無菸住宅

echo finding

Cholesterosis : There is hyperchoic lesion with comet tail sign noted in the gallbladder

pancreatitis

GB stone → 開刀 ; 注意pancreatic head 是否有swelling, pancreatic duct 是否有擴大 (開刀容易有併發症); 

FOY: 前3天使用才有幫助

CBD stone, ERCP

PEIT: 用量大時, 2-3天內會有酒醉症狀

EUS: 分化差 (凹陷), 分化好 (凸出); cardiac 處不容易作 (20~30%) 成功率

echo note

focal fat sparing 

Hepatic fibrosis: echogenic streaks 

AFP > 10,000 : diffused infiltrating HCC 

Sanding stone ; JPD, not suitable for EPT ; arrange MRCP for study 

gastric cancer: 

UGI series: poorly differentiated 

EUS : to evaluate the invasion depth; EMR or op 

re-intubation 的機會

一般約為6%

seizure

A 28-year-old man with bipolar disorder, who is on lithium, is found in his room 2 days after not showing up to work. He is arousable but dysarthric and has a markedly abnormal gait when trying to walk. Upon arrival at the emergency department, he has a grand mal seizure (type). The seizure is not sustained but recurs an hour after 6 mg lorazepam is infused IV. In the postictal stage, he is not arousable to sternal rub and lacks a gag reflex. His serum sodium returns at 158 meq/L. In reference to his seizures, all of the following are next steps in his management except

daily review

- life balance outline 檢視