作者DeRabbit (守正誠心)
看板medstudent
標題[申覆] 醫學六 78
時間Tue Feb 17 04:38:54 2009
The Johns Hopkins Manual of Gynecology and Obstetrics 2nd ed.
p209 Hyperemesis gravidarum. Nausea and vomiting are common in pregnancy.
HG, defined as nausea and vomiting associated with dehydration, weight
loss, and electrolyte imbalance, affects 0.5-1.0 of 1000 pregnancies.
劇烈的嘔吐造成橫膈刺激產生上腹痛，全身顯示出脫水的症狀
所以這題應該(B)也可以選吧
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推 kawasakis:這題選C似乎也可以吧 上腹輕微壓痛=>急性腸炎 02/17 09:07
→ kawasakis:BP稍微掉,但是口乾舌燥全身皮膚乾燥=> 應該有脫水吧 02/17 09:08
→ davidlo:腸炎不能排除+1... 我也選 C... 02/17 09:35
推 kawasakis:這題題目根本沒給到血糖飆高 選項(A)反而更奇怪 02/17 09:41
→ davidlo:沒錯, DKA 不先談血糖, 先扯一些有的沒的.. 02/17 09:41
→ kawasakis:有沒測血糖就可以直接說病人有可能DM併酮酸血症的嗎? 02/17 09:42