) is a broad area. There are different areas as hematology, blood
bank,cytology, chemistry, immunology, microbiology. If you work in blood
bank, cytology,hematology, there are no urine and feces. In chemistry part,
if you only work in urinalysis, you work with urine all day. Otherwise,you
dont. |
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r*****2
发帖数: 309 | 29 Boy or girl? First UTI or recurrent?
Per AAP guideline "Urinalysis cannot substitute for urine culture to document the presence of UTI but needs to be used in conjunction with culture."
Gold standard is urine catherization.
New UTI guideline is that if this is this child's first episode of UTI and
renal US is negative, VCUG is not necessory. However I just has a similar case on
the floor: 1 mo M with 1st episode of UTI. Discuss the case with PMD. Per
PMD, she discussed the new guideline with uro... 阅读全帖 |
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b******a
发帖数: 704 | 32 Case 12-2013 — An 18-Year-Old Woman with Pulmonary Infiltrates and
Respiratory Failure
N Engl J Med 2013; 368:1537-1545
Presentation of Case
Dr. James Sawalla Guseh (Medicine): An 18-year-old woman was admitted to
this hospital because of pulmonary infiltrates and respiratory failure.
The patient had been well until 3 weeks before admission, when fever and a
cough productive of white, nonbloody sputum developed. During the next week,
night sweats, extremely painful pharyngitis, pleuritic chest ... 阅读全帖 |
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B******f
发帖数: 2489 | 33 见到这个case很久了，一直想post上来分享，觉得A＋＋和小粉可能会喜欢，嘿嘿
20+ yo F
HPI: multiple episodes of altered mental status (AMS), shortness of breath,
slowed speech since 8 months ago. An episode can last days, and she returns
to base line function between episodes. During the periods of AMS, patient
was unable to care for herself, and the mother had to dress and feed her.
PMH: she had multiple hospital admissions to outside Hospital for similar
complaint, however, work up has been negative
Head CT: Normal
Brain MRI: No... 阅读全帖 |
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