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일화 성
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1 98 年不療理類泌尿臨例倫理 2 ˍˍˍˍˍˍˍ 不不 1 列 rejection Donor Recipient HLA matching graft survival rate Hyperacute rejection IgM antibodies Acute rejection T lymphocytes 率 graft Chronic rejection T cell B cell 理 fibrosis and scarring 2 38 女狀 papillary carcinoma of thyroid 狀切兩料離 calcium ion 離 phosphate 降狀 parathyroid hormone 離 calcium ion 離 phosphate 狀 parathyroid hormone 離 calcium ion 降離 phosphate 狀 parathyroid hormone 降離 calcium ion 降離 phosphate 降狀 parathyroid hormone 降 3 列療 Femoral shaft fracture Intramedullary nail Dynamic compression plate Skeletal traction External fixator 4 28 狀理 19,800/ L X 9 兩年來年塞塞連塞 5 若療見理切切 Hartmann s pouch 切切 Ileal pouch-anal anastomosis 6 American Joint Committee on Cancer AJCC Cancer Staging Manual 2002 年, 6 理 stage 淋 stage 淋 Stage 療年率 75% stage 年率 15% 7 女 63 理度糖 430 mg/dl 糖 HbA 1c 11% 療狀 3 糖 70 mg/dl 女識 75 列女 50% 糖 40 ml 50% 糖 500 ml 女糖尿理

$calcium ion 降離 phosphate 降狀 parathyroid hormone 降 3 列療 Femoral shaft fracture Intramedullary nail Dynamic compression plate Skeletal traction External fixator 4 28 狀理 19,800/ L X 9 兩年來年塞塞連$

2 8 2 8 列狀狀 Thyrogobulin Calcitonin RET 9 5 力塞 MRA 兩不列裂 Moyamoya Disease 塞 10 流塞 basilar artery 塞兩 basal ganglia 不流 11 列狀 Cavernous malformation 見臨狀兩 popliteal artery 裂切尿量 oligouria GOT 200 mg/dl myoglobin 5700 ug/l 列狀塞 delayed popliteal artery occlusion compartment syndrome multiple organ failure 流 ischemia-reperfusion injury 年來 3 40 年理冷見年 180/110 mmhg 100/min 糖 220 mg/dl 塞 lower limb arterial occlusion 塞 lower limb venous occlusion stasis dermatitis lower limb arterial aneurysm 14 立療 anticoagulants vascular stents 切 thrombectomy amputation 15 易 Glial cells 列不 Glioma Astrocytoma Oligodendroglioma Pineocytoma Ependymoma 16 列 Pediatric lung transplantation 見 surgical indication end-stage pulmonary vascular disease end-stage bronchopulmonary pathology 行不 cardiopulmonary bypass 見 bronchiolitis obliterans 見 infection Post-transplant lymphoproliferative disease 率 10% Epstein-Barr virus 女不理異 Ammonia BUN 離度糖 18 Zenker diverticulum of esophagus GE junction Middle esophagus Killian s triangle of cricopharyngeus Thoracic inlet

100/min 糖 220 mg/dl 塞 lower limb arterial occlusion 塞 lower limb venous occlusion stasis dermatitis lower limb arterial aneurysm 14 立療 anticoagulants vascular stents 切 thrombectomy amputation 15 易

3 女留理 2 estrogen receptor, ER progesterone receptor, PRHER2 淋兩不列療療 chemotherapy 療 hormone therapy 療 radiation therapy 療 target therapy 20 李老年 72 3 李老不便 38 理數 13,800/mm 3 列李老 21 列 22 女 50 行 modified radical mastectomy staging T2N1M0 6 5-FU Adriamycin cyclophosphamide 療列療 adjuvant C/T 療療 therapeutic C/T 療 palliative C/T 療 primary C/T 23 呂 28 滑數不狀呂女兩 4~5 25 列便冷流 140/82 mmhg 110/min 28/min 36.8 塞理切不 EKG Hb 14g/dL WBC 16,000/uLFiO 2 40% ph 7.32 PaO mmhg PaCO 2 27 mmhg HCO 3 16 mmol/l 列 46 量不塞理 6 mm 4 mm 27~30 27 數立了

cyclophosphamide 療列療 adjuvant C/T 療療 therapeutic C/T 療 palliative C/T 療 primary C/T 23 呂 28 滑數不狀呂 24 56 女兩 4~5 25 列便 26 70 冷流 140/82

4 了力 2 理什 Teratoma Thymoma 淋 Lymphoma Neurogenic tumor % Parkland Formula 來 8 ml % Glucose water Lactate Ringer 3% Normal saline 34 3 便量 80 ml 列量量不量更類六 X 35~37 35 Pyloric stenosis Duodenal atresia Jejunal atresia Gastric vulvulus 36 列不見女率 37 列不不狀女 20 年 irradiation 狀 T 3, T 4, TSH 39 papillary thyroid cancer 濾 follicular carcinoma medullary cancer Hürthle cell cancer

35 Pyloric stenosis Duodenal atresia Jejunal atresia Gastric vulvulus 36 列不見女率 37 列不不狀 38 60 女 20 年

5 列降 Glucocorticoids Insulin Growth hormone Thyroid hormone 41 cerebral aneurysm 裂 1~3 3~10 10~15 15~21 42 myelopathy 狀 occipital neuralgia spasticity increased deep tendon reflexes 理 Babinski s sign, Hoffmann s sign 43 不來療 Microvascular decompression, MVD Gasserian ganglion Gamma knife surgery 切行列不 Lidocaine 1% Bupivacaine 0.25% Lidocaine 1% Bupivacaine 0.25% Lidocaine 1% norepinephrine 46 carpal tunnel syndrome test 列 Phalen test Tinel s sign Tourniquet test 兩力 Two-point discrimination 47 狀 Conduit 率 radial artery right gastroepiploic artery 48 洛不不留留塞不 49 列 Neurogenic tumors 見 neurilemmoma neurofibromas Neurilemmoma von Recklinghousen s disease Café au lait lesion 50% spinal extension dumbbell tumor 療切 50 Barrett s esophagus 行切 Barrett s esophagus 切 Low grade dysplasia High grade dysplasia Cancer 51 Hepatocellular carcinoma 流行列 HBV infection HAV infection Cirrhosis Aflatoxin 52 列泌 High protein meal test 流 Calcium infusion test / Secretin 53 Type Cystic dilatation of common bile duct Type Diverticulum from common bile duct Type Choledochocele Type V Dilatation of intrahepatic duct 54 見了 55 列理不行 debridement

25% Lidocaine 1% norepinephrine 46 carpal tunnel syndrome test 列 Phalen test Tinel s sign Tourniquet test 兩力 Two-point discrimination 47 狀 Conduit 率 radial artery right gastroepiploic artery 48 洛不

6 例行 cytomegalovirus 數療列了易 retina retinitis 力 ganciclovir 療療 ganciclovir 療見 leukopenia 易復數類刺路理 SLRT Straight Leg Raising Test 60 度 SLRT 力力 5 異列車理 X 列立復立女理異 Alkaline phosphatase 列狀車 X 裂兩力 0 spinal shock 列刺來 Thenar 60 狀 62 Fracture healing InflammationOsteoclastsfibroblasts Repair Soft Callus Hard Callus Remodeling 臨年狀 63 理拉 Anterior drawer test 拉 Posterior drawer test 拉 Lachman test Varus stress test 車不車療度不 PaO 2 55 mmhg 38 狀塞 Fat embolism syndrome Compartment syndrome Unrecognized head trauma 老兩年來泌尿兩年來兩行理兩量濾刺 FSH 不不 Hypogonadotropic hypogonadism Klinefelter s 塞行女兩兩尿流 vesicoureteral reflux 尿塞 ureteropelvic junction obstruction 尿尿異尿 posterior urethral valve

63 理拉 Anterior drawer test 拉 Posterior drawer test 拉 Lachman test Varus stress test 64 20 車不車療度不 PaO 2 55 mmhg 38 狀塞 Fat embolism syndrome Compartment syndrome Unrecognized head trauma 65

7 尿泌尿年車 4 理 +++ 力 0-1 尿路力 urodynamics 力 CMG EMG 尿尿 urine stream intermittency 狀兩尿 trabeculation 尿異尿尿尿流兩尿 69 見異尿路尿 azotemia 70 流行列糖尿泌尿 Low urinary tract syndrome 71 尿路見行行行 72 尿列療來療廓理尿兩行療尿來療尿廓理尿兩療女來力 MRI T1WI with Gd-DTPA CP angle tentorial meningioma CP angle aneurysm Acoustic neurinoma Pontine glioma

azotemia 70 流行列糖尿泌尿 Low urinary tract syndrome 71 尿路見行行行 72 尿列療來療廓理尿兩行療

8 CT circumflex femoral arteriography 切塞 Transcatheter arterial embolization 行療 75 更立 X GI tract perforation 塞 Intestinal obstruction Peritonitis Liver abscess 女 3 樓落 119 車 80/50 mmhg 130/min 30/min 理力列不立量 120 mmhg 聯 77 路裂 X 見什不見 Obliteration of aortic knob Deviation of the trachea to the right Depression of the left main stem bronchus Widened mediastinum 車 60 里車識列 X 理狀 X 7 若 X 若 X 7 swimmer s view 79 立類列不料行狀行不 80 World Medical Association Declaration of Helsinki 列療療不療療療不療數療療療療

Obliteration of aortic knob Deviation of the trachea to the right Depression of the left main stem bronchus Widened mediastinum 78 25

2-1

2-1 Part Brain, Head & Neck PART Brain, Head & Neck Overview of brain Caudate nucleus Nucleus accumbens Globus pallidus Subthalamic nucleus Putamen Substantia nigra Cerebral corter Thalamus Nucleus subthalamicus