1.SLE 病人的Iniatial event是甚麼?
先複習SLE診斷口訣: MD SOAP BRAIN
M:蝴蝶斑
D:盤狀紅斑
S:漿膜炎 O:口腔潰瘍(不會痛,所以要主動檢查病人) A:抗核抗體 P:光敏感
B:血液疾病(貧血/百血球過低<4000/淋巴球過低<1500/血小板過低<100000)
R:腎臟疾病:蛋白尿
A:關節炎(紅腫熱痛)
I:免疫問題:anti-DNA/anti-SmN
N:神經疾病
From...
2013年12月4日 星期三
林口長庚11月教育櫥窗解題

Solver: Weitinglin
A 58-year-old female patient visited to your clinic. Her chief complaint was polyarthralgia over
her bilateral wrists and PIPs joints for more than 3 months....
林口長庚10月教育櫥窗解題
Solver:WEITINGLIN
Case
I
General data
Age:53
Gender: Female
Chief Complaint
Epigastric pain for 1 week with blackish formed stool
Presence illness
53-year-old female
suffered from epigastric pain for 1 weeks with tarry stool.She went to LMD,
taking...