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璨花
7 years ago
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1 94 年理療類泌尿復臨例 2 不不 1 70 老量便來 80/40 mmhg 100 /min 識不 2 便來 3 25 年療不 4~5 4~5 狀流 4 52 切理 muscularis propria 淋 17 3 Dukes classification Astler-coller modification B1 B2 C1 C 女 3 刺 infiltrating duct carcinoma 淋 TNM 臨 stage stage stage stage 6 modified radical mastectomy MRM 理淋 2/20 率 ER(-), PR(-), Her-2/neu 療 Tamoxifen 療療療不療 7 40 狀列惡不易 5 狀冷 8 刺 fine needle aspiration 濾列療利冷切來良濾 follicular adenoma 濾狀 follicular carcinoma 狀葉切濾狀易行 9 25 女 3 神列神神 ulnar nerve 神 radial nerve 神 median nerve 神 digital nerve 10 神神 Pinch s sign String s sign Tinel sign Phalen s sign

2 車 80/45 mmhg 120 /min X-ray 不理立立若肋 hemothorax 裂 12 B 年冷理 92/54 mmhg 131 /min 略 shifting dullness Hb 7.5 gm/dl platelet 80000/ 1 albumin 2.5 mg/dl globulin 3.6 mg/dl total bilirubin 2.3 mg/dl PT 16.3/11.8 sec PTT 32.5/32.0 sec bleeding esophagogastric varices bleeding peptic ulcer acute gastric mucosa lesion Mallory-Weiss Mallory-Weiss syndrome 13 abdominal ultrasonography abdominal CT esophagogastroscopy liver function test 14 年女易 purpura 流 epistaxis gingival bleeding thrombocytopenia 狼 systemic lupus erythematosus idiopathic thrombocytopenic purpura congenital thrombocytopenia hypersplenism 15 若療復切 open splenectomy 切 laparoscopic splenectomy ligation of splenic artery balloon occlusion of splenic artery 數年流離 5 切 endoscopic biopsies 理度不良 columnar epithelium with severe dysplasia 療 antacids or H2 blockers 流 anti-reflux surgery 切利 esophagectomy and esophageal reconstruction with a segment of colon 療 radiotherapy 17 compartment syndrome 列狀 compartment release 若理不 Volkmann s ischemic contracture 若力 10 cmh 2 O

3 不列神 Horner syndrome 神力 myasthenia gravis trismus 理 orthotonos opisthotonosgeneralized convulsions 精度尿 VDRL 20 不 penicillin G 療 tetanus immune globulin TIG 不 analgesic 識 X 21~23 avr V1 V4 avl V2 V5 avf V3 V6 25 mm/s 10 mm/mv ~0.5 Hz 40 Hz W HP7P 塞洛 22 力流量流易流量 23 了數 Nakada Index 70 U/M 2 療流療

4 女年來神神懶不不神 25 2 X aspiration pneumonia 葉異 cystic adenomatoid malformation diaphragmatic hernia 葉 lobar emphysema 26 兩不 arteriosclerosis 列 media layer intima layer medium-sized muscular artery 易塞

5 女車烈車不數見神塞塞裂類女兩兩不 adolescent idiopathic scoliosis Cobb s angle 25 Risser sign 4 療刺療車理異 X 異列 hip spica 復女罹 submandibular abscess 行流理列理行切行兩神利行易量 cricothyroid membrane 行行 31 3 不裂 eyeball rupture 行 ketamine 行 induction 若 inhaled induction sevoflurane desflurane Succinylcholine intraocular pressure nondepolarizing muscle relaxants 30 atropine 32 hyperopia 列不不不老年 33 度說來流行良切 RK 雷 LASIK

6 女力暈漏神狀力列 Stenver s view-x 女年列若量 adenocarcinoma 切理療咽咽若神 28 女不滑兩 HSIL high grade squamous intraepithelial lesion 度鱗狀 36~38 36 切 3 37 若鱗狀 invasive squamous cell carcinoma 度 5 mm 泌尿 IVP 留力不不淋淋不不淋淋療淋淋行 radical vaginal trachealectomy 留淋淋行切留 38 若鱗狀 invasive squamous cell carcinoma 度 10 mm 泌尿 IVP 療切療療療 concurrent chemoradiation

7 女療 5-fluorouracil 切兩淋切切切 40 列卵 ovarian fibroma benign Brenner tumor corpus luteum cyst Krukenberg tumor 41 女不切異 complex hyperplasia without cytologic atypia 列療療療切女不兩卵異卵切列療 danazol 療 GnRH 行女來列 vulvar carcinoma vulvar intraepithelial neoplasia, VIN lichen sclerosis 罹 perirenal abscess 2.5 cm 理切切流刺流 45 尿療列 purine allopurinol 不 sodium bicarbonate LHRH agonist 療 14 serum testosterone 0.2 g/ml PSA 度狀療不行 hormone refractory 神 androgen-sensitive tachyphylaxis

8 abduction 90 度來 rotation 度列神不度尿 49 女 X 列 pulmonary angiography 來切 50 女 33 X avulsion fracture posterior cruciate ligament anterior cruciate ligament medial collateral ligament lateral collateral ligament