- Dec 16 Sun 2018 14:43
小兒呼吸道感染, Wheezing
- Dec 16 Sun 2018 14:37
小兒呼吸道 Mycoplasma, Others
- Mycoplasma 標準的常見年紀是學齡兒童 > 5 y/o
但在台灣 1.2 歲就可能
黴漿菌感染在一年四季都可能發生, 夏秋之際最容易
Fever + cough 為主, 很會咳
也較多肺外症狀 ( GI, Aseptic meningitis, rash, arthralgia )
CXR 表現很 Variation 能 infiltration 也能 patch
黴漿菌感染是最不按牌理出牌的！
可能導致任何程度的呼吸道症狀, 感染可以從毫無症狀
到上呼吸道感染, 咽炎, 肺炎甚至全身其他器官的感染
病童剛開始會感覺到全身疲倦無力, 頭痛, 咽喉痛及輕微發燒
接著2-4天會出現乾咳, 年齡越小的病童症狀越輕微
反而是年齡較大的學齡兒童或是青少年, 症狀較明顯且嚴重
接著病童可能會有陣發性的咳嗽甚至有痰
驗 Mycoplasam IgM
給 Zithromax QD 3 day
- Dec 09 Sun 2018 17:02
小兒評估三角 PAT
PAT : Pediatric Assessment Triangle
ABC + Vital signs
- Dec 09 Sun 2018 16:30
Children Vital signs
- Dec 02 Sun 2018 15:19
CSF reading 腦脊髓液判讀
- Dec 02 Sun 2018 14:59
Facial bone fracutre
- 視覺 ：Diplopia, 視力減退 Visual acuity decrease, 眼球下陷 Enophthalmos, 視野減少 Visual field defect
EOM limitation, Ptosis, 下眼瞼外翻 Ectropion, 溢淚 Eepiphora
- Nov 26 Mon 2018 09:40
Acute Limb Ischemia - 2
- Oct 13 Sat 2018 14:26
Mammalian bite 貓狗人咬
Animal bite wounds = oral flora of the animal = human skin flora
(Staphylococci + Streptococci)
(Staphylococci + Streptococci)
- Oct 13 Sat 2018 14:16
Puncture wound
* Infection rate of plantar puncture wounds : 6% - 11%
* Infected plantar puncture wounds finds foreign body in 25% of patients.
- Oct 11 Thu 2018 17:29
Drowning (submersion injuries)
Salt water drowning :
Hypertonicity of salt water leads to pulmonary edema and hypertonic serum
CV (7)
