博文
(2007-07-27 19:16:17)
IwenttowatchthemovieSimpsonstonight.Itisveryhilariousandrelaxingmynervesafterspendingweeksinfloor.
Backhomeandreadmydearneurologicdisorders.
Guillain-Barre'ssyndrome.typicallyrapidlyprogressive,symmetricascendingparalysis,oftenfollowingaviralillness(EBV,cytomegalo-),gastroenteritis(esp.Campylobacterjejuni),surgicalprocedure,orimmunization(influenza).
......
Hopeyouallhavearelaxingw...[阅读全文]
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(2007-07-26 19:02:46)
ItismyfirstdayatNeurologyclinic.Veryboring!Iwasactinglikeamedicalstudent,notgettingachancetohandlingpatientsmyself.Ihavetoasktoletmeworkforinpatientcare.
Anyway,Isawmultiplesclerosis,migraine,Alzheimer,...,Yawning.IsomissmyICUdays.
TonightIamgoingoverthoseneurologyexamvideosandreadsomeWashingtonMaunelchapters.[阅读全文]
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IaminICUrotation.OftentimesIneedinterpretlowcortisollevel.Thereisatesttodiagnoseadrenalfailure.Thecosyntropinstimulationtest:cosyntropin,250mcg,IVorIM,plasmacortisolismeasured30minuteslater.Thenormalresponseisastimulatedplasmacortisol>20mcg/dL.(reference:WashingtonManualofTherapeutics,page634)
Afterdiagosingadrenalfailure,primaryorsecondaryadrenalfailureneedbedifferentiated.Itcouldbeachievedth...[阅读全文]
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(2007-06-26 17:29:41)
VideosofPhysicalExamination
ChestExamination
http://www.smso.net/media/02V/02V01.WMV
http://www.smso.net/media/02V/02V02.WMV
AssessmentofthePosteriorThorax(continued)
http://www.smso.net/media/02V/02V03.WMV
PercussionofthePosteriorThorax
http://www.smso.net/media/02V/02V04.WMV
ReviewofBreathSounds
http://www.smso.net/media/02V/02V05.WMV
AdventitiousBreathSou...[阅读全文]
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(2007-06-17 11:28:22)
Maxwell,quickmedicalreference,byMaxwell.R.only7.95$
ThewashingtonManualofmedicaltherapeutics
12-leadECG'sA"PocketBrain"foreasyinterpretation,ByKGrauer
TarasconPocketpharmacopoeia
Sanfordguideforantibiotics
pocketmedicine,byMSabatine.
InternshipSurvivalGuide,byGLinandTLin,Ksakurai
EpocratesonPDAfordrugs[阅读全文]
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(2007-06-16 14:26:26)
Ijustmovedtoanewcitythisweek.It'sunbelievablethatIamgoingtostartresidencyinaweek.Wenttothefirstdayorientation.LearnedthatmyfirstrotationisICU.Wow,it'sgoingtobeashock-and-awemonth.Hopefullyeverythingwillbefine.
Nextweekisstillorientation.IgonnatakeBCLS,ACLS,andNeonatalResuscitationexams.Somanythingstodo...
Boughtabunchofstuff:
Stethoscope,LittermancardiologyIII
Palm700p
goingtob...[阅读全文]
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(2007-06-07 13:31:44)
Ifinishedmystep3yesterday.IamsogladthatIgotitdone.Herearesomeofmyexperience.
IusedKaplanbooksandUWccs.Ididnotdoanyquestions(mightnotagoodideaifyouwanttoachieve95).
ThefirstdayisallMCQs.7sections.48q'seach.
Thesecondday:4sectionsofMCQ,36q'seach.Then9ccscases.
TheMCQshastwotypes:OfficesectionsandED/Inpatientsections.HalfandHalfforeach.
Theofficesectionsareeasy.Questionsareshort.M...[阅读全文]
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APracticalGuidetoClinicalMedicine
http://medicine.ucsd.edu/clinicalmed/links.html[阅读全文]
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(2007-04-25 10:30:25)
IamstudyingStep3thesedays.It'sanotherpainfulexperience.Sorryforthedelayinupdatingmytesteperience.
Itookstep2inJune2006.Ittooksmealmost15monthstofinishthisstepwithafulltimejob.Theresultisgood,243/98,soIdonothaveregretforthetimespent.
IusedKaplanCenterPrepvideo.Ittookme4monthstofinishthevideotapes.Thelecturesaregood.TheyareagoodstarterbeforeyoureviewyourKaplanbooks.
Afterthevideo,Ireadth...[阅读全文]
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Question:"IfailedCSthough,becauseIcouldneverfinishwrittingpatientnote:(
Didyoutypeorhand-write?"
Sosorrytohearthat.Youcanmakeitnexttime.
Nevertype,alwayshandwritebecausethekeyboardsareallverycrappyintestcenters.Itwillbehalfslowcomparingtohandwriting.ItypedthefirstcasethenIrealizedthisproblemandchangedtohandwritingforallothercases.Thereviewingphysicianswillbeabletorecognizeany...[阅读全文]
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