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Medicalpractice版 - ********MedicalPractice SuperBowl 现在开始**************
相关主题
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紧急求救!!爸爸病危脑血栓,怎么抢救!! (转载)有包子!求macrocytic anemia 的鉴别诊断
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DVT prophylaxis drives me crazy.CK form 1 block 2 Q18 help needed
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求助:Ferritin很高,又不是hemochromatosis,会是什么?南山,看看这个
相关话题的讨论汇总
话题: he话题: what话题: she话题: her话题: ptu
1 (共1页)
b*****l
发帖数: 8603
1
1. What happened to the patient? What specialties will you order
consultation? Prognosis?
m********a
发帖数: 607
2
foreign body,
ophthlamology and neurosurgical consult,
good prognosis
A*******s
发帖数: 9638
3
right

【在 m********a 的大作中提到】
: foreign body,
: ophthlamology and neurosurgical consult,
: good prognosis

V*****G
发帖数: 337
4
trauma to eyes, ophthalmology consult.
b*****l
发帖数: 8603
5
Radio---
2. What is the Dx? What does the patient like to have in physical exam? What
other imaging study do you recommend and why?
A*******s
发帖数: 9638
6
poor prognosis though
next one
b*****l
发帖数: 8603
7
sorry,image for q2

What

【在 b*****l 的大作中提到】
: Radio---
: 2. What is the Dx? What does the patient like to have in physical exam? What
: other imaging study do you recommend and why?

h**********1
发帖数: 123
8
给份吗?

【在 A*******s 的大作中提到】
: poor prognosis though
: next one

A*******s
发帖数: 9638
9
yes

【在 h**********1 的大作中提到】
: 给份吗?
A*******s
发帖数: 9638
10
next

【在 b*****l 的大作中提到】
: sorry,image for q2
:
: What

相关主题
DVT prophylaxis drives me crazy.怀孕其间的巨细胞贫血? (转载)
安眠药上瘾了,请问怎么办? (转载)有包子!求macrocytic anemia 的鉴别诊断
求助:Ferritin很高,又不是hemochromatosis,会是什么?请大家帮忙看下化验单,5岁女孩
b*****l
发帖数: 8603
11
第2题 3分钟了还没人答,我现在开始下一个
b*****l
发帖数: 8603
12
Radio~~
3. What is the likely the reason?
m********a
发帖数: 607
13
obstructive hydrocephalus
b*****l
发帖数: 8603
14
Radio~~
3. What is the likely the reason?
A*******s
发帖数: 9638
15
next

【在 b*****l 的大作中提到】
: Radio~~
: 3. What is the likely the reason?

A*******s
发帖数: 9638
16
No

【在 m********a 的大作中提到】
: obstructive hydrocephalus
b*****l
发帖数: 8603
17
4. What are the findings?
n***j
发帖数: 184
18
Wilson disease
V*****G
发帖数: 337
19
meningoma

【在 b*****l 的大作中提到】
: 4. What are the findings?
m********a
发帖数: 607
20
meningioma
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【活动通知】有趣的临床案例【intern 日记】终于熬过第一周了
请教,买神末样的听诊器南山,看看这个
CK form 1 block 2 Q18 help needed请心血管医生帮分析,谢谢!
n***j
发帖数: 184
21
Meningioma
A*******s
发帖数: 9638
22
poor prognosis though
next one
A*******s
发帖数: 9638
23
Right

【在 V*****G 的大作中提到】
: meningoma
h**********1
发帖数: 123
24
Q4 meningoma?

【在 A*******s 的大作中提到】
: poor prognosis though
: next one

b*****l
发帖数: 8603
25
5.What is the likely cause based on what you see?
A*******s
发帖数: 9638
26
there is a pituitary tumor but the picture is too small.

【在 n***j 的大作中提到】
: Meningioma
A*******s
发帖数: 9638
27
yes

【在 h**********1 的大作中提到】
: Q4 meningoma?
m********a
发帖数: 607
28
ADPKD
n***j
发帖数: 184
29
Splenic infarction with Splenomegaly
s******v
发帖数: 477
30
subependymal grey matter heterotopia
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PTU治疗甲亢疑问 (转载)上医学生被同学下毒,我们能汲取什么教训?
b*****l
发帖数: 8603
31
6。Based on the findings, what syndrome would it be?
n***j
发帖数: 184
32
SCD
A*******s
发帖数: 9638
33
Next.
Trauma is the right answer.
n***j
发帖数: 184
34
SCD for q5....
b******a
发帖数: 704
35
Spleen laceration
trauma, pneumoperitoneum
Subdiaphragmatic hemotoma
A*******s
发帖数: 9638
36
what is SCD

【在 n***j 的大作中提到】
: SCD
b*****l
发帖数: 8603
37
我还是等你公布答案之后再贴下一道题吧,要不太confuse了

【在 A*******s 的大作中提到】
: Next.
: Trauma is the right answer.

b******a
发帖数: 704
38
Spleen laceration
trauma, pneumoperitoneum
Subdiaphragmatic hemotoma
h**********1
发帖数: 123
39
你是围观的?

【在 s******v 的大作中提到】
: subependymal grey matter heterotopia
h**********1
发帖数: 123
40
sorry, too late

【在 b******a 的大作中提到】
: Spleen laceration
: trauma, pneumoperitoneum
: Subdiaphragmatic hemotoma

相关主题
上医学生被同学下毒,我们能汲取什么教训?安眠药上瘾了,请问怎么办? (转载)
Many thanks求助:Ferritin很高,又不是hemochromatosis,会是什么?
DVT prophylaxis drives me crazy.怀孕其间的巨细胞贫血? (转载)
V*****G
发帖数: 337
41
ILD, SOB on exertion.

【在 b*****l 的大作中提到】
: 6。Based on the findings, what syndrome would it be?
A*******s
发帖数: 9638
42
ok
Q6 Crest
Next

【在 b*****l 的大作中提到】
: 我还是等你公布答案之后再贴下一道题吧,要不太confuse了
b*****l
发帖数: 8603
43
7.What is the diagnosis?
n***j
发帖数: 184
44
Liver cell carcinoma
V*****G
发帖数: 337
45
liver mass, hemangioma.

【在 b*****l 的大作中提到】
: 7.What is the diagnosis?
A*******s
发帖数: 9638
46
no

【在 n***j 的大作中提到】
: Liver cell carcinoma
b******a
发帖数: 704
47
hepatic hemangioma
D********3
发帖数: 786
48
cavernous hemangioma
b*****l
发帖数: 8603
49
next?

【在 A*******s 的大作中提到】
: no
A*******s
发帖数: 9638
50
right
r u in the team?

【在 b******a 的大作中提到】
: hepatic hemangioma
相关主题
有包子!求macrocytic anemia 的鉴别诊断请教,买神末样的听诊器
请大家帮忙看下化验单,5岁女孩CK form 1 block 2 Q18 help needed
【活动通知】有趣的临床案例【intern 日记】终于熬过第一周了
b*****l
发帖数: 8603
51
okay,7 is over
8.Diagnosis?
A*******s
发帖数: 9638
52
sure

【在 b*****l 的大作中提到】
: next?
h**********1
发帖数: 123
53
你是队员还是观众?我好记分。

【在 b******a 的大作中提到】
: hepatic hemangioma
V*****G
发帖数: 337
54
yes,
:)

【在 A*******s 的大作中提到】
: right
: r u in the team?

b******a
发帖数: 704
55
我被COFFEE骗来的,他们 ON CALL, 我们加观众只有4 个人。记不记分随便啦。还是
记吧,连Supernav一起。

【在 h**********1 的大作中提到】
: 你是队员还是观众?我好记分。
s******v
发帖数: 477
56
fracture?
sorry just join in

【在 b*****l 的大作中提到】
: sorry,image for q2
:
: What

A*******s
发帖数: 9638
57
next
h**********1
发帖数: 123
58
好吧,我要求10题后中场休息,先明确下队员的说
b*****l
发帖数: 8603
59
9.10 Diagnosis? 2张图
h**********1
发帖数: 123
60
好吧,我要求10题后中场休息,先明确下队员的说
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TSH 3.47紧急求救!!爸爸病危脑血栓,怎么抢救!! (转载)
s******v
发帖数: 477
61
Don't know why can't reply a post. Re-start my computer.
Q2 image has a line, is it a fracture?

【在 b*****l 的大作中提到】
: sorry,image for q2
:
: What

h*******r
发帖数: 182
62
Cysticercosis
h*******r
发帖数: 182
63
Cysticercosis
h*******r
发帖数: 182
64
Cysticercosis
V*****G
发帖数: 337
65
neurocystocycosis (brain parasite)

【在 b*****l 的大作中提到】
: 9.10 Diagnosis? 2张图
A*******s
发帖数: 9638
66
答对一道给50.
另外, 我们肯定超时了,是延长还是下次?
n***j
发帖数: 184
67
metastasis
r*****1
发帖数: 805
68
Cysticercosis
b*****l
发帖数: 8603
69
延长吧 弄一次不容易

【在 A*******s 的大作中提到】
: 答对一道给50.
: 另外, 我们肯定超时了,是延长还是下次?

h**********1
发帖数: 123
70
Q9,10 for one disease? cannot be true
相关主题
紧急求救!!爸爸病危脑血栓,怎么抢救!! (转载)Many thanks
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上医学生被同学下毒,我们能汲取什么教训?安眠药上瘾了,请问怎么办? (转载)
A*******s
发帖数: 9638
71
2张图,两道题

【在 h*******r 的大作中提到】
: Cysticercosis
D********3
发帖数: 786
72
22q11.2 syndrome
b*****l
发帖数: 8603
73
继续往下走,最后咱俩一起算下,要不咱时间太长了 :)

【在 h**********1 的大作中提到】
: 好吧,我要求10题后中场休息,先明确下队员的说
A*******s
发帖数: 9638
74
9.Cysticercosis
10, ?
r*****1
发帖数: 805
75
10. CMV infection
h**********1
发帖数: 123
76
resident team 有VictorG, supernav, bysea 还有谁?
c***y
发帖数: 811
77
Toxaplamosis
A*******s
发帖数: 9638
78
9.Cysticercosis
10, ?
A*******s
发帖数: 9638
79
10. Parenchymal bleeding in greywhite junction, typical for diffuse axial
injury from high speed shearing injury,
b*****l
发帖数: 8603
80
继续下一环节吧?

【在 A*******s 的大作中提到】
: 9.Cysticercosis
: 10, ?

相关主题
求助:Ferritin很高,又不是hemochromatosis,会是什么?请大家帮忙看下化验单,5岁女孩
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有包子!求macrocytic anemia 的鉴别诊断请教,买神末样的听诊器
A*******s
发帖数: 9638
81
next.
Garland, R u here?
c***y
发帖数: 811
82
Left fracture?
b*****l
发帖数: 8603
83
Neuro··
1.Hypothermia for anoxic encephalopathy is a new protocol in ICU, evidence
based medicine supports the idea that hypothermia could save the patient
with anoxic brain injury from persistent vegetative state. Prior to
hypothermia treatment, do you know the percentage of patients with anoxic
encephalopathy who can be discharged from hospital?
g*****d
发帖数: 991
84
I'm here.

【在 A*******s 的大作中提到】
: next.
: Garland, R u here?

h*******r
发帖数: 182
85
18 percent
A*******s
发帖数: 9638
86
Great, how about we present your case first then you can go?

【在 g*****d 的大作中提到】
: I'm here.
h**********1
发帖数: 123
87
我先来报一下, team A 对2错3
team B 对2错5
加油!
V*****G
发帖数: 337
88
about 15%

【在 b*****l 的大作中提到】
: Neuro··
: 1.Hypothermia for anoxic encephalopathy is a new protocol in ICU, evidence
: based medicine supports the idea that hypothermia could save the patient
: with anoxic brain injury from persistent vegetative state. Prior to
: hypothermia treatment, do you know the percentage of patients with anoxic
: encephalopathy who can be discharged from hospital?

b*****l
发帖数: 8603
89
先把这5道发完行不?

【在 A*******s 的大作中提到】
: Great, how about we present your case first then you can go?
A*******s
发帖数: 9638
90
2 percent
next
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CK form 1 block 2 Q18 help needed请心血管医生帮分析,谢谢!
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D********3
发帖数: 786
91
8%
b*****l
发帖数: 8603
92
你好快! 赞一个!

【在 h**********1 的大作中提到】
: 我先来报一下, team A 对2错3
: team B 对2错5
: 加油!

A*******s
发帖数: 9638
93
sure

【在 b*****l 的大作中提到】
: 先把这5道发完行不?
g*****d
发帖数: 991
94
Nice, thanks.

【在 A*******s 的大作中提到】
: Great, how about we present your case first then you can go?
V*****G
发帖数: 337
95
in hospital 15%

【在 A*******s 的大作中提到】
: 2 percent
: next

b*****l
发帖数: 8603
96
Neuro~~
2.In 1968, a patient who took a Drug X for prophylaxis of Flu was surprised
to find her Parkinson symptoms were dramatically improved for the period of
6 weeks and deteriorated after discontinuation. This led to a new
treatment for Parkinson’s disease. What is the Drug X?
m********a
发帖数: 607
97
amantdadine
V*****G
发帖数: 337
98
amantidine

surprised
of

【在 b*****l 的大作中提到】
: Neuro~~
: 2.In 1968, a patient who took a Drug X for prophylaxis of Flu was surprised
: to find her Parkinson symptoms were dramatically improved for the period of
: 6 weeks and deteriorated after discontinuation. This led to a new
: treatment for Parkinson’s disease. What is the Drug X?

h*******r
发帖数: 182
99
amantadine
g*****d
发帖数: 991
100
Even you can paste the 5 Qs together?

【在 A*******s 的大作中提到】
: Great, how about we present your case first then you can go?
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PTU治疗甲亢疑问 (转载)上医学生被同学下毒,我们能汲取什么教训?
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请教一下多粘菌素B的问题DVT prophylaxis drives me crazy.
n***j
发帖数: 184
101
amartadine
D********3
发帖数: 786
102
Amantadine
A*******s
发帖数: 9638
103
correct
next

【在 m********a 的大作中提到】
: amantdadine
b*****l
发帖数: 8603
104
Neuro~~
3. An 78 years old female came to the office complaining visual
hallucinations. She claimed she has been seeing rabbits on the wall but
firmly believed they appear to be smaller and unreal. She denies any other
hallucinations including hearing, smelling, tasting, etc. A year ago, she
was seen by an eye doctor who told her she has macular degeneration. She
was pretty healthy otherwise. Her exam showed her visual acuity is 20/70
bilaterally all other exams were unremarkable. What is your diagnosis?
a*a
发帖数: 1295
105
lewis dementia
m********a
发帖数: 607
106
lewis dementia
c***y
发帖数: 811
107
Lewis dementia
A*******s
发帖数: 9638
108
let's do one at a time.
Can you present it by yourself?

【在 g*****d 的大作中提到】
: Even you can paste the 5 Qs together?
D********3
发帖数: 786
109
Charles Bonnet syndrome
A*******s
发帖数: 9638
110
Charles Bonnet syndrome
next
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DVT prophylaxis drives me crazy.怀孕其间的巨细胞贫血? (转载)
安眠药上瘾了,请问怎么办? (转载)有包子!求macrocytic anemia 的鉴别诊断
求助:Ferritin很高,又不是hemochromatosis,会是什么?请大家帮忙看下化验单,5岁女孩
b*****l
发帖数: 8603
111
Neuro~~
4. A 35 years old female with history of migraine and depression/anxiety
disorder suddenly developed slurred speech and left sided weakness involving
the face, arm and leg. She also complained about severe headache with
photophobia and nausea/vomiting. She was sent to ER by EMS within 2 hours
and had a negative CT of brain. A TPA treatment was given but her symptoms
of weakness remained same for at least 3 days. A followup MRI of brain was
negative on the next day. What is your diagnosis?
g*****d
发帖数: 991
112
I have problem to paste the picture.

【在 A*******s 的大作中提到】
: let's do one at a time.
: Can you present it by yourself?

A*******s
发帖数: 9638
113
correct

【在 D********3 的大作中提到】
: Charles Bonnet syndrome
s******v
发帖数: 477
114
Q2 normal knee
sorry just re-start my computer

【在 b*****l 的大作中提到】
: sorry,image for q2
:
: What

h*******r
发帖数: 182
115
SAH
b*****l
发帖数: 8603
116
email me I will do it

【在 g*****d 的大作中提到】
: I have problem to paste the picture.
M***D
发帖数: 249
117
hemiplegic migranine
M***D
发帖数: 249
118
hemiplegic migranine
h*******r
发帖数: 182
119
subarachnoid hemorrhage Q4
g*****d
发帖数: 991
120
Cardio
1. A 50 year old woman presents to the emergency department with chest pain
of indeterminate origin. The chest pain resolves upon presentation and she
is admitted to the chest pain unit. She has no cardiac risk factors, but has
recently begun having hot flashes. Serial cardiac enzymes are negative, and
the electrocardiogram remains normal.
The most appropriate test to exclude coronary artery disease is:
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请教,买神末样的听诊器南山,看看这个
CK form 1 block 2 Q18 help needed请心血管医生帮分析,谢谢!
h**********1
发帖数: 123
121
你是resident对的吗?

【在 M***D 的大作中提到】
: hemiplegic migranine
D********3
发帖数: 786
122
Serotonin Syndrome
h*******r
发帖数: 182
123
prezmetal angina
n***j
发帖数: 184
124
Cardio 1
Treadmill stress test
g*****d
发帖数: 991
125
We slow down a little bit. No hurry.
g*****d
发帖数: 991
126
right.

【在 n***j 的大作中提到】
: Cardio 1
: Treadmill stress test

V*****G
发帖数: 337
127
stress test

pain
has
and

【在 g*****d 的大作中提到】
: Cardio
: 1. A 50 year old woman presents to the emergency department with chest pain
: of indeterminate origin. The chest pain resolves upon presentation and she
: is admitted to the chest pain unit. She has no cardiac risk factors, but has
: recently begun having hot flashes. Serial cardiac enzymes are negative, and
: the electrocardiogram remains normal.
: The most appropriate test to exclude coronary artery disease is:

A*******s
发帖数: 9638
128
correct, but you are not in the team. :)

【在 M***D 的大作中提到】
: hemiplegic migranine
M***D
发帖数: 249
129
Yes.

【在 h**********1 的大作中提到】
: 你是resident对的吗?
b*****l
发帖数: 8603
130
:)
check your mailbox for my email address, I can help on posting images

【在 g*****d 的大作中提到】
: We slow down a little bit. No hurry.
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TSH 3.47紧急求救!!爸爸病危脑血栓,怎么抢救!! (转载)
[求助] 宝宝的了重病------update (转载)请教一下多粘菌素B的问题
PTU治疗甲亢疑问 (转载)上医学生被同学下毒,我们能汲取什么教训?
g*****d
发帖数: 991
131
2. A 58-year-old man was admitted to the CCU from the ER. His BP was 85/50.
The jugular veins were distended to 10 cm at 30-degree elevation. The 12-
lead ECG is shown.
What treatment would you advise?
V*****G
发帖数: 337
132
IVF no NTG

.

【在 g*****d 的大作中提到】
: 2. A 58-year-old man was admitted to the CCU from the ER. His BP was 85/50.
: The jugular veins were distended to 10 cm at 30-degree elevation. The 12-
: lead ECG is shown.
: What treatment would you advise?

g*****d
发帖数: 991
133
right. My questions are so easy.

【在 V*****G 的大作中提到】
: IVF no NTG
:
: .

V*****G
发帖数: 337
134
THen CATH

【在 V*****G 的大作中提到】
: IVF no NTG
:
: .

h*******r
发帖数: 182
135
0.9% ns
g*****d
发帖数: 991
136
Try this one.
3. A 75-year-old man presents with pain in both legs for the past six
months. He says that the pain has limited markedly his ability to walk. He
must sit down after walking a block. Stopping is not sufficient to decrease
the pain. At times, just standing causes his calves to ache, and he notices
tingling in both feet.
He has a 10-year history of systolic hypertension for which he has been
taking chlorthalidone. He has also been on warfarin and digoxin for a known
atrial fibrillation for the last year. He is also on nicotinic acid (2 g TID
) for an elevated LDL and low HDL.
Physical examination reveals a BP of 150/70 mm Hg, with a pulse of 80 per
minute and irregular. The lungs are clear to auscultation and percussion.
The neck veins are 6 cm. The heart reveals a grade II/VI pansystolic murmur
at the apex. There is no S3. The abdomen reveals a pulsatile aorta
calculated to be less than 5 cm in diameter. The radial pulses are +3,
carotid pulses +3, femoral pulses +1, popliteal 0, dorsalis pedis, and
posterior tibial +1 bilaterally.
What is the study you will order next to reveal the cause of this patient's
symptoms?
a******3
发帖数: 1017
137
电脑刚抽完风,纯粹打酱油加助兴,好热闹啊 :)
n***j
发帖数: 184
138
IVF hydration
h**********1
发帖数: 123
139
好吧, 现在resident 有Victor G Ada Cqfly MADMAD bysea, 满员了,
就以这个为准

【在 M***D 的大作中提到】
: Yes.
d******a
发帖数: 99
140
cath lab or tPA (if no cath available)

.

【在 g*****d 的大作中提到】
: 2. A 58-year-old man was admitted to the CCU from the ER. His BP was 85/50.
: The jugular veins were distended to 10 cm at 30-degree elevation. The 12-
: lead ECG is shown.
: What treatment would you advise?

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上医学生被同学下毒,我们能汲取什么教训?安眠药上瘾了,请问怎么办? (转载)
Many thanks求助:Ferritin很高,又不是hemochromatosis,会是什么?
DVT prophylaxis drives me crazy.怀孕其间的巨细胞贫血? (转载)
h*******r
发帖数: 182
141
abi
b*****l
发帖数: 8603
142
谢谢! :)

【在 h**********1 的大作中提到】
: 好吧, 现在resident 有Victor G Ada Cqfly MADMAD bysea, 满员了,
: 就以这个为准

V*****G
发帖数: 337
143
ABI

decrease
notices
known
TID

【在 g*****d 的大作中提到】
: Try this one.
: 3. A 75-year-old man presents with pain in both legs for the past six
: months. He says that the pain has limited markedly his ability to walk. He
: must sit down after walking a block. Stopping is not sufficient to decrease
: the pain. At times, just standing causes his calves to ache, and he notices
: tingling in both feet.
: He has a 10-year history of systolic hypertension for which he has been
: taking chlorthalidone. He has also been on warfarin and digoxin for a known
: atrial fibrillation for the last year. He is also on nicotinic acid (2 g TID
: ) for an elevated LDL and low HDL.

n***j
发帖数: 184
144
3. ABI
g*****d
发帖数: 991
145
Although it's cardio Q, think about something else.
s******v
发帖数: 477
146
parasites?
s******v
发帖数: 477
147
parasites?
h**********1
发帖数: 123
148
Neuro是不是贴了四道?

【在 b*****l 的大作中提到】
: 谢谢! :)
g*****d
发帖数: 991
149
One more minute.
s******v
发帖数: 477
150
neurocystocerosis
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有包子!求macrocytic anemia 的鉴别诊断请教,买神末样的听诊器
请大家帮忙看下化验单,5岁女孩CK form 1 block 2 Q18 help needed
【活动通知】有趣的临床案例【intern 日记】终于熬过第一周了
V*****G
发帖数: 337
151
Doppler abdomen

decrease
notices
known
TID

【在 g*****d 的大作中提到】
: Try this one.
: 3. A 75-year-old man presents with pain in both legs for the past six
: months. He says that the pain has limited markedly his ability to walk. He
: must sit down after walking a block. Stopping is not sufficient to decrease
: the pain. At times, just standing causes his calves to ache, and he notices
: tingling in both feet.
: He has a 10-year history of systolic hypertension for which he has been
: taking chlorthalidone. He has also been on warfarin and digoxin for a known
: atrial fibrillation for the last year. He is also on nicotinic acid (2 g TID
: ) for an elevated LDL and low HDL.

b*****l
发帖数: 8603
152
是,还一道没贴呢,等下cardio完了再返回去贴 :)

【在 h**********1 的大作中提到】
: Neuro是不是贴了四道?
g*****d
发帖数: 991
153
So far, no right answer.
D********3
发帖数: 786
154
MRI of the spine
m********a
发帖数: 607
155
vasculitis
g*****d
发帖数: 991
156
4. A healthy 78-year-old man, who is still working, comes for a
consultation because he is "just not feeling well." He has "weakness"
associated with dyspnea occuring unpredictable. Episodes last from a few
seconds to several minutes. He has never had syncope. During the last 2-3
years, he has had 8-10 episodes of typical angina on very severe effort. He
weighs 235 pounds, has been treated for hypertension for many years with "
good control," and has troublesome arthritis in his right shoulder. On
physical examination, he has a BP of 130/70, and a heart rate of 62 with 2-3
irregularities per minute. He has no jugular venous hypertension. The point
of maximal impulse is not palpable. He has a diminished second sound in the
aortic area, with a grade 3/6 systolic ejection murmur transmitted into the
neck. The murmur is faintly heard at the apex. He had no diastolic murmur
and his lungs were clear, good peripheral pulses, and no bruits. An
echocardiogram is obtained, which demonstrates LV hypertrophy with
disproportionate septum versus posterior wall hypertrophy (19 mm vs. 11 mm).
EF is more than 65%. There is no systolic anterior motion of the mitral
valve and the aortic valve is calcified with restricted movement and a
Doppler velocity of 3 m/sec. Illustrative strips from the ambulatory ECG
monitoring (Holter) are shown There were no diary entries indicating
symptoms during the 24-hour monitoring period.
What would be your next step in managing this elderly patient?
m********a
发帖数: 607
157
check Rheumatologic series and vessle biopsy
g*****d
发帖数: 991
158
Bingo

【在 D********3 的大作中提到】
: MRI of the spine
n***j
发帖数: 184
159
Pelvic/Abd CT scan with cont?
g*****d
发帖数: 991
160
Cardio always has long question.
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TSH 3.47紧急求救!!爸爸病危脑血栓,怎么抢救!! (转载)
g*****d
发帖数: 991
161
Not all the information is useful.
V*****G
发帖数: 337
162
BB

He
-3
point
the

【在 g*****d 的大作中提到】
: 4. A healthy 78-year-old man, who is still working, comes for a
: consultation because he is "just not feeling well." He has "weakness"
: associated with dyspnea occuring unpredictable. Episodes last from a few
: seconds to several minutes. He has never had syncope. During the last 2-3
: years, he has had 8-10 episodes of typical angina on very severe effort. He
: weighs 235 pounds, has been treated for hypertension for many years with "
: good control," and has troublesome arthritis in his right shoulder. On
: physical examination, he has a BP of 130/70, and a heart rate of 62 with 2-3
: irregularities per minute. He has no jugular venous hypertension. The point
: of maximal impulse is not palpable. He has a diminished second sound in the

g*****d
发帖数: 991
163
No.

【在 V*****G 的大作中提到】
: BB
:
: He
: -3
: point
: the

W*T
发帖数: 241
164
pacing
c***y
发帖数: 811
165
Pacemaker
g*****d
发帖数: 991
166
right

【在 W*T 的大作中提到】
: pacing
g*****d
发帖数: 991
167
5. A 49-year-old woman with severe, new onset heart failure is admitted to
the hospital for evaluation and management. An echo is consistent with
dilated cardiomyopathy. A balloon tip catheter is placed in the pulmonary
artery to facilitate management. The hemodynamics before and after an
intervention are shown below:
H.R. B.P. PCWP C.I.
BASELINE 90 100/60 35 2.0
INTERVENTION 91 98/55 20 3.1
What intervention was given?
A) Intravenous Furosemide.
B) Intravenous nitroglycerin
C)Intravenous dopamine.
D) Intravenous nitroprusside.
E) Something else, you name it.
h**********1
发帖数: 123
168
你是围观的?

【在 W*T 的大作中提到】
: pacing
b*****l
发帖数: 8603
169
对,友情嘉宾

【在 h**********1 的大作中提到】
: 你是围观的?
g*****d
发帖数: 991
170
Look like the table is shifted. You guys can figure it out.
相关主题
紧急求救!!爸爸病危脑血栓,怎么抢救!! (转载)Many thanks
请教一下多粘菌素B的问题DVT prophylaxis drives me crazy.
上医学生被同学下毒,我们能汲取什么教训?安眠药上瘾了,请问怎么办? (转载)
h**********1
发帖数: 123
171
pacemaker 算吗?

【在 g*****d 的大作中提到】
: right
D********3
发帖数: 786
172
C
m********a
发帖数: 607
173
c
n***j
发帖数: 184
174
终于登上了!
C!
c***y
发帖数: 811
175
A, or dobut,amine was given
g*****d
发帖数: 991
176
should be PPM or DDD pacemaker. Pacing was the first.

【在 h**********1 的大作中提到】
: pacemaker 算吗?
g*****d
发帖数: 991
177
WST answered pacing first.
A*******s
发帖数: 9638
178
cq is in the team, should be counted.

【在 g*****d 的大作中提到】
: should be PPM or DDD pacemaker. Pacing was the first.
g*****d
发帖数: 991
179
No right answer yet.
h**********1
发帖数: 123
180
I know, but she/he is not in either team

【在 g*****d 的大作中提到】
: WST answered pacing first.
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有包子!求macrocytic anemia 的鉴别诊断请教,买神末样的听诊器
W*T
发帖数: 241
181
B
g*****d
发帖数: 991
182
I see.

【在 h**********1 的大作中提到】
: I know, but she/he is not in either team
h**********1
发帖数: 123
183
ok, got you

【在 A*******s 的大作中提到】
: cq is in the team, should be counted.
A*******s
发帖数: 9638
184
next, bluebell
Thanks, Garland, excellent Qs!
b*****l
发帖数: 8603
185
Neuro~~
5. A CEO of a big company just finished a talk at a meeting and returned to
his office. Suddenly he asked his secretary when he should give the talk
which he just did a moment ago. Apparently he had no recollection what he
did during the talk. He was sent to ER and had a thorough neurological
workup which is completely normal. What happened to him?
W*T
发帖数: 241
186
I am lele majia
pre-intern
b******a
发帖数: 704
187
D,dobutamine
D******D
发帖数: 1159
188
Dobutamine 偶们一位队员退了,偶顶上
g*****d
发帖数: 991
189
I will be back to Oncall again.

【在 A*******s 的大作中提到】
: next, bluebell
: Thanks, Garland, excellent Qs!

n***j
发帖数: 184
190
E,digoxin...拼了。。。
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南山,看看这个[求助] 宝宝的了重病------update (转载)
r*****1
发帖数: 805
191
B
z****o
发帖数: 368
192
TIA
D********3
发帖数: 786
193
TIA
h**********1
发帖数: 123
194
给一下cardio 5的answer 啊

【在 A*******s 的大作中提到】
: next, bluebell
: Thanks, Garland, excellent Qs!

b*****l
发帖数: 8603
195
谢谢南山!值班愉快!

【在 g*****d 的大作中提到】
: I will be back to Oncall again.
h**********1
发帖数: 123
196
给一下cardio 5的answer 啊

【在 A*******s 的大作中提到】
: next, bluebell
: Thanks, Garland, excellent Qs!

D*********t
发帖数: 140
197
D
g*****d
发帖数: 991
198
Still no right answer to cardio last question.
A*******s
发帖数: 9638
199
Hope you have a good night sleep? :)

【在 g*****d 的大作中提到】
: I will be back to Oncall again.
g*****d
发帖数: 991
200
Still no right answer to cardio last question.
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n***j
发帖数: 184
201
TIA
g*****d
发帖数: 991
202
D) Intravenous nitroprusside.

【在 h**********1 的大作中提到】
: 给一下cardio 5的answer 啊
A*******s
发帖数: 9638
203
over 2 min, you can give the answer.

【在 g*****d 的大作中提到】
: Still no right answer to cardio last question.
g*****d
发帖数: 991
204
right

【在 D*********t 的大作中提到】
: D
z****o
发帖数: 368
205
I guess IV nitroprusside for the previous q
b*****l
发帖数: 8603
206
后面还好些题,A+您给掌握下时间,快速给答案快速贴吧
W*T
发帖数: 241
207
nitroprusside
A*******s
发帖数: 9638
208
You got it right, how are you doing?

【在 D*********t 的大作中提到】
: D
A*******s
发帖数: 9638
209
Transient Global amnesia (TGA), not TIA
next
b*****l
发帖数: 8603
210
Endo--
A 57-year-old female with a past medical history (PMH) of hypertension (HTN)
and depression was admitted for mental status change and fever for 1 week.
On admission, she was diagnosed with multilobar pneumonia and antibiotic
treatment with azithromycin and Zosyn (piperacillin and tazobactam injection
) was started. Blood cultures showed gram positive cocci in clusters and
vancomycin was added. LP was negative for meningitis.
Home medications
Toprol XL (metoprolol succinate), Neurontin (gabapentin) 300mg bid, Zoloft (
sertraline)
Physical examination
Unwell, flushed, oxygen via face mask.
132/78-38.2-112, 95% 5L face mask.
Lungs: Occasional bibasilar crackles.
Heart: Clear S1, S2, no murmurs, gallop, or rubs.
Abdomen: Soft, NT, ND, +BS.
Extremities: no c/c/e.
labs:
question:
What is the reason for abnormalities in thyroid function tests in this
patient?
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A*******s
发帖数: 9638
211
aginstwind, r u here?
c***y
发帖数: 811
212
Sick euthyroid
D******D
发帖数: 1159
213
sick euthyroid syndrome
n***j
发帖数: 184
214
Reactive T3 syndrome
D******D
发帖数: 1159
215
sick euthyroid syndrome
A*******s
发帖数: 9638
216
aginstwind, r u here?
D********3
发帖数: 786
217
sepsis--> inflammation
W*T
发帖数: 241
218
did not see lab result
A*******s
发帖数: 9638
219
Wow, you are right!

【在 D******D 的大作中提到】
: sick euthyroid syndrome
h**********1
发帖数: 123
220
update: Team A 6 correct, 11 wrong
Team B 7 correct, 15 wrong
可能少有出入,
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请教,买神末样的听诊器南山,看看这个
CK form 1 block 2 Q18 help needed请心血管医生帮分析,谢谢!
b*****l
发帖数: 8603
221
Great Job!!!!

【在 h**********1 的大作中提到】
: update: Team A 6 correct, 11 wrong
: Team B 7 correct, 15 wrong
: 可能少有出入,

n***j
发帖数: 184
222
请问一下哪里有lab的值啊。。。根本没有看到甲状腺功能啊。。。
b*****l
发帖数: 8603
223
Surgery~~`
1. A 54 year old male was found to have a 4cm x 3cm mass during a routine
colonoscopy. Biopsy showed moderately differentiated adenocarcinoma. He
occasionally has small amount of bright red blood in stool but denies other
symptoms. He has no past medical or surgical history. He does not smoke or
drink alcohol. CT scan showed two masses, 2cm x 2cm and 1cm x1cm, on his
right lung. No mass lesions were found in his liver, brain, or bones.
Where in the GI tract is the most likely location of his cancer?
A*******s
发帖数: 9638
224
dead tight

【在 h**********1 的大作中提到】
: update: Team A 6 correct, 11 wrong
: Team B 7 correct, 15 wrong
: 可能少有出入,

h**********1
发帖数: 123
225
这个怎么给?
我只给了cq, she is the first one

【在 A*******s 的大作中提到】
: Wow, you are right!
A*******s
发帖数: 9638
226
micasa here?
D******D
发帖数: 1159
227
appendix
c***y
发帖数: 811
228
Rectal
M****a
发帖数: 577
229
I am here :-)

【在 A*******s 的大作中提到】
: micasa here?
h**********1
发帖数: 123
230
你现在混着出了?

other

【在 b*****l 的大作中提到】
: Surgery~~`
: 1. A 54 year old male was found to have a 4cm x 3cm mass during a routine
: colonoscopy. Biopsy showed moderately differentiated adenocarcinoma. He
: occasionally has small amount of bright red blood in stool but denies other
: symptoms. He has no past medical or surgical history. He does not smoke or
: drink alcohol. CT scan showed two masses, 2cm x 2cm and 1cm x1cm, on his
: right lung. No mass lesions were found in his liver, brain, or bones.
: Where in the GI tract is the most likely location of his cancer?

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a*********d
发帖数: 2763
231
i am here
A*******s
发帖数: 9638
232
cq should score

【在 c***y 的大作中提到】
: Sick euthyroid
b*****l
发帖数: 8603
233
endo只有一道已经完了

【在 h**********1 的大作中提到】
: 你现在混着出了?
:
: other

A*******s
发帖数: 9638
234
You take care of the answer then. :)

【在 M****a 的大作中提到】
: I am here :-)
s********o
发帖数: 3319
235
Rectum

other

【在 b*****l 的大作中提到】
: Surgery~~`
: 1. A 54 year old male was found to have a 4cm x 3cm mass during a routine
: colonoscopy. Biopsy showed moderately differentiated adenocarcinoma. He
: occasionally has small amount of bright red blood in stool but denies other
: symptoms. He has no past medical or surgical history. He does not smoke or
: drink alcohol. CT scan showed two masses, 2cm x 2cm and 1cm x1cm, on his
: right lung. No mass lesions were found in his liver, brain, or bones.
: Where in the GI tract is the most likely location of his cancer?

M****a
发帖数: 577
236
Lower 1/3 of rectal.
But I'll take rectal as the correct answer :-)

【在 c***y 的大作中提到】
: Rectal
A*******s
发帖数: 9638
237
Do you want to finish the rest?

【在 a*********d 的大作中提到】
: i am here
s******v
发帖数: 477
238
刚洗完衣服,接这看热闹
b*****l
发帖数: 8603
239
Surgery~~
2. A 17 year old female with a history of ulcerative colitis for 2 years had
two recent hospital admissions for massive GI bleeding in the past 3 months
. In her most recent admission, her hemoglobin was 4.1. She received 6 units
of pRBC. Her current hemoglobin is 10.7. Her medical history is otherwise
unremarkable. She has been treated with infliximab and adalimumab 6 months
ago, but continues to have flare-ups with symptoms including fever,
abdominal pain, and hematochezia. Her current daily medications include
mesalamine 800mg TID and prednisone 30mg daily.
What is the next step of treatment?
A*******s
发帖数: 9638
240
You are generous. :)

【在 M****a 的大作中提到】
: Lower 1/3 of rectal.
: But I'll take rectal as the correct answer :-)

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上医学生被同学下毒,我们能汲取什么教训?安眠药上瘾了,请问怎么办? (转载)
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c***y
发帖数: 811
241
Colectomy
s******v
发帖数: 477
242
刚洗完衣服,接这看热闹
a*********d
发帖数: 2763
243
sure

【在 A*******s 的大作中提到】
: Do you want to finish the rest?
b******a
发帖数: 704
244
请接我的位置吧,明天上班,顶不住了。

【在 s******v 的大作中提到】
: 刚洗完衣服,接这看热闹
s********o
发帖数: 3319
245
Left hemicolectomy

had
months
units

【在 b*****l 的大作中提到】
: Surgery~~
: 2. A 17 year old female with a history of ulcerative colitis for 2 years had
: two recent hospital admissions for massive GI bleeding in the past 3 months
: . In her most recent admission, her hemoglobin was 4.1. She received 6 units
: of pRBC. Her current hemoglobin is 10.7. Her medical history is otherwise
: unremarkable. She has been treated with infliximab and adalimumab 6 months
: ago, but continues to have flare-ups with symptoms including fever,
: abdominal pain, and hematochezia. Her current daily medications include
: mesalamine 800mg TID and prednisone 30mg daily.
: What is the next step of treatment?

n***j
发帖数: 184
246
resection
A*******s
发帖数: 9638
247
after the surgery case, you post your own cases. Thanks

【在 a*********d 的大作中提到】
: sure
D********3
发帖数: 786
248
surgical resection
a*********d
发帖数: 2763
249
ok, let me know when

【在 A*******s 的大作中提到】
: after the surgery case, you post your own cases. Thanks
n***j
发帖数: 184
250
ECG plus Colonoscopy
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【活动通知】有趣的临床案例【intern 日记】终于熬过第一周了
W*T
发帖数: 241
251
azathioprine
n***j
发帖数: 184
252
EGD不是ecg。。。
V*****G
发帖数: 337
253
Several members in resident team need to go sleep for tomorrow.
M****a
发帖数: 577
254
Restorative protocolectomy
Colectomy is not sufficient...

had
months
units

【在 b*****l 的大作中提到】
: Surgery~~
: 2. A 17 year old female with a history of ulcerative colitis for 2 years had
: two recent hospital admissions for massive GI bleeding in the past 3 months
: . In her most recent admission, her hemoglobin was 4.1. She received 6 units
: of pRBC. Her current hemoglobin is 10.7. Her medical history is otherwise
: unremarkable. She has been treated with infliximab and adalimumab 6 months
: ago, but continues to have flare-ups with symptoms including fever,
: abdominal pain, and hematochezia. Her current daily medications include
: mesalamine 800mg TID and prednisone 30mg daily.
: What is the next step of treatment?

I****a
发帖数: 407
255
啊,看错了时间,还来得及出题吗
h**********1
发帖数: 123
256
supernav接的话表个态,我好count you

【在 b******a 的大作中提到】
: 请接我的位置吧,明天上班,顶不住了。
b*****l
发帖数: 8603
257
已经超时了,我先接着往下贴啦~~
Surgery~~
3. A 46 year old male with no past medical history has had vague upper
abdominal pain for 3 months. He has a 5 lb weight loss. He has 15 pack-day-
year smoking history. On physical exam, he has rashes along his upper back
bilaterally. He has no jaundice. CT showed a 4cm x 3cm homogeneous mass with
enhanced density in the tail of his pancreas. There is no lymphadenopathy.
MRI (from internet) showed the following:
. What is the major differential diagnose besides tumors?
A*******s
发帖数: 9638
258
He has 2 more cases, then yours.
Micasa, hurry up! lol

【在 a*********d 的大作中提到】
: ok, let me know when
h**********1
发帖数: 123
259
是统统不给的意思吗?

【在 M****a 的大作中提到】
: Restorative protocolectomy
: Colectomy is not sufficient...
:
: had
: months
: units

A*******s
发帖数: 9638
260
We are over time now. Wait for next time. Sorry.

【在 I****a 的大作中提到】
: 啊,看错了时间,还来得及出题吗
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s********o
发帖数: 3319
261
Neuroendocrine

with
.

【在 b*****l 的大作中提到】
: 已经超时了,我先接着往下贴啦~~
: Surgery~~
: 3. A 46 year old male with no past medical history has had vague upper
: abdominal pain for 3 months. He has a 5 lb weight loss. He has 15 pack-day-
: year smoking history. On physical exam, he has rashes along his upper back
: bilaterally. He has no jaundice. CT showed a 4cm x 3cm homogeneous mass with
: enhanced density in the tail of his pancreas. There is no lymphadenopathy.
: MRI (from internet) showed the following:
: . What is the major differential diagnose besides tumors?

n***j
发帖数: 184
262
islet cell tumor
Pancreatic tumor
D********3
发帖数: 786
263
pseudocyst
D*********t
发帖数: 140
264
pseudocyst
A*******s
发帖数: 9638
265
it is still a tumor, man.

【在 s********o 的大作中提到】
: Neuroendocrine
:
: with
: .

b******a
发帖数: 704
266
glucagonoma
M****a
发帖数: 577
267
Accessory spleen

with
.

【在 b*****l 的大作中提到】
: 已经超时了,我先接着往下贴啦~~
: Surgery~~
: 3. A 46 year old male with no past medical history has had vague upper
: abdominal pain for 3 months. He has a 5 lb weight loss. He has 15 pack-day-
: year smoking history. On physical exam, he has rashes along his upper back
: bilaterally. He has no jaundice. CT showed a 4cm x 3cm homogeneous mass with
: enhanced density in the tail of his pancreas. There is no lymphadenopathy.
: MRI (from internet) showed the following:
: . What is the major differential diagnose besides tumors?

I****a
发帖数: 407
268
Sorry about this.
Will keep the questions for the next time then.

【在 A*******s 的大作中提到】
: We are over time now. Wait for next time. Sorry.
b*****l
发帖数: 8603
269
Surgery~~
4. A 75 year old male with a history of hypertension and hyperlipidemia came
to your clinic complaining worsening pain in his buttocks. He was not able
to climb more than 10 steps of stairs or walk more than one block before the
pain strikes his buttock. The pain disappears after he rests for 15 minutes
. He also complains erectile dysfunction. He does not have pain during sleep
. He has 45 pack-day-year smoking history. Physical exam showed weakened
femoral but normal popliteal and dosalis paedis pulses, normal calf hair and
skin color.
What is the name of his condition?
n***j
发帖数: 184
270
islet hyperplasia
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W*T
发帖数: 241
271
glucagonoma
s******v
发帖数: 477
272
pseudocyts
n***j
发帖数: 184
273
leriche syndome
h*******r
发帖数: 182
274
PAD
V*****G
发帖数: 337
275
ileofemoral claudicatioin

came
able
the
minutes
sleep
and

【在 b*****l 的大作中提到】
: Surgery~~
: 4. A 75 year old male with a history of hypertension and hyperlipidemia came
: to your clinic complaining worsening pain in his buttocks. He was not able
: to climb more than 10 steps of stairs or walk more than one block before the
: pain strikes his buttock. The pain disappears after he rests for 15 minutes
: . He also complains erectile dysfunction. He does not have pain during sleep
: . He has 45 pack-day-year smoking history. Physical exam showed weakened
: femoral but normal popliteal and dosalis paedis pulses, normal calf hair and
: skin color.
: What is the name of his condition?

M****a
发帖数: 577
276
Surgical resection is a little too vague...

【在 h**********1 的大作中提到】
: 是统统不给的意思吗?
D*********t
发帖数: 140
277
Bergur's disease (Surgery Q4)
D******D
发帖数: 1159
278
Leriche syndrome
c***y
发帖数: 811
279
Integral iliac artery stenosis
A*******s
发帖数: 9638
280
next will be the last section: Endocrinology.
Here you go, againstwind.
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M****a
发帖数: 577
281
Correct

【在 D******D 的大作中提到】
: Leriche syndrome
a*********d
发帖数: 2763
282
should i post now?
b*****l
发帖数: 8603
283
yes

【在 a*********d 的大作中提到】
: should i post now?
V*****G
发帖数: 337
284
last 2 more questions. most went for sleep.

【在 a*********d 的大作中提到】
: should i post now?
h**********1
发帖数: 123
285
surgery has only 4, right?

【在 b*****l 的大作中提到】
: yes
a*********d
发帖数: 2763
286
case 2
A 25-year-old woman is 24 weeks’ pregnant. She has no concerns except for
intermittent nervousness and insomnia. Her gynecologist notes that she has
gained only 5 pounds and has developed diffuse enlargement of her thyroid
gland.
On physical examination she has slight lid lag and stare. The thyroid gland
is diffusely enlarged (about 3 times normal size), soft, and without
palpable nodules. Heart rate is 94 beats/min at rest. Obstetric findings are
normal for 24 weeks’ gestation.
Laboratory test results:
Serum free T4 = 2.7 ng/dL
TSH = <0.03 mIU/L
Thyroid stimulating immunoglobulin = 180%
Which one of the following would be the best management for this problem?
[ A ] Ablation of the thyroid gland with radioactive iodine
[ B ] Subtotal thyroidectomy in the third trimester of pregnancy
[ C ] Propylthiouracil therapy to bring the free T4 into the upper
reference range
[ D ] Propylthiouracil therapy to bring the TSH into the reference range
[ E ] Combined potassium iodide and propranolol therapy
b*****l
发帖数: 8603
287
yes

【在 h**********1 的大作中提到】
: surgery has only 4, right?
A*******s
发帖数: 9638
288
yes.
Thanks, micasa
We still have some Qs left but it is too late. We'll wait againstwind to
finish tonight's section.

【在 h**********1 的大作中提到】
: surgery has only 4, right?
V*****G
发帖数: 337
289
D

gland
are

【在 a*********d 的大作中提到】
: case 2
: A 25-year-old woman is 24 weeks’ pregnant. She has no concerns except for
: intermittent nervousness and insomnia. Her gynecologist notes that she has
: gained only 5 pounds and has developed diffuse enlargement of her thyroid
: gland.
: On physical examination she has slight lid lag and stare. The thyroid gland
: is diffusely enlarged (about 3 times normal size), soft, and without
: palpable nodules. Heart rate is 94 beats/min at rest. Obstetric findings are
: normal for 24 weeks’ gestation.
: Laboratory test results:

n***j
发帖数: 184
290
d
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h**********1
发帖数: 123
291
Team A correct 8, wrong 17 times
Team B correct 8, wrong 23 times
加油!
c***y
发帖数: 811
292
C
a*********d
发帖数: 2763
293
should i give answer now
D******D
发帖数: 1159
294
B
D********3
发帖数: 786
295
E
V*****G
发帖数: 337
296
Last question please. We need to go for sleep. Thanks.
D*********t
发帖数: 140
297
E
V*****G
发帖数: 337
298
Last question please. We need to go for sleep. Thanks.
d******a
发帖数: 99
299
B

gland
are

【在 a*********d 的大作中提到】
: case 2
: A 25-year-old woman is 24 weeks’ pregnant. She has no concerns except for
: intermittent nervousness and insomnia. Her gynecologist notes that she has
: gained only 5 pounds and has developed diffuse enlargement of her thyroid
: gland.
: On physical examination she has slight lid lag and stare. The thyroid gland
: is diffusely enlarged (about 3 times normal size), soft, and without
: palpable nodules. Heart rate is 94 beats/min at rest. Obstetric findings are
: normal for 24 weeks’ gestation.
: Laboratory test results:

s******v
发帖数: 477
300
D, TSH reference should be around 0.2-2
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请教一下多粘菌素B的问题DVT prophylaxis drives me crazy.
b*****l
发帖数: 8603
301
yes,post answer then the last question

【在 a*********d 的大作中提到】
: should i give answer now
s******v
发帖数: 477
302
D, TSH reference should be around 0.2-2
a*********d
发帖数: 2763
303
answer C
a*********d
发帖数: 2763
304
case 3
A 30-year-old man sees his primary care physician for routine follow-up and
is documented to have a serum calcium concentration of 12.9 mg/dL. He is
admitted to the hospital directly from the clinic for further evaluation and
treatment. The patient states that he has a 5-year history of sarcoidosis,
but admits to nonadherence to his follow-up care and treatment regimen. He
had 1 episode of nephrolithiasis approximately 1 year ago and was told that
his kidneys are “abnormal.” Before admission he was taking no medications
or over-the-counter supplements or vitamins.
On examination, he is afebrile with a blood pressure of 128/92 mm Hg and a
heart rate of 92 beats/min. Respiratory rate is 18 breaths/min, and oxygen
saturation is 96% on room air. He is alert and oriented, in no acute
distress. He has diffuse, palpable, nontender adenopathy in the cervical,
axillary, and inguinal regions. Findings from cardiac examination are normal
, and lungs are clear to auscultation. The abdomen is soft and nontender.
Skin is notable for a papular rash over the wrists bilaterally.
Additional laboratory test results:
Albumin = 4.6 g/dL
Calcium = 12.9 mg/dL
Phosphorus = 9.0 mg/dL
Serum creatinine = 2.8 mg/dL
Alkaline phosphatase =118 U/L
1,25-Dihydroxyvitamin D = 112 pg/mL
25-Hydroxyvitamin D = 6 ng/mL
Intact PTH = 7 pg/mL
TSH = 1.46 mIU/L
Urinary calcium = 561 mg/24 h
Urinary creatinine = 2 g/24 h
Urinary volume = 3050 mL/24 h
The admitting physician has initiated treatment with intravenous fluids.
In addition to instructing the patient to avoid sun exposure, limit vitamin
D and calcium intake, and maintain an intake of 2 L of fluid daily, which
one of the following medications is most appropriate now?
[ A ] Cinacalcet, 30 mg daily
[ B ] Pamidronate, 60 mg intravenously
[ C ] Hydroxychloroquine, 250 mg daily
[ D ] Prednisone, 30 mg daily
[ E ] Ketoconazole, 800 mg daily
V*****G
发帖数: 337
305
For ,resident friend, please let me know if you can stay,
so I will let others to leave.
r*****1
发帖数: 805
306
Case2: C
D******D
发帖数: 1159
307
B
n***j
发帖数: 184
308
D endo3
c***y
发帖数: 811
309
D
h*******r
发帖数: 182
310
D
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D********3
发帖数: 786
311
C
D*********t
发帖数: 140
312
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right?
h**********1
发帖数: 123
313
上答案吧。
V*****G
发帖数: 337
314
Most of resident team members left for sleeping.
a*********d
发帖数: 2763
315
answer D
V*****G
发帖数: 337
316
Most of resident team members left for sleeping.
s******v
发帖数: 477
317
I can stay, but my computer constantly give me trouble.
s******v
发帖数: 477
318
I can stay, but my computer constantly give me trouble.
a*********d
发帖数: 2763
319
because of the time difference, i tried my best to get online, my mother's
birthday today. just come to return a favor to A++

【在 V*****G 的大作中提到】
: Most of resident team members left for sleeping.
V*****G
发帖数: 337
320
Most of resident team members left for sleeping.
相关主题
【活动通知】有趣的临床案例【intern 日记】终于熬过第一周了
请教,买神末样的听诊器南山,看看这个
CK form 1 block 2 Q18 help needed请心血管医生帮分析,谢谢!
V*****G
发帖数: 337
321
Thanks so much!

【在 s******v 的大作中提到】
: I can stay, but my computer constantly give me trouble.
h**********1
发帖数: 123
322
A++呢? R we continue, or we are done here?
A*******s
发帖数: 9638
323
Tonight we really witnessed our CMG’s ability for medical practice. I am
personally very surprised to see so many IDs here. We definitely had a good
time. Did all of us learn something tonight? Sure, we do.:)
I’d like to appreciate the attending who sacrifice their precious time for
preparing the Qs. Special kudos to Rubyheart, Garland, Snowforest, Micasa,
MADMD, Wind, icetea, Stareee and Againstwind.
I would also thank out attendees including DaobanID, VictorG and their crews
. Amazing performance!
Last, I have to give credit to Blubell and hippocampus for their time and
efforts. Without their input, it is impossible to finish.
See you guys next time.
D*********t
发帖数: 140
324
Dr. Againstwind:
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right?
D******D
发帖数: 1159
325
I think we should adjourn
A*******s
发帖数: 9638
326
太不好意思了,下次你母亲过生日我一定补偿。:)

【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++

W*T
发帖数: 241
327
祝福你的妈妈生日快乐
J*********4
发帖数: 1274
328
非常感谢各位大牛。 很欢乐的周末,学了好多!
鞠躬!
D*********t
发帖数: 140
329
Dr. Againstwind:
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right?
D********3
发帖数: 786
330
Thanks so much for all your inputs! I did learn a lot! definitely will
participate again next time. Sleep well! :)
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a*********d
发帖数: 2763
331
you are totally right,PTU is only recommended in 1st trimester. since
options did not include methimazole, PTU will be the best answer here.
Aiming for a normal serum TSH concentration (Answer D) is not appropriate
because it may remain low even after reaching the euthyroid state.

【在 D*********t 的大作中提到】
: Dr. Againstwind:
: Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
: trimester with the concern of teratogenic effect of PTU. We prefer
: Methemozal to PTU from 2nd trimester. Is that right?

J*********4
发帖数: 1274
332
祝逆风姐姐妈妈生日快乐!
D*********t
发帖数: 140
333
Sorry, dont know why my post appeared so many times....
V*****G
发帖数: 337
334
I want to thank all the resident team members's great contribution in spite
of your extremely busy schedule! Without you guys' sacrifice and
contribution, this is mission impossible. All of you guys did a fantastic
job!
a*********d
发帖数: 2763
335
no need, i owe you and i agreed to do this. sorry i could not make it on
time.

【在 A*******s 的大作中提到】
: 太不好意思了,下次你母亲过生日我一定补偿。:)
D*********t
发帖数: 140
336
Thank you for your answer! Enjoy your time with your Mom!
a*********d
发帖数: 2763
337
thank you

【在 J*********4 的大作中提到】
: 祝逆风姐姐妈妈生日快乐!
s**********t
发帖数: 217
338
赶快订个🎂送去。

【在 A*******s 的大作中提到】
: 太不好意思了,下次你母亲过生日我一定补偿。:)
h**********1
发帖数: 123
339
hi, guys, the result is so tight that I need to double check to make sure.
Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举,我要
重新点票,以示公允。
b*****l
发帖数: 8603
340
后面的题,我把它们都贴这儿吧,感兴趣的话可以学习。不算分了。
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DVT prophylaxis drives me crazy.怀孕其间的巨细胞贫血? (转载)
b*****l
发帖数: 8603
341
祝阿姨生日快乐!谢谢逆风!

【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++

b*****l
发帖数: 8603
342
不如你先睡觉去吧,明天再弄,很晚了

【在 h**********1 的大作中提到】
: hi, guys, the result is so tight that I need to double check to make sure.
: Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举,我要
: 重新点票,以示公允。

A*******s
发帖数: 9638
343
现在还来得及吗,不过明年一定。

【在 s**********t 的大作中提到】
: 赶快订个🎂送去。
h**********1
发帖数: 123
344
好啊,谢谢大家。

【在 b*****l 的大作中提到】
: 不如你先睡觉去吧,明天再弄,很晚了
J*********4
发帖数: 1274
345

====
哈哈, 很正规的哟

【在 h**********1 的大作中提到】
: hi, guys, the result is so tight that I need to double check to make sure.
: Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举,我要
: 重新点票,以示公允。

V*****G
发帖数: 337
346
Happy birth day to your mom!

【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++

b*****l
发帖数: 8603
347
我现在贴的这些感兴趣的同学可以学习学习,如果回答的话点击本贴回复就好,要不就
不知道那个是那个了
Pediatric~~
15m old boy without significant medical history presented to the ED for
pallor and fatigue. Mother said he had a cold a few weeks ago. He has one
year well child visit at his pediatrician's office and at the time the CBC
was reported normal. Tachycardia, HR 150, afebrile, other VSS. Exam: Pale,
playful and active. No jaundice, No HSM, No LAD, the rest exam WNL. No
dismorphic feature. CBC showed WBC 11.7, normal diff, Hb 5.1, MCV 86, PLT
230. What is the most likely diagnosis? What blood test can confirm your
diagnosis?
A*******s
发帖数: 9638
348
谢谢海马,慢慢点就是了。

【在 h**********1 的大作中提到】
: hi, guys, the result is so tight that I need to double check to make sure.
: Plus several IDs joined us later. Will post tomorrow. 就象上次美国选举,我要
: 重新点票,以示公允。

M****a
发帖数: 577
349
感动~ 祝老人家生日快乐!

【在 a*********d 的大作中提到】
: because of the time difference, i tried my best to get online, my mother's
: birthday today. just come to return a favor to A++

b*****l
发帖数: 8603
350
Question from MADMD:
A 14 year old girl with past history of depression is admitted due
to a suicidal attempt by overdosing on OTC melatonin. The girl became
depressed 2 months ago after her boyfriend broke up with her. She was
started on zoloft for her depression by her primary care physician. Prior to
her suicidal attempt, the girl had felt better with zoloft treatment and
started dating again. However, her new boyfriend broke up with her 1 week
ago because he found out the girl is also "seeing" other two boys. Since the
break up with her new boyfriend, the girl has been suffering from paranoia.
She feels everybody at school is laughing at her. Also she started hearing
voices telling her "to end it all" by killing herself. She says the voices
keeping her up during night. This is also why she is taking the OTC
melatonin for sleep. The girl's late mother was an accountant, she had
depression and committed suicide at age of 35 after she was diagnosed with
AIDS, and was charged with driving without a license and check fraud. What
is the most likely diagnosis for this girl?
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s**********t
发帖数: 217
351
贝儿辛苦了

【在 b*****l 的大作中提到】
: 我现在贴的这些感兴趣的同学可以学习学习,如果回答的话点击本贴回复就好,要不就
: 不知道那个是那个了
: Pediatric~~
: 15m old boy without significant medical history presented to the ED for
: pallor and fatigue. Mother said he had a cold a few weeks ago. He has one
: year well child visit at his pediatrician's office and at the time the CBC
: was reported normal. Tachycardia, HR 150, afebrile, other VSS. Exam: Pale,
: playful and active. No jaundice, No HSM, No LAD, the rest exam WNL. No
: dismorphic feature. CBC showed WBC 11.7, normal diff, Hb 5.1, MCV 86, PLT
: 230. What is the most likely diagnosis? What blood test can confirm your

J*********4
发帖数: 1274
352

----
B19 infection?

【在 b*****l 的大作中提到】
: 我现在贴的这些感兴趣的同学可以学习学习,如果回答的话点击本贴回复就好,要不就
: 不知道那个是那个了
: Pediatric~~
: 15m old boy without significant medical history presented to the ED for
: pallor and fatigue. Mother said he had a cold a few weeks ago. He has one
: year well child visit at his pediatrician's office and at the time the CBC
: was reported normal. Tachycardia, HR 150, afebrile, other VSS. Exam: Pale,
: playful and active. No jaundice, No HSM, No LAD, the rest exam WNL. No
: dismorphic feature. CBC showed WBC 11.7, normal diff, Hb 5.1, MCV 86, PLT
: 230. What is the most likely diagnosis? What blood test can confirm your

b*****l
发帖数: 8603
353
Question from Snowforest
1.A 55 year old female is admitted to the ICU from the emergency department
with ARDS. She is currently being mechanically ventilated with a tidal
volume of 6 mL/kg and a PEEP of 14 cmH2O, with a FiO2 of 60%. Her
inspiratory plateau pressure is 32 cmH2O.
What are you going to do to improve survival in this patient?
b*****l
发帖数: 8603
354
Question from Snowforest
2. To avoid malfunction of ventilators, wast is the most appropriate
minimum distance at which cellular phones should be used from intensive care
ventilators?
b*****l
发帖数: 8603
355
我先哄孩子去了,明天算出最后分数来我就去问站方申请奖励。
大家都辛苦了!周末愉快!晚安!
r*****1
发帖数: 805
356
Hippocampus: WST is working instead of me. I had to leave early. Hope u can
count it~~Thx
A*******s
发帖数: 9638
357
C'mon, you owe me nothing, but now I owe you a birthday cake. :(

【在 a*********d 的大作中提到】
: no need, i owe you and i agreed to do this. sorry i could not make it on
: time.

A*******s
发帖数: 9638
358
辛苦了,blubell

【在 b*****l 的大作中提到】
: 我先哄孩子去了,明天算出最后分数来我就去问站方申请奖励。
: 大家都辛苦了!周末愉快!晚安!

s******v
发帖数: 477
359
schizophrenia

to
the
paranoia.
hearing

【在 b*****l 的大作中提到】
: Question from Snowforest
: 2. To avoid malfunction of ventilators, wast is the most appropriate
: minimum distance at which cellular phones should be used from intensive care
: ventilators?

s******v
发帖数: 477
360
lower PEEP

department

【在 b*****l 的大作中提到】
: Question from Snowforest
: 2. To avoid malfunction of ventilators, wast is the most appropriate
: minimum distance at which cellular phones should be used from intensive care
: ventilators?

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A*******s
发帖数: 9638
361
Right

【在 s******v 的大作中提到】
: Don't know why can't reply a post. Re-start my computer.
: Q2 image has a line, is it a fracture?

D********3
发帖数: 786
362

department
keep inspiratory plateau pressure under 30 cmH2O.

【在 b*****l 的大作中提到】
: Question from Snowforest
: 2. To avoid malfunction of ventilators, wast is the most appropriate
: minimum distance at which cellular phones should be used from intensive care
: ventilators?

D******D
发帖数: 1159
363
嘎嘎,人多力量大果然灰常有道理,面对强大滴双270级别滴Resident Team,偶们pre
resident team居然米有输滴很惨^_^
秘诀1:出场队员拥有日不落优势(Njwwj童鞋身在东八时区)。
秘诀2:Cathy (双270),JennyGao,海马,sumo,Dora, dongyang, D216,mcqueen,
macula, jjj9471,doublemd, ginger, yili 等童鞋领衔滴庞大(三十余人)外援团队
给予超级强力支持 LOL
A*******s
发帖数: 9638
364
你的组织能力也太强了,我看到了很多很强的ID,像Njwwj, deedee还有那个马甲,我
觉得有必要选出答对最多题的ID, 并给予重奖。

pre

【在 D******D 的大作中提到】
: 嘎嘎,人多力量大果然灰常有道理,面对强大滴双270级别滴Resident Team,偶们pre
: resident team居然米有输滴很惨^_^
: 秘诀1:出场队员拥有日不落优势(Njwwj童鞋身在东八时区)。
: 秘诀2:Cathy (双270),JennyGao,海马,sumo,Dora, dongyang, D216,mcqueen,
: macula, jjj9471,doublemd, ginger, yili 等童鞋领衔滴庞大(三十余人)外援团队
: 给予超级强力支持 LOL

h**********1
发帖数: 123
365
yes, I got you

can

【在 r*****1 的大作中提到】
: Hippocampus: WST is working instead of me. I had to leave early. Hope u can
: count it~~Thx

h**********1
发帖数: 123
366
收到指示

【在 A*******s 的大作中提到】
: 你的组织能力也太强了,我看到了很多很强的ID,像Njwwj, deedee还有那个马甲,我
: 觉得有必要选出答对最多题的ID, 并给予重奖。
:
: pre

h**********1
发帖数: 123
367
各位,final result已经send给版大和bluebel了,先卖个关子,等A大宣布吧 :)
J*********4
发帖数: 1274
368
俺们这是人海战术!哈哈~~大家都好牛~~
M***D
发帖数: 249
369
Psychiatry question: A 14 year old girl with past history of depression is
admitted due to a suicidal attempt by overdosing on OTC melatonin. The girl
became depressed 2 months ago after her boyfriend broke up with her. She was
started on zoloft for her depression by her primary care physician. Prior
to her suicidal attempt, the girl had felt better with zoloft treatment and
started dating again. However, her new boyfriend broke up with her 1 week
ago because he found out the girl is also "seeing" other two boys. Since the
break up with her new boyfriend, the girl has been suffering from paranoia.
She feels everybody at school is laughing at her. Also she started hearing
voices telling her "to end it all" by killing herself. She says the voices
keeping her up and this is why she is taking the OTC melatonin for sleep.
The girl's late mother was an accountant, she had depression and committed
suicide at age of 35 after she was diagnosed with AIDS, and was charged with
driving without a license and check fraud. What is the most likely
diagnosis for this girl?
Answer: The girl most likely has bipolar disorder. Three risk factors for
bipolar disorder are (1) early onset depression with psychosis; (2) "
switching" from depression to mania or hypomania by SSRIs (zoloft in this
case) and (3) family history of bipolar disorder (the girl's late mother had
depression and committed suicide, had manic symptoms of being hypersexual,
had risky illegal behaviors and impulsive spending spree).
b******a
发帖数: 704
370
Transient erythroblastopenia of childhood.
Work up: Serial measurements of MCV, blood smear, reticulocyte count,
Hemoglobin F

如果回答的话点击本贴回复就好,要不就

【在 b*****l 的大作中提到】
: 我先哄孩子去了,明天算出最后分数来我就去问站方申请奖励。
: 大家都辛苦了!周末愉快!晚安!

1 (共1页)
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