作者meropenem (Mepem美平)
看板medstudent
標題[申覆]醫學一 60題
時間Tue Aug 2 23:23:30 2011
艱難梭菌感染所造成的疾病之確診係根據下列你一項
A 由病人糞便中分離到此菌
B 由病人糞便中偵測到此菌所分泌的細胞毒素或腸毒素
C 由病人血液中分離到此菌
D 由病人血清中偵測到此菌所分泌的細胞毒素或腸毒素
答案 B
申覆答案 A or B
Harriso Principles.of.Internal.Medicine.16th.Edition
P761
The diagnosis of CDAD is based on a combination of clinical
criteria: (1) diarrhea (> 3 unformed stools per 24 h for >2 days),
with no other recognized cause; plus (2) toxin A or B detected in the
stool, toxin-producing C. difficile detected by stool culture, or
pseudomembranes seen in the colon.
--
※ 發信站: 批踢踢實業坊(ptt.cc)
◆ From: 114.41.180.145
推 ahyou:我覺得附上Harrison所給的表格更有說服力因為表格第一項 08/02 23:30
→ ahyou:提供了StoolCulture的sensitivity與Specificity 08/02 23:31
→ ahyou:更有機會 08/02 23:32
→ meropenem:謝謝 我倒是沒注意到表格 08/03 00:10