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2011年4月26日 星期二

pulmonary edema 區分cardiogenic pulmonary edema or acute lung injury


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2819058/?report=abstract

Determining the Etiology of Pulmonary Edema by the Edema Fluid-to-Plasma Protein Ratio



使用 suction catheter 到distal airway, 取得edema fluid
再測 edema fluid 和plasma 的total protein

EF/PL ratio > 0.84 favor acute lung injury
EF/PL ratio > = 0.65 higher mortality

2011年4月23日 星期六

CXR 胸部x光判讀 thoracic cysts





Lung cancer with anterior mediastinal cyst

Sharply marginated homogeneous opacity

DD: mediastinal cystic tumor

Anterior mediastinal mass





2011年4月21日 星期四

CXR 胸部x光判讀 Pneumoconiosis

Coal miner




Pneumoconiosis (磁磚工人)

Silicosis (silica): risk for TB, lung cancer, COPD, connective tissure disease
coal: risk for COPD, chronic bronchitis
Asbesto: risk for malignant mesothelioma, lung cancer

Silicoproteinosis: high-resolution CT findings in 13 patients.

http://www.ajronline.org/cgi/content/abstract/189/6/1402

acute silicosis: 像 pulmonary alveolar proteinosis

Symptoms: dyspnea, weight loss, weakness, cough (維基百科)

2011年4月13日 星期三

Lung cancer 整理

A New Target for Therapy in Squamous Cell Carcinoma of the Lung
http://cancerdiscovery.aacrjournals.org/content/1/1/23.abstract


FGFR1 amplification, EGFRvIII mutations, PIK3CA mutations, EGFR kinase domain mutations, DDR2 mutations


VEGF


Paclitaxel–Carboplatin Alone or with Bevacizumab for Non–Small-Cell Lung Cancerhttp://www.nejm.org/doi/full/10.1056/NEJMoa061884


ERCC1

DNA Repair by ERCC1 in Non–Small-Cell Lung Cancer and Cisplatin-Based Adjuvant Chemotherapy

http://www.nejm.org/doi/full/10.1056/NEJMoa060570





Micro-RNA

Unique microRNA molecular profiles in lung cancer diagnosis and prognosis

http://www.cell.com/cancer-cell/retrieve/pii/S153561080600033X


The microRNA world: small is mighty
http://lacim.uqam.ca/~chauve/Enseignement/BIF7001/H04/Devoir2/RNA-Nelson-TIBChem28.pdf





DNA methylation

DNA Methylation Markers and Early Recurrence in Stage I Lung Cancer

http://www.nejm.org/doi/full/10.1056/NEJMoa0706550#t=articleBackground


Gene Silencing in Cancer in Association with Promoter Hypermethylation

http://www.nejm.org/doi/full/10.1056/NEJMra023075



Low-dose CT


Overstating the Evidence for Lung Cancer Screening
The International Early Lung Cancer Action Program (I-ELCAP) Study
http://archinte.ama-assn.org/cgi/content/abstract/167/21/2289





Phase III Study Comparing Cisplatin Plus Gemcitabine With Cisplatin Plus Pemetrexed in Chemotherapy-Naive Patients With Advanced-Stage Non–Small-Cell Lung Cancer

http://jco.ascopubs.org/content/26/21/3543.abstract

2011年4月7日 星期四

CXR 胸部x光判讀 Diffuse panbronchiolitis















Diffuse small nodular shadows

male, nonsmoker, chronic sinusitis

use macrolide to decrease IL-8



瀰漫性泛細支氣管炎

http://www.tafm.org.tw/Data/011/382/160306.pdf



DPB: HLA  B54

Goodpasture's syndrome: HLA DRB1*1501,  HLA-DR15, HLA-DR4, HLA DR2,

myasthenia gravis: HLA-DR3, B8, A1