A hospice intensivist

書的封面寫的是"基金之神John Bogle寫給中產階級的快樂致富學"。
其中的一章標題是「投機太多，投資太少」
這裡一舉道破金融市場的本質，你想賺投機的錢，還是投資的錢

投資、把重心放在提高企業的內在價值
投機、在於短期買賣，預期他們買的股票將會漲得比別人兇，別的投資人也會跟著提高他們的「預期」。

兩者看似大不同，但也有相同之處，就是對於散戶來講，不論要找到好的公司、或是找到市場熱錢追逐的標的，都很難。

Rounded opacity :

skin tumor
rib enostosis
pulmonary nodule
intelobar effusion
pleural tumor


Pulmonary nodules

1. Neoplastic: carcinoma, metastasis, lymphoma
2. Infection: TB, aspergillosis, septic emboli,
3. Connective tissue disorder: rheumatoid nodule (wax and wane)
4. vascular: AVM (lobulated mass, feeding and draining vessel)
5. Pneumoconiosis, sarcoidosis (bilateral hilar lymph node enlargement) . ...


資料來源: Radiology of chest disease

９９年度胸腔暨重症醫學專科醫師考試『內科影像學考試』答案

1. Right A-V malformation

2. Bilateral bronchiectasis with partial LLL collapse

3. Old TB, Bilateral, with RUL mycetoma

4. a. Pulmonary TB with left hydropneumothorax

b. Right perihilar lung cancer with lymphadenopathy

5. Right pneumothorax with tracheostomy, CVP insertion and lower lung infiltrations

6. Pulmonary embolism with infarction (decrease in left lung markings)

7. Right subphrenic abscess, right skin fold

8. Right middle lobe collapse, left skin fold

9. Tracheal tumor

10. Reconstruction, RUL TB

11. Sarcoidosis (hilar and mediastinal lymphadenopathy)

12. LUL collapse (Endobronchial TB)

13. Pancoast tumor with right 3^rd rib destruction, right pleural thickening

14. Pulmonary alveolar proteinosis

15. Left pneumothorax, LAM

16. Osteochondroma

17. Pulmonary sequestration, left (lesions with air-cysts)

18. Pulmonary cryptococcosis

19. Diffuse panbronchiolitis

20. Achalasia

21. Right cervical rib

22. LA myxoma with acute pulmonary edema

23. Neurofibromatosis

24. Pneumoconiosis

25. Sarcular bronchiectasis

26. Congestive heart falilure (cardiomeagly, pleural effusion)

27. Aortic dissection

28. Lung cancer with pericardial effusion, left pleural effusion and mediastinal lymphadenopathy.

29. Pneumomediastinum and subcutaneous emphysema

30. Anterior mediastinal tumor (thymoma)

31. Esophageal Ca

32. Hiatal hernia 33. Esophageal Ca with lung metastasis