woocy的秘密基地

        Introduction:
l  Disease spectrum from asymptomatic deep vein thrombosis to massive pulmonary embolism causing immediate death.
l  About 79% of patients with pulmonary embolism have evidence of legs’ deep venous thrombosis.

雖然泌尿科所佔比例不高，可是如果能從這拿分的話當然是最好的喔。
泌尿科相關考題準備方向
•感染性議題：UTI, STD, cath related.

感染科題目一項是考試的常考項目，相關適應症，副作用，藥物藥理作用等等.......因此對於感染科懼怕的人閱讀此份講義後相信會有功力上的精進喔!!因此努力地學習起來吧!!!
 
 
 

內分泌急症是很不易診斷出來，但又是會致死的急症。因此對於疑似的病患都因針對危險因子，實驗室檢查，誘發因素，及身體評估加以診斷，進而予以適當的治療。
 Thyroid storm 甲狀腺風暴
定義: Thyrotoxic crisis甲狀腺功能亢進的急速惡化

對於血中酸鹼不平衡也須找出其致病原因, 才能根本解決問題!!
 
簡報檔按此 

骨科一向是外科專師考題的重點,因此這份講義主要針對歷年考題的主題做一複習~~~~相當仔細喔!!
 
 
 簡報檔請按此

 Recently an old female patient admitted to our hospital due to CHF and acute on CRF.Previously she ever accepted left hip replacement twice and bilateral knee replacemnt nearly 2 decades ago.Infection work-up was also performed.We excluded lung infection and UTI via a series of tests/lab but to gall bladder and left knee.At last we consider the infection source coming from left knee.According to PE,erythema and swollen of left knee was noted and arthrocentesis was performed post consultiing orthologist.Synovial analysis disclosed WBC greater than 50000/cumm with PMN predominantly(>75%) and sugar is lower(30mg/dl).This result is compatible with septic knee.Therefore I post up synovial fluid analysis to differentiate from different types of knee disease.
 
INTRODUCTION — Synovial fluid analysis may be diagnostic in patients with bacterial infections or crystal-induced synovitis. The white cell count, differential count, cultures, Gram stain, and crystal search using polarized light microscopy are the most valuable studies . Noninflammatory fluids generally have fewer than 2000 white blood cells/mm3, with fewer than 75 percent polymorphonuclear leukocytes .

Indications   1.Suspected CNS Infection : Meningitis /Encephalitis 2.Evaluate for Hemorrhagic CVA (Subarachnoid Hemorrhage): Hemorrhage suspected despite negative Head CT /Head CT not available 3.Diagnostic Chemistry Evaluation :CSF Gamma Globulin (Multiple Sclerosis) 4.CSF Dynamics :Spinal block diagnosis (Queckenstedt test) /Normal Pressure Hydrocephalus evaluation :Katzman infusion/Radionucleotide cisternography 5.CSF Cytology :Carcinomatous Meningitis /Lymphomatous Meningitis 6.Therapeutic lumbar puncture:Methotrexate infusion (CNS Leukemia)/ Amphotericin B infusion (fungal Meningitis)/ Removal of fluid to decrease Intracranial Pressure: Pseudotumor Cerebri /Headache associated with Subarachnoid Hemorrhage

針對過去兩年胸腔科考題作一整理,如:CAP,asthma,COPD,常用藥物.........