3/14(水) セミナー参加
◆今日の気持ち
(脳外科 3週目)
・糸結びは不安なくなってきたけれど針使いが苦手…。まっすぐ構えて腋をしめて手首だけで針の曲率通りに手をかえす!
・眠かった…
・点滴と経口の抗生剤の違いについてふとわからなくなった。点滴の方が血中濃度が高くなる…という考え方はevidenceはどうなのだろう? 別に経口の量を増やしてもいいのかもしれないし。保険適応はそれくらいの量になるとなさそうだけれど。
●今の目標
・脳外科を味わいきる
●今日の新患・診断
・高脂血症 橋本病なし 痩せ型高齢 原因は??
●今日の病院滞在時間
当直〜18時半
●今日行ったこと・見たこと・知ったこと
・慢性硬膜下血腫ope
・星状神経節ブロック
・Afからsinusに戻ったときに、血栓が飛ぶ
・前頭葉内側に排尿中枢あり。そこやられると失禁などおこる
・感染症セミナー 皮膚軟部組織感染症
Impetigo, せつ、丹毒、蜂窩織炎、NSTI
症例「NSTI。直腸穿孔から。培養でE.colがでたからユナシン投与」
→疑問: 他の菌もいても検出できなかったという可能性は?
→直腸穿孔なら大きくは、E.coli、緑膿菌、嫌気性菌を考える。E.coliを培養できるなら緑膿菌がいればまずつかまる。問題は嫌気性菌がいるかいないかで、培養はしにくいこともあるが、臨床症状から最後は考える
コメント
What a lovely day for a 2321658! SCK was here
投稿者: 2321658 | 2011年03月31日 22:43
What a lovely day for a 2734976! SCK was here
投稿者: 2734976 | 2011年04月01日 00:33
As I web-site possessor I believe the content matter here is rattling great , appreciate it for your efforts. You should keep it up forever! Good Luck.
投稿者: Kyoko Honerkamp | 2011年04月01日 01:34
What a lovely day for a 3762290! SCK was here
投稿者: 3762290 | 2011年04月01日 01:35
I'm still learning from you, while I'm improving myself. I certainly love reading all that is posted on your blog.Keep the tips coming. I enjoyed it!
投稿者: Violeta Borsos | 2011年04月02日 04:23
What a lovely day for a 988693! SCK was here
投稿者: 988693 | 2011年04月02日 20:38
What a lovely day for a 580908! SCK was here
投稿者: 580908 | 2011年04月02日 20:38
master or patron represents an investment on his part with a view
投稿者: Donovan Nibert | 2011年04月04日 05:37
Use the rule above
投稿者: Christoper Huntsberger | 2011年04月04日 20:58
Hi,good blog content. Infos are very interesting and saves me many time which I have spend on another thing instead of searching posts such as this :) Im awaiting more, bye :)
投稿者: SolarPowerForHome | 2011年04月04日 21:39
F*ckin窶 amazing things here. I am very glad to see your post. Thanks a lot and i am looking forward to contact you. Will you kindly drop me a e-mail?
投稿者: Hang Odiase | 2011年04月05日 04:45
I couldn窶冲 resist commenting. :)
投稿者: lyme disease | 2011年04月05日 10:59
The truth about getting postage meters. Save your organization big bucks on mailing equipment
投稿者: Tarsha Dottle | 2011年04月05日 11:55
Someone I work with visits your blog regularly and advised it in my experience to read too. The writing style is excellent and the submissions are top-notch. Just knowledge you supply the readers!
投稿者: SolarPowerAtHome | 2011年04月05日 14:20
I will right away grab your rss feed as I can't find your email subscription link or newsletter service. Do you have any? Kindly let me know so that I could subscribe. Thanks.
投稿者: Janise Darity | 2011年04月08日 05:27
I窶冤l immediately grab your rss feed as I can not find your e-mail subscription link or e-newsletter service. Do you've any? Please let me know so that I could subscribe. Thanks.
投稿者: Cleta Fraizer | 2011年04月08日 06:34
Have you considered about including some social bookmarking buttons to these blogs. At least for facebook.
投稿者: caralluma actives | 2011年04月10日 02:02
pretty practical stuff, overall I believe this is well worth a bookmark, thanks
投稿者: Instant Income Cash Machine | 2011年04月11日 02:32
You...are...my...hero!!! I cant believe something like this exists on the internet! Its so true, so honest, and more than that you dont sound like an idiot! Finally, someone who knows how to talk about a subject without sounding like a kid who didnt get that bike he wanted for Christmas.
投稿者: Autoversicherung | 2011年04月11日 20:34
Hey this can be a great looking blog, is wordpress? Forgive me for the foolish question - but when so, what theme is? Thanks! :-)
投稿者: Kari Lockbaum | 2011年04月13日 23:34
What a lovely day for a 440179! SCK was here
投稿者: 440179 | 2011年04月13日 23:47
I've also been meditating on the identical matter personally recently. Pleased to see someone on the same wavelength! Nice article.
投稿者: Online Games kostenlos | 2011年04月16日 08:02
Valuable information and excellent design you got here! I would like to thank you for sharing your thoughts and time into the stuff you post!! Thumbs up!
投稿者: travelzoo | 2011年05月21日 18:29
Youre so cool! I dont suppose Ive learn something like this before. So good to seek out someone with some authentic thoughts on this subject. realy thank you for beginning this up. this website is one thing that is wanted on the internet, somebody with a bit of originality. helpful job for bringing one thing new to the internet!
投稿者: Rheba Degraaf | 2011年05月25日 02:24
I am not sure where you're getting your information, but great topic. I needs to spend some time learning much more or understanding more. Thanks for wonderful information I was looking for this info for my mission.
投稿者: Tai Gorder | 2011年05月25日 06:28
What a lovely day for a 3971790! SCK was here
投稿者: 3971790 | 2011年05月26日 08:18
Hello, you used to write magnificent, but the last several posts have been kinda boring窶ヲ I miss your great writings. Past few posts are just a little out of track! come on!
投稿者: Dagmar Faltz | 2011年05月26日 12:16
Thanks a bunch for sharing this with all of us you really know what you are talking about! Bookmarked. Kindly also visit my web site =). We could have a link exchange arrangement between us!
投稿者: Sarita Bomer | 2011年05月28日 21:49
I can't find how to subscribe to the comments via feedburner. I want to keep up to date on this, how do I do that?
投稿者: Vertie Slowey | 2011年05月30日 05:24
You made some nice points there. I looked on the internet for the subject matter and found most individuals will approve with your blog.
投稿者: Torie Mcvean | 2011年05月31日 03:52
I keep listening to the news update lecture about receiving free online grant applications so I have been looking around for the finest site to get one. Could you advise me please, where could i find some?
投稿者: Minerva Burgie | 2011年05月31日 05:42
Wow! Thank you! I continuously needed to write on my website something like that. Can I include a part of your post to my blog?
投稿者: Deedee Sandage | 2011年06月01日 12:46
Just checking out your article on my new HTC Phone , and I wanted to check if it would let me comment or if it was going to me go to a desktop to do that. Ill check back later to see if it worked.
投稿者: Miguel Boucouvalas | 2011年06月02日 12:54
Spot on with this write-up, I really assume this website needs way more consideration. I窶冤l most likely be again to learn far more, thanks for that info.
投稿者: Tawny Mussman | 2011年06月02日 18:03
Hello Great Job. I think you made some great points in your points and I am goign to do some follow up research topic related and learn more.
投稿者: travelzoo | 2011年06月03日 19:28
After research a number of of the weblog posts on your web site now, and I truly like your approach of blogging. I bookmarked it to my bookmark web site checklist and might be checking back soon. Pls check out my website online as well and let me know what you think.
投稿者: Christel Akhtar | 2011年06月03日 22:14
Aw, this was a very nice post. In idea I wish to put in writing like this moreover 窶 taking time and precise effort to make an excellent article窶ヲ but what can I say窶ヲ I procrastinate alot and under no circumstances appear to get one thing done.
投稿者: Albertha Marcellus | 2011年06月04日 14:33
There are definitely a variety of particulars like that to take into consideration. That may be a nice point to carry up. I supply the thoughts above as common inspiration however clearly there are questions just like the one you convey up the place the most important factor shall be working in trustworthy good faith. I don?t know if best practices have emerged around issues like that, but I'm positive that your job is clearly recognized as a fair game. Both boys and girls feel the affect of just a moment窶冱 pleasure, for the rest of their lives.
投稿者: Laine Nevilles | 2011年06月05日 15:00
Thank you for the auspicious writeup. It in fact was a amusement account it. Look advanced to more added agreeable from you! By the way, how can we communicate?
投稿者: Shayne Dispenza | 2011年06月07日 09:33
Wonderful work! This is the type of info that should be shared around the web. Shame on Google for not positioning this post higher! Come on over and visit my website . Thanks =)
投稿者: Nancee Ovando | 2011年06月07日 17:31
This is very interesting, You are a very skilled blogger. I have joined your rss feed and look forward to seeking more of your great post. Also, I have shared your website in my social networks!
投稿者: Blondell Cavalcante | 2011年06月10日 01:07