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全部话题 - 话题: vaginally
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j******y
发帖数: 859
1
来自主题: NextGeneration版 - 内检是不是vaginal sonogram?
请姐妹们指教,内检是不是就是vaginal sonogram?还是包括更多内容?
下周一36周,要做vaginal sonogram,是不是就可以知道baby的size和位置了?
l***o
发帖数: 578
2
来自主题: Medicalpractice版 - vaginal bleeding after sex
For pt 1, you almost did everything.
The differentiation diagnosis list including but not limited to:
1. cervical poly;
2. cervical ectropian;
3. cervcial dysplasia or cancer;
4. cervititis;
5. vaginal injury/vaginitis;
6. IUD dislocation.
If you still don't have any clue, you should refer her to Gyn. It doesn't
matter how many order you requested, the key point is how much you can
recognize the lesion.
Good luck.

.
R*********i
发帖数: 7643
3
来自主题: NextGeneration版 - 内检是不是vaginal sonogram?
你确定孕36周要做vaginal sonogram?应该是腹超啊。
h****o
发帖数: 163
4
91yo, female, pancreatic cancer,hospice care,uti, and ABT now. VSS. 请问各位
大医师为什么会有dark vaginal discharge?
多谢。
s******n
发帖数: 132
5
来自主题: Medicalpractice版 - vaginal bleeding after sex
虚心请教各位大师
1. I saw a young healthy female patient who has vaginal bleeding after sex.
Physical was normal. I did PAP smear, cervix culture, and pelvic exam, and
order Pelvic ultrasound. What else needed to be done?
2。 One kid has facial cellulitis, I gave him Augmentin. Do I need to give
him clinidamycin to cover MRSA?
Thanks
i*******6
发帖数: 234
6
来自主题: NextGeneration版 - ZZ: Mom defies doctor, has baby her way
(CNN) -- On Thursday, December 2, as Aneka sat at home nine months pregnant,
the phone rang.
It was her obstetrician wanting to know where the heck she was. Did Aneka
forget that today was the day for her cesarean section? How could she have
forgotten?
No, Aneka hadn't forgotten. She hadn't shown up intentionally.
"She told me, 'You're being irresponsible. Your baby could die. You could
die,'" Aneka recalls. Then the doctor hung up.
Aneka (she doesn't want her last name used) had already resolve... 阅读全帖
s*********e
发帖数: 6149
7
来自主题: NextGeneration版 - 英文临产常识
我是个懒妈,觉得下面的临产常识基本够用了。分享下。
========== Call your caregiver if:
you notice excessive or sudden swelling of your feet or ankles, more than
slight swelling of your hands, any swelling in your face or puffiness around
your eyes, or have a sudden weight gain. Also let her know immediately if
have severe or persistent headaches; visual changes (such as double or
blurred vision, seeing spots or flashing lights, light sensitivity, or a
temporary loss of vision), intense upper abdominal pain or tenderness,... 阅读全帖
e****0
发帖数: 678
8
来自主题: MedicalCareer版 - [我的CK笔记]妇产科
 Screening
 Pap smear for vervical cancer is 21 yo
 DM
24-28 weeks
One hour 50 grams oral glucose tolerance test. BG > 140
Three hours glucose tolerance test (if two or more are positive)
1. Fasting BG > 95
2. One hour BG > 180
3. Two hours BG> 155
4. Three hours BG > 140
• Dysfunctional uterine bleeding (DUB)
 Heavy vaginal bleeding occurs in the absence of structural or
organic disease
 Endometrial biop... 阅读全帖
f*****w
发帖数: 1451
9
来自主题: MedicalCareer版 - 请教OB专家一个生孩子的问题
又相继查了一些文献,目前有趋势说elective c section 减少孕妇和胎儿风险,比如
这篇:
Comparison of Cesarean Section versus Vaginal Delivery for Postpartum
Complications by Type of Delivery in the Ohio Medicaid Population
中说:
There were 152,380 vaginal deliveries and 33,811 C-sections, with a C-
section rate of 18.2% during the study period. The prevalence of obstetrical
trauma was 4.88% among women with vaginal delivery, compared to 0.46% in
the C-section group (Adjusted Odds Ratio associated with C-section (AOR)=0.
10, p<0.001... 阅读全帖
c******i
发帖数: 94
10
原文:http://www.wired.com/2014/04/missing-microbes-antibiotic-resistance-birth/
BY MARTIN J. BLASER 04.03.14 | 6:30 AM | PERMALINK
Throughout the animal kingdom, mothers transfer microbes to their young
while giving birth. Different species of tadpoles acquire specific skin
bacteria from mother frogs even though they all live in the same pond with
the same bacterial background. Emerging chicken eggs get inoculated with
microbes from a bacteria-filled pouch near the mother hen’s rectum. And fo... 阅读全帖
e****0
发帖数: 678
11
来自主题: MedicalCareer版 - [我的CK笔记]妇产科
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
f*****w
发帖数: 1451
12
来自主题: MedicalCareer版 - 请教OB专家一个生孩子的问题
找了相关文献:;
Cesarean section is considered relatively safe. It does, however, pose a
higher risk of some complications than does a vaginal delivery. If you have
a cesarean section, expect a longer recovery time than you would have after
a vaginal delivery.
After cesarean section, the most common complications for the mother are:
Infection.
Heavy blood loss.
A blood clot in the legs or lungs.
Nausea, vomiting, and severe headache after the delivery (related to
anesthesia and the abdominal procedure)... 阅读全帖
t*****r
发帖数: 543
13
安全期
拔出
避孕环
避孕药
Global condom shortage? 5 alternative contraceptive methods to consider
Here are 5 alternative contraceptive methods to consider.
A global condom shortage might be looming after a coronavirus lockdown
forced the world’s biggest supplier to shut down production for more than a
week.
Here is everything we know about the situation.
Lockdown: decrease in condom supply
Malaysia’s Karex Bhd makes one out of every five condoms worldwide,
including for brands such as Durex, which supplies... 阅读全帖
h******i
发帖数: 476
14
出院回家后的第三天,要带宝宝去医院复查,看看黄疸值降了没有,还要看看喂母
乳的情况怎样。于是我就在医院喂了宝宝15分钟,检查完刚一离开医院,我就感觉下面
流了好多血,很快就把两个卫生巾都浸湿了,吓得我赶紧去看ob。我的医生说这是喂完
奶后的正常现象,但如果我担心,可以做个超声波,看看子宫内的情况。因为以前我妈
生我时有过胎盘残留大出血的先例,爸妈一直很担心我的胎盘有没有清理干净,所以我
就决定做个超声波看看。
下午的时候,护士打电话说结果显示子宫里有很大的一块血块,给我开了一种药,
帮助子宫收缩把血块排出来。护士跟我说怎么“吃”药时,我只听到她强调要四片药一
起“吃”,别的就没有注意了。等到老公去药房拿了药回来,也说药剂师强调要四片一
起“吃”。我看了药瓶上的说明书,写着“take 4 tablets vaginally once for one
dose”,又检查了注意事项,说“Take with food or milk”,于是我这个文盲就华丽
丽的把最关键的vaginally忽略掉了,想当然的认为take是指的口服。不是不认识
vaginally这个词,只是脑袋里一下... 阅读全帖
c******i
发帖数: 4091
15
来自主题: TrustInJesus版 - 蒙头抹油割包皮是不是很没人性?
割包皮会造成一生的心理创伤和生理隐患,会增加妇科疾病的发病率,会增加艾滋病的
发病率,等等。
How Male Circumcision Harms Women
Ronald Goldman, Ph.D.
Learn about the hidden negative psychological and sexual effects of
circumcision and how these effects harm women in relationships with men.
This article is based on research reports in the medical and psychological
literature.
Marilyn Milos didn't know much about circumcision when she consented to have
her three sons circumcised. She trusted her doctor who told her it did not
hurt and "only to... 阅读全帖
r*****1
发帖数: 805
16
来自主题: MedicalCareer版 - Step3 考试归来, CCS protocol分享
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
z******8
发帖数: 844
17
来自主题: MedicalCareer版 - [合集] Step3 考试归来, CCS protocol分享
☆─────────────────────────────────────☆
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
w******y
发帖数: 4871
18
I dont know.
but this is the side effect of tamoxifen:
Adverse Reactions Significant
>10%:
Cardiovascular: Vasodilation (41%), flushing (33%), hypertension (11%),
peripheral edema (11%)
Central nervous system: Mood changes (12% to 18%), pain (3% to 16%),
depression (2% to 12%)
Dermatologic: Skin changes (6% to 19%), rash (13%)
Endocrine & metabolic: Hot flashes (3% to 80%), fluid retention (32%),
altered menses (13% to 25%), amenorrhea (16%)
Gastrointestinal: Nausea (5% to 26%), weight loss (23%... 阅读全帖
x******g
发帖数: 33885
19
来自主题: Military版 - 老老实实地过正常人的日子

以下这些性病都不一定有症状的。
Chlamydia and Gonorrhea
Chlamydia and gonorrhea are both bacterial infections that can affect the
eyes, genitals, anus or throat. Symptoms of both include a vaginal or penile
discharge, burning or discomfort with urination, rectal pain or bleeding.
Both chlamydia and gonorrhea can be transmitted through anal, oral or
vaginal sex.
Trichomoniasis
Trichomoniasis, or trich, is a common STD caused by an infection with a
protozoan parasite known as Trichomonas vaginalis. The CDC belie... 阅读全帖
w*****o
发帖数: 807
20
来自主题: NextGeneration版 - 大家怀孕反应发最早生在什么时候?
Increased basal body temperature (10/18)
In order to know if your basal body temperature has increased, you would
need to be keeping track of it prior to ovulation. A woman who keeps a bbt
chart may be able to tell she is pregnant just by looking at the
temperatures on her chart. After ovulation, progesterone causes a woman’s
temperatures to rise. Sometimes a woman will see a second rise in
temperature around 7 days past ovulation. When this happens, it is called a
triphasic chart. A triphasic c... 阅读全帖
l*****o
发帖数: 26631
21
Long-Term Health Risks and Benefits Associated with Spay / Neuter in Dogs
Laura J. Sanborn, M.S.
May 14, 2007
Precis
At some point, most of us with an interest in dogs will have to consider
whether or not to spay / neuter our pet. Tradition holds that the benefits
of doing so at an early age outweigh the risks. Often, tradition holds sway
in the decision-making process even after countervailing evidence has
accumulated.
Ms Sanborn has reviewed the veterinary medical literature in an exhaustive
a... 阅读全帖
n******e
发帖数: 623
22
真的
http://biomediale.ncca-kaliningrad.ru/?blang=eng&author=davis
Poetica Vaginal
In 1986, I organized an artistic project to transmit vaginal contractions
into space to communicate with extraterrestrial intelligence. The project,
called Poetica Vaginal, involved artists, mechanical and electrical
engineers, biologists, astronomers, professional dancers, architects,
linguists and philosophers.
A "vaginal detector" was built in a laboratory of mechanical engineering and
consisted of a water-filled
k**e
发帖数: 2728
23
☆─────────────────────────────────────☆
Mcdoudou (laowu) 于 (Fri Sep 10 01:50:41 2010, 美东) 提到:
看这个版也有几年了,一直觉得这个版挺和谐,有很多有用的帖子。我一般不大记得住
ID, 能记住的有老刀,acne, teabao, Eric, 还有一个前版主(个人偶像:此人在IT
浪潮时下海做了码工,考板热时成功考板match, 不记得ID了,只记得他的头像是他女
儿,极cute)。不过最近有点乱,有英语语法癖 (个人很反感,尽量跳过,跳不过就
只好当吃苍蝇了),有26岁问自己是不是太老的(use you common sense, please),
这不又有99er考经是不是炫耀贴。平心而论,有些是有一些炫耀的意味在里面。不过呢
,一是有可能不经意的,二是不影响交流。现在可好,有人抱怨一下,有人砸,乱了套
了。现在我带头发一下我的非99er考经和不成功的match经历。
个人情况:male, 老CMG, (15+), Ph.D无绿卡。
Step1: 06年3月底ebay拍到Kaplan ... 阅读全帖
s*****h
发帖数: 937
24
来自主题: MedicalCareer版 - 请教OB专家一个生孩子的问题
Evidence has shown that C exposes both the mother and the coming child to
more complications. That's why we suggest DO NOT choose to do C unless there
are indications. Just check whatever EBM databse you prefer and you will
find a ton. Here are a few lines from Dynamed:
Overview:
risks of cesarean delivery
maternal risks: cesarean delivery associated with increased risk of maternal
morbidity and mortality (level 2 [mid-level] evidence)
planned cesarean delivery may be associated with increased p... 阅读全帖
d*********n
发帖数: 18
25
this one of my CS protocols, hope can help whoever going to take the test, I
don’t need any more.
not perfect, but good to figure out diagnosis, should not miss the diagnosis
,
do not need to ask all questions , must adjust base the case,
if better ideas, pleas modify to make easier for people who may need
Amenorrhea
Mental check list:
Pregnancy,
hyperprolatinemia,
hypothyroidism,
PCOS,
premature menopause,
depression
asheman syndrome,
anorexia nervosa,
strenuous exercise
Patricia Garrison, a 36... 阅读全帖
n*****t
发帖数: 22014
26
来自主题: Military版 - 我县人民医院生娃费用
http://riversidecommunityhospital.com/patient-financial/index.d
OBSTETRICS - C-Section Delivery of a Newborn:Delivery of single live-born
infant newborn through an abdominal incision (Cesarean section). $6,826 -
$8,562 2 - 3 Day(s)
OBSTETRICS - Normal Vaginal Delivery of a Newborn - Mother's Stay:Delivery
requiring minimal or no assistance of a full term, single live-born infant
newborn. $2,341 - $3,664 1 - 2 Day(s)
OBSTETRICS - Single Liveborn Born in Hospital by Cesarean Section - ... 阅读全帖
g********d
发帖数: 4174
27
来自主题: QueerNews版 - HPV From Oral Sex?
http://www.huffingtonpost.com/leigh-vinocur-md/oral-sex-cancer_
HPV From Oral Sex? Young People Often Underestimate The Risk
Ironically, April is both Sexually Transmitted Disease (STD) Awareness month
as well as Oral, Head and Neck Cancer Awareness month. Many people don't
even realize how these two diseases are linked and how they both pose a
serious health risk, especially for our adolescent boys.
As far as STDs, according to the United States Centers for Disease Control
and Prevention (CDC),... 阅读全帖
t*****0
发帖数: 156
28
来自主题: NextGeneration版 - C-Section
Did anyone who had a traumatic vaginal delievery choose to have a c-section
for the second baby? I am very frustrated with the doctors and the medical
articles. Some say planned c-sections are as safe as vaginal delieveries.
Some say c-sections are riskier than vaginal deliveries.
Anyone in this board is as frustrated as I am for the same reason? Please
share!
c*******u
发帖数: 12899
29
☆─────────────────────────────────────☆
littlehei (嘿嘿) 于 (Thu Mar 10 19:27:29 2011, 美东) 提到:
上大学新生入学体检的时候第一次检查出来,众目睽睽下几个肝感觉阳性的同学给点名
,被校医区别对待了,甚
至游泳卡也过了好久才拿到。。。当时只觉得无地自容,感觉被歧视了。
//幸好后来好像没有再这么被当众羞辱过。出国的体检,工作以后每年的体检都没有很
多废话。
后来我自己一直很注意这个方面的话题。得知我父亲年轻的时候得过乙肝,家里的孩子
成为乙肝病毒携带者也是
十有八九的事。虽然医学上说这个病毒携带是不可治愈也不可逆转的,还是相信民间偏
方吃了不少中药。小三阳
还是小三阳,姐姐是大三阳的,据说一度变成小三阳,现在不知道。因为美国好像没有
大小三阳的说法。
一直风平浪静的直到怀孕。第一trimester血结果出来以后,产科医生似乎有点紧张。
然后州政府的health
department给我打电话,说要把我登记在案。让我LG去打肝炎预防针,说小孩出生的几
个小时内得打第一针预防
针,期间各种血液体液样... 阅读全帖
w****6
发帖数: 116
30
来自主题: NextGeneration版 - 请给关于双胎儿的意见
我已经生过一个, 顺产. 7pounds11oz. 现在怀双宝34周, A 5 pounds 5 oz, B 5
pounds. 本来他们一直头向下. 可是昨天B超, A宝头向下, B宝头向上. OB决定
schedule C before 38 weeks. After I researched on the internet and learned
that it's still possible to have a vaginal delivery if the baby A stays head
down, but my OB won't give me a chance to try at all. My high risk
specialist told me that it's up to my OB to give a chance to try vaginal
delivery or not. Some OBs would do that, some won't. Obviously my OB won't
. I want to schedule an app... 阅读全帖
c*********3
发帖数: 1002
31
来自主题: NextGeneration版 - 怀孕七周,突然出现一点pink
没名字~ 类似于准妈妈人手一份的基本常识手册,我去预约的时候前台的人给我的,大概
地介绍了一下每个阶段会有些什么症状,哪些是正常的不用紧张,哪些是需要看医生的~
前两周google了一下1st trimester spotting,据说出现概率大概有30%,还是挺常见的,
大部分都没什么问题,不用担心.当然了,google中文网站的结果就很不一样了,搞得我很
紧张~ 所以,如果不放心的话,就打电话问问医生,免得心里老想着这事.
从无名小册子上抄过来的.
normal changes/occurrences in pregnancy
1. breast fullness and leakage
2. constipation
3. cramps (not severe abdominal pain)
4. spotting
5. dizziness
6. fatigue
7. mood swings
8. nasal congestion
9. nausea and vomiting
10. increased vaginal discharge
11. weight gain (if... 阅读全帖
l******a
发帖数: 16364
32
☆─────────────────────────────────────☆
rh991 (qq) 于 (Mon Feb 27 11:18:52 2012, 美东) 提到:
女儿15岁了(今年9月16岁), 10年纪的高中生。 突然告诉我们她和学校里一个男孩
子彼此喜欢, 要求周末一起看电影。 唉, 我们都有点担心。 毕竟还小啊。 但又怕
太压制她, 效果也不好。 女儿在学校里, 成绩都还不错, 也比较popular.
有过来人, 给指点指点吧, 如何处理这事。
感激不尽啊!
☆─────────────────────────────────────☆
izze (漫步撒哈拉的柔韧猪) 于 (Mon Feb 27 11:24:51 2012, 美东) 提到:
你把他们丢到电影院,电影完了再送回去接回家?
看场电影,还好吧? //其他的,该教育的都提前教育了吧?:)
☆─────────────────────────────────────☆
rh991 (qq) 于 (Mon Feb 27 11:40:25 2012, 美东) 提到:
我担心以后还会... 阅读全帖
j******n
发帖数: 21641
33
来自主题: LeisureTime版 - 方励之:金婚年感恩节致友人zt
最后那句说他们改变主意了,所以30年来大家一致认为还是存在的
但同一篇wiki里最后说
In 2012, scholars Kilchevsky, Vardi, Lowenstein and Gruenwald stated in the
journal, "Reports in the public media would lead one to believe the G-Spot
is a well-characterized entity capable of providing extreme sexual
stimulation, yet this is far from the truth." The authors cited that dozens
of trials have attempted to confirm the existence of a G-Spot using surveys,
pathologic specimens, various imaging modalities, and biochemical markers,
and conclu... 阅读全帖
l*e
发帖数: 1402
34
At Last, Vaginal Gel Scores Victory Against HIV
Jon Cohen
For the first time ever, a vaginal gel has unequivocally blocked the
transmission of HIV. In a trial that involved nearly 900 South African women
, those who received a vaginal gel that contains an anti-HIV drug had a 39%
lower chance of becoming infected by the virus than those who received a
placebo. As reported in a presentation at the 18th International AIDS
Conference in Vienna, of the 444 women who received a placebo gel, 60 became
U******u
发帖数: 5829
35
来自主题: Biology版 - 力刀新年贺词: 为CMG服务
shyj: 我的考版match路--以此文纪念在美国逝去的10年青春
http://mitbbs.com/pc/pccon_2289_t379_150975.html
发信人: shyj (baobao), 信区: MedicalCareer
标 题: 我的考版match路-以此文纪念在美国逝去的10年青春 (很长很罗嗦,慎入!)
发信站: BBS 未名空间站 (Sat Apr 3 17:31:55 2010, 美东)
Match的结果终于尘埃落定,周1等电邮的时候非常紧张,因为成败就在此了,虽然一直
告诉自己,今年只是热热身,成败都可以接受,但到真的揭晓的时候,还是很紧张,毕
竟一旦卷入其中就身不由己,何况自己也还是有所付出。到周4等match program的时候
虽然也有点紧张,但程度已经大大减少,1个原因是毕竟match上才是头等大事,去哪里
尚在其次,还有1个原因是心理还是有所准备了,虽然希望留在home school,但直觉告
诉我恐怕是非常困难了,在我rank list上第二位的program应该就是我要去的地方,果
不其然。经过几天的等待,发现果然是要搬家了。
对于我... 阅读全帖
J********1
发帖数: 66
36
来自主题: MedicalCareer版 - CS考经
 First Sight on door-way information.
 Knock 3 times with confidence, a smile, walk in and say:
INTRODUCTION:
 Hello, Mr/Ms ------- , I am Dr.xxx,the physician on duty
today.
 Nice to meet you. (Shake hands only if the pt wants to. Don’t
shake hands with SPs in severe pain).
 Is everything in the room all right for you?
 Let me make you a little more comfortable. (open up the drape ..
.OPEN IT COMPLETELY... cover the legs in t... 阅读全帖
V*****G
发帖数: 337
37
来自主题: MedicalCareer版 - a case today
I think it is a little bit arguable with the way the case was presented.
1st it was not very clear what the chief complaint is. When you actually
look at the patient, you can tell her eyes are not normal. But with what you
mentioned in the case, you say vaginal bleeding, nausea, eyes roll up, then
say anxious, apathy, and look up in the ceiling. This confused me that, is
that because the patient is apathy and avoid eye contact, or there is
something wrong with the eyes. (in the actual scenario, ... 阅读全帖
c******n
发帖数: 492
38
来自主题: MedicalCareer版 - a CK NBME qestion
21. A 12-year-old girl is brought to the physician
by her mother
because of heavy vaginal bleeding since her first
menstrual period began 1
week ago. She has to change sanitary pads every 2
hours, and her
mother is concerned that this is not normal. Her
blood pressure is 80/60 mm
Hg, and pulse is 110/min. Breast and axillary and
pubic hair
development are Tanner stage 4. Pelvic examination
shows normal external
genitalia, a small normal-appearing cervix, and a
small uterus. Her
hemoglobin level ... 阅读全帖
h****8
发帖数: 278
39
来自主题: MedicalCareer版 - step 2 CK 的一些题目
38. A 32-year-old woman comes to the physician because of vaginal discharge
for 2 weeks. She has been sexually active with one female partner for 5
years. She has not been treated with antibiotics over the past 2 years. Her
last Pap smear was 6 years ago when she was sexually active with a male
partner. She has not used illicit drugs or alcohol. Examination shows a
grayish vaginal discharge with a pH greater than 4.5. A wet mount
preparation of the vaginal discharge is most likely to show which ... 阅读全帖
d******u
发帖数: 47
40
来自主题: MedicalCareer版 - step3 Archer 3题求助 谢谢!
1, Your patient is a gravida 2 para 2 female with a complaint of a vaginal
discharge, vulvar irritation, and dysuria. Her symptoms have recurred 4
times within the past year. She had a recent urinary tract infection that
was treated with ciprofloxacin, but is in otherwise good health. She is
afebrile with normal vital signs, and pelvic examination reveals vulvar and
vaginal erythema with a thick white discharge in the vaginal vault. KOH prep
reveals pseudo hyphae. Which of the following treatmen... 阅读全帖
r*****l
发帖数: 354
41
来自主题: _IVF版 - 请问自己打黄体酮的妹妹
我给你支个招,但有一定风险,你要慎重考虑。
我的诊所是用黄体酮栓剂的。我这批是第一批。以前的都是用针剂。改用栓剂的原因:
栓剂方便操作,无痛,最重要的一点是:两者的成功率没有差别!
医生和护士都说这是经过试验证明的。
我自己也做了研究,以下是一片Google到的文章http://linkinghub.elsevier.com/retrieve/pii/S0015028208007474,供你参考。我同时抄录结论如下
Result(s)
Among patients using vaginal progesterone, there were no statistically
significant differences in patient characteristics and clinical outcomes,
regardless of the type of vaginal progesterone used. There were no
differences in outcomes between the vaginal and IM progesterone trea
k**a
发帖数: 1124
42
来自主题: _IVF版 - Prometrium
今天彻底让护士,大夫和pharmacist搞糊涂了。
我今天去拿护士给我开的progesterone. 他的病方上就 progesterone capsule 100mg.
也没有牌子。我去药店,人家跟我说就是prometrium 100MG, use it vaginally.
我当时还不太肯定,就打电话问,没人接,留言。后来又找了另外一个护士,
她问了大夫,跟我说这俩东西一样,我拿prometrium就可以了。等我药都拿回家了,
那个给我开药的护士又打电话来,说prometrium不是同一个东西,说我要那种
compounded, 让我去一个specialty pharmacy 买。我现在已经很糊涂了。然后
我给那个药店打电话,问他们有没有progestorone capsule,他们说有。我说和
prometrium
是一种东西么?他们说不是,他们说prometrium是口服的,他们给compounded就可以
vaginally用。 后来我又去google, 但很多人都用prometrium vaginally.
我现在越来越糊涂了。 哈哈。
我考了一下故,好像有mm也用这个
c******k
发帖数: 8998
43
你这个数据不怎么准确,不过肛交的确比正常性交风险大。
-----------------
Exposure Route Chance of infection
Blood Transfusion 90% [25]
Childbirth (to child) 25%[26]
Needle-sharing injection drug use 0.67%[25]
Percutaneous needle stick 0.30%[27]
Receptive anal intercourse* 0.04–3.0%[28]
Insertive anal intercourse* 0.03%[29]
Receptive penile-vaginal intercourse* 0.05–0.30%[28][30]
Insertive penile-vaginal intercourse* 0.01–0.38% [28][30]
Receptive oral intercourse*§ 0–0.04% [28]
Insert... 阅读全帖
w*********g
发帖数: 30882
44
来自主题: Military版 - “玉兔”登月 美国人炸锅了
“玉兔”登月 美国人炸锅了 各种评论
来源: 天天喝茶 于 2013-12-02 16:05:34 [档案] [博客] [旧帖] [给我悄悄话] 本文
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原创]“玉兔”登月 美国人炸锅了 各种评论
中华黑鹰 环球风云 2013/12/2 15:11:30 57 37305
译文来源于美国郝芬顿邮报:
China Launches Lunar Probe In Major Milestone For Its Space Program
中国太空计划的重要里程碑---发射月球探测器
BEIJING, Dec 2 (Reuters) - China launched its first ever extraterrestrial
landing craft into orbit en route for the moon in the small hours of Monday,
in a major milestone for its space programme.
Th... 阅读全帖
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