临床话题
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每日一题_2024.08.16
A 61-year-old woman presented to the emergency department with a 2-day history of dull, in…
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每日一题_2024.08.10
A 58-year-old man presented to the dermatology clinic with a 2-year history of eyelid lesi…
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肝性脑病用药
肝性脑病(Hepatic Encephalopathy,HE)是一种由严重肝功能衰竭或门-体分流引起的复杂神经精神综合征。HE 的病理生理机制涉及氨毒性、炎症反应和神经递质失衡等多…
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每日一题_2024.08.02
A 70-year-old woman with a history of hypothyroidism presented to the dermatology clinic w…
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施毅教授:头孢哌酮舒巴坦和哌拉西林他唑巴坦有什么区别?
二者的抗菌谱虽然相似,但还是有一定的差别 1、有循证医学证据认为,对于厌氧菌,哌拉西林他唑巴坦的抗菌效果稍强一点,但不同研究的结论不完全一样。 2、舒巴坦这个酶抑制剂非常特别,它本…
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每日一题_2024.07.26
A 73-year-old woman had sudden chest pain during pulmonary-function testing. She had a his…
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每日一题_2024.07.19
A 29-year-old woman with a history of systemic lupus erythematosus presented to the dermat…
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伏美替尼
伏美替尼主要用于什么疾病? 伏美替尼是一种选择性抑制表皮生长因子受体(EGFR)酪氨酸激酶的口服靶向药,主要用于具表皮生长因子受体(EGFR)外显子19缺失或外显子21(L858R…
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每日一题_2024.07.11
A 26-year-old man presented to the ophthalmology clinic with a 2-month history of a painle…
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每日一题_20240704
A 29-year-old man presented to the outpatient clinic with 2 months of bright red blood fro…
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每日一题_2024.06.28
A 67-year-old woman with a history of chronic rhinosinusitis presented to the emergency de…
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药理学:阿托品
阿托品试验 阿托品试验是一种用于评估窦房结功能的医学检查,主要用于鉴别病态窦房结综合征(Sick Sinus Syndrome, SSS)。这种试验通过使用阿托品来解除迷走神经对心…
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每日一题_2024.06.21
A 78-year-old man presented to primary care clinic with a 5-day history of constipation an…
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抗真菌药物抗菌谱表
++ 推荐:该药为一线推荐治疗药物,体外试验活性可信,临床有效,指南推荐,《桑福德抗微生物治疗指南》推荐一线用药或可接受的替代用药; + 有活性:该药是备选药物(体外试验有活性…
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每日一题_2024.06.13
A 65-year-old man with type 2 diabetes was admitted to the hospital with hyperosmolar hype…
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发热伴血小板减少鉴别诊断
疾病 传染源 传播途径 临床表现 布尼亚病毒感染 感染的动物及患者 蜱虫叮咬 发热期-器官功能损害期-恢复期 肾综合征出血热 老鼠咬伤皮肤或老鼠的尿、粪、唾液污染的破伤皮肤或粘膜 …
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丙戊酸钠与高氨血症脑病?
丙戊酸钠其抗癫痫作用机制: 1.通过抑制钠离子通道和T型钙离子通道,以及增加神经细胞突触后 GABA的亲和力,增强GABA通道功能来控制癫痫异常脑电波的发生和播散; 2.抑制N一甲…
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每日一题_2024.06.07
A 59-year-old veterinarian presented to the dermatology clinic with a 1-year history of a …