在急診見到形形色色的病人 頗像是一個小的社會版新聞
一整天白斑下來 內科的病人好像不多吧 看到內科的一區排床的不多.....但我寫最多的字是"T/A" 和留觀看Conciousness的
也有不少ICH的case了 看來一定要念一下判讀了
明天的功課就是要把ICH的CT , IICP,Coma再弄懂吧
1. ER常見的感染急症為community acquired pneumonia(CAP), UTI, 和acute exerbation of COPD(AECOPD) 使用 Levofloxacin 750mg QD 5天比起500mg QD 10天要好得多
2. Continued uncontrolled extension causes the joints to be irreparably damaged and stress is then transferred through the joints to the bone below. The resulting injury starts as a bone bruise but may lead to a stress fracture if left
untreated. Left unchecked a complete fracture is generated through the section of bone known as the pars interarticularis or pars. This fracture or pars defect is sometimes known as a spondylolysis .
脊椎滑脫是指某一節椎體相對於下一節椎體往前位移, 由於脊椎壓力性骨折(pars fracture)造成小面關節的分離, 進而使椎體向前滑動, 多有背痛或下肢痛的症狀, 症狀的嚴重度和滑脫的程度有關, 脊椎體向前滑脫時會在相鄰的椎間盤產生剪力(shearing force),而造成椎間盤退化性的改變.
3. compartment syndrome 肢體腔室症候群
It is a progressive condition in which the elevated tissue pressure within a confined myofascial compartment exceeds
Compartment syndrome is seen most commonly in the lower extremity, typically below the knee, in patients who have
undergone injury. However, any location can be involved, including the thigh, forearm and paraspinal musculature.
Clinical symptom: swelling, pain, not tempered, but worsened by elevation of the limb, and passive muscle stretching causing pain as well as sensomotoric symptoms such as paresthesias or paralysis.
Delay in diagnosis or fasciotomy leads to severe sequelae of ischemia: musclenecrosis, nerve damage and scarring
Early fasciotomy is recommended. Medial skin incision should be chosen when vascular revision is needed, lateral when an osteosynthesis has to be performed.
6P
1. 疼痛 (Pain)
2. 壓迫，造成腔室腫脹、緊繃 (Pressure)
3. 感覺異常 (Paresthesia)
4. 癱瘓 (Paralysis)
5. 若到達很嚴重的程度，表皮呈現蒼白；否則一般則呈現粉紅色 (Pink color)
6. 若到達很嚴重的程度，脈搏才摸不到；否則一般則脈搏還可以摸到 (Pulse)
一整天白斑下來 內科的病人好像不多吧 看到內科的一區排床的不多.....但我寫最多的字是"T/A" 和留觀看Conciousness的
也有不少ICH的case了 看來一定要念一下判讀了
明天的功課就是要把ICH的CT , IICP,Coma再弄懂吧
1. ER常見的感染急症為community acquired pneumonia(CAP), UTI, 和acute exerbation of COPD(AECOPD) 使用 Levofloxacin 750mg QD 5天比起500mg QD 10天要好得多
2. Continued uncontrolled extension causes the joints to be irreparably damaged and stress is then transferred through the joints to the bone below. The resulting injury starts as a bone bruise but may lead to a stress fracture if left
untreated. Left unchecked a complete fracture is generated through the section of bone known as the pars interarticularis or pars. This fracture or pars defect is sometimes known as a spondylolysis .
脊椎滑脫是指某一節椎體相對於下一節椎體往前位移, 由於脊椎壓力性骨折(pars fracture)造成小面關節的分離, 進而使椎體向前滑動, 多有背痛或下肢痛的症狀, 症狀的嚴重度和滑脫的程度有關, 脊椎體向前滑脫時會在相鄰的椎間盤產生剪力(shearing force),而造成椎間盤退化性的改變.
3. compartment syndrome 肢體腔室症候群
It is a progressive condition in which the elevated tissue pressure within a confined myofascial compartment exceeds
Compartment syndrome is seen most commonly in the lower extremity, typically below the knee, in patients who have
undergone injury. However, any location can be involved, including the thigh, forearm and paraspinal musculature.
Clinical symptom: swelling, pain, not tempered, but worsened by elevation of the limb, and passive muscle stretching causing pain as well as sensomotoric symptoms such as paresthesias or paralysis.
Delay in diagnosis or fasciotomy leads to severe sequelae of ischemia: musclenecrosis, nerve damage and scarring
Early fasciotomy is recommended. Medial skin incision should be chosen when vascular revision is needed, lateral when an osteosynthesis has to be performed.
6P
1. 疼痛 (Pain)
2. 壓迫，造成腔室腫脹、緊繃 (Pressure)
3. 感覺異常 (Paresthesia)
4. 癱瘓 (Paralysis)
5. 若到達很嚴重的程度，表皮呈現蒼白；否則一般則呈現粉紅色 (Pink color)
6. 若到達很嚴重的程度，脈搏才摸不到；否則一般則脈搏還可以摸到 (Pulse)
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