CXR 胸部x光判讀 lung cancer with lung metastasis
Tag :
cxr reading 判讀
pleural effusion 肋膜積液 2
Diagnosing Pleural Effusion
Moving Beyond Transudate-Exudate Separation
http://chestjournal.chestpubs.org/content/131/3/942.longLight 本人稱讚自己的criteria 是 near to perfect
Pleural controversy: Optimal chest tube size for drainage
Richard W. LIGHT
http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1843.2010.01913.x/abstract
Tag :
chest medicine
100年度 胸專
台灣胸腔暨重症加護醫學會
100年度「胸腔暨重症醫學」專科醫師甄試
胸內筆試答案：
1.(D) 2.(B) 3.(B)
4. (A) 5.(C)
6.(C) 7.(A)
8.(D)
9.(B)
10.(D)
11.(C) 12.(A) 13.(B) 14.(D) 15.(B) 16.(C) 17.(C) 18.(D) 19.(B) 20.(C)
21.(C)
22.(C) 23.(D) 24.(C) 25.(D) 26.(B) 27.(D) 28.(A) 29.(D) 30.(A)
31.(A) 32.(A) 33.(C) 34.(B) 35.(D) 36.(D) 37.(D) 38.(C) 39.(C) 40.(B)
41.(B) 42.(B) 43.(C) 44.(B) 45.(C) 46.(D) 47.(A) 48.(D) 49.(C) 50.(B)
51.(B) 52.(A) 53.(C) 54.(B) 55.(B) 56.(C) 57.(D) 58.(C) 59.(D) 60.(B)
61.(D) 62.(C) 63.(D) 64.(B) 65.(D) 66.(B) 67.(C) 68.(D) 69.(B) 70.(A)
71.(C) 72.(D) 73.(A) 74.(C) 75.(C) 76.(A) 77.(E) 78.(B) 79.(C) 80.(C)
81.(C) 82.(E) 83.(A) 84.(B) 85.(C) 86.(C) 87.(B) 88.(C) 89.(A) 90.(C)
91.(D) 92.(A) 93.(D) 94.(B) 95.(D) 96.(C) 97.(C) 98.(A) 99.(B) 100.(A)
影像學考試標準答案 (胸腔內科)
(M1) Constrictive pericarditis
|
(M2) Bone islet
|
(M3) Retrocardiac mass,
ganglioneuroma
|
(M4)
Pneumoconiosis, progressive massive fibrosis (PMF)
|
(M5) Hiatal hernia
|
(M6) Sarcoidosis
|
(M7 ) Teratoma
|
(M8) Azygos lobe (Azygos fissure)
|
(M9) Idiopathic pulmonary
fibrosis
|
(M10) Esophageal foreign body
|
(M11) Liver abscess
|
(M12) Pulmonary
arteriovenous malformation
|
(M13) Mycetoma
|
(M14) Mammoplasty with saline implant
|
(M15) Chest wall infected
seroma
|
(M16) Katagener’s syndrome
|
(M17) Metastatic rib destruction (prostate cancer
with rib metastasis)
|
(M18) Pneumomediastinum
|
(M19) Pneumothorax LUL
|
(M20) Pulmonary alveolar proteinosis
|
(M21) Left chest wall
tumor
|
(M22) Small cell lung cancer
|
(M23) Lung cancer, adenocarcinoma
|
(M24) Early lung cancer
|
(M25) Pulmonary TB
|
(M26) Malignant effusion, goiter
|
(M27) Bronchogenic cyst
|
(M28) Miliary TB
|
(M29) Extramedullary hematopoiesis
|
(M30) Achalasia
|
(M31) Pulmonary embolism
|
(M32) Infected bulla & old TB
|
(M33) Solitary fibrous
tumor
|
影像學考試答案 (胸腔外科)
(S1) Constrictive pericarditis
|
(S2) Bone islet
|
(S3) Retrocardiac mass, ganglioneuroma
|
(S4) Pneumoconiosis, progressive massive
fibrosis (PMF)
|
(S5) Hiatal hernia
|
(S6) Sarcoidosis
|
(S7) Teratoma
|
(S8) Azygos lobe (Azygos fissure)
|
(S9) Idiopathic pulmonary fibrosis
|
(S10)
Esophageal foreign body
|
(S11) Liver abscess
|
(S12) Pulmonary
arteriovenous malformation
|
(S13) Mycetoma
|
(S14) Mammoplasty with
saline implant
|
(S15) Chest wall infected
seroma
|
(S16)
Katagener’s syndrome
|
(S17) Metastatic rib
destruction (prostate cancer with rib metastasis)
|
(S18)
Pneumomediastinum
|
(S19)
Pneumothorax LUL
|
(S20) Pulmonary alveolar
proteinosis
|
(S21) Lung cancer
(adenocarcinoma)
|
(S22)
Bronchiectasis
|
(S23) Old pulmonary TB
|
(S24) Pneumonia, RLL
& LLL
|
(S25) Pancoast
tumor
|
(S26) Sequestration
|
(S27) Esophageal cancer
|
(S28)
Bronchogenic cyst
|
(S29) Diaphragm rupture
|
(S30) Thymoma
|
(S31)
Intrathoracic goiter
|
(S32) Mature cystic
teratoma
|
(S33) Sternal fracture
|
Tag :
chest medicine
Tag :
cxr reading 判讀
Tag :
cxr reading 判讀
Tag :
cxr reading 判讀
讀書心得 呼吸器原理及應用 筆記
拔管生理參數
l
P0.1 > -6 cm H2O
l
P imax <-20至-30 cm H2O
l Minute ventilation < 10至15 L/min
l Tidal volume> 4至6 ml/kg (IBW)
l
F < 35
l
f/Vt <60至150 breaths/min/L
l
PaO2/FiO2 > 250 mmHg
p185，靈敏度設定不適當和流速設定不足，是導致病人和呼吸器不同步的兩個原因。
插管病人 resistence約 6cmH2O, compliance 男 40-50, 女 35-45ml/cmH2O
其他常用公式
AaDO2 = (713 x FiO2) – (pCO2 / 0.8) – (paO2)
P= F*R + V/C
有興趣可到力大書局購買....
2012-9 update:
P(A-a) O2 正常值約是 5mmHg，隨年紀增加, 十年增加4mmHg左右
PL (transpulmonary pressure) = PA (transalveolar pressure) - Ppl (transpleural pressure)
Ppl 可借由食道壓力來幫助測量
Tag :
呼吸器,
chest medicine
Tag :
cxr reading 判讀
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