5/2(水)
◆今日の気持ち
(膠原病科 2ヶ月目)
●今の目標
・きっちり仕事する
●今日の病院滞在時間
7時〜21時半
●今日行ったこと・見たこと・知ったこと
・筋炎でチェック
CK
アルドラーゼ(筋以外でもあがる)
ミオグロビン(感度高い、最後まで残る)
・微細なDM
パルス、はじめはきくようにみえるけれど…予後は悪い
・mPSL
DIVしかないけれど、ミネラルコルチコイド作用が小さく使いやすい
・悪性リンパ腫r/oできないときは…GaシンチかPET
・結節性紅斑&SLE
・溶血
ビリルビンはあんまりあがらないもの→ハプトグロブリン
コメント
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