- DM
- Galactosemia
- Thyrotoxicity
- Liver toxicity
- Lung toxicity
- Skin pigmentation
- Corneal deposition
- TSH, free T4
- AST/ALT
- CXR
- Vital sign: TPR
- Pain control
- U/O monitor
- Drug amount
- Wound: dry, clean, color, what, serosanguinous
- Ambulation
- Diet
- Passing gas, fluid support
20160913
Morning
Meeting
Ovarian
cancer seeding
Ileostomy
for stage T4 TX
Stent
只能放在直線. 15cm 處
------------
王醫師
Endometrial
cancer
Serous p53
Mucinous
Kras
------------
Lymph node
metastasis
5% well differentiated
20% poor
differentiated
------------
翁醫師PGY觀念
ECG Poor
progression: Ant. AMI
------------
Pelvic
surgery
Post op
Walking
within 2 weeks
------------
Chemo-man
------------
Cataract
------------
大球性貧血megaloblastic
anemia
intrinsic
factor: parietal cells in the fundus and body of the stomach
Haptocorrin (also known as HC, R protein,
and transcobalamin I, TCN1), is a glycoprotein
secreted by the salivary glands which binds to
vitamin B12 Vitamin B12 is acid sensitive and in binding to transcobalamin I
it can safely pass through the acidic stomach to the duodenum.In the less
acidic environment of the small intestine, pancreatic enzymes digest the
glycoprotein carrier and vitamin B12 can then bind to intrinsic factor. This
new complex is then absorbed by the epithelial cells (enterocytes) of the ileum. Inside
the cells, B12 dissociates once again and binds to another protein,
transcobalamin II (TCN2); the new complex can then exit the epithelial cells
to be carried to the liver.
Neurological symptoms: Sensory or motor
deficiencies (absent reflexes, diminished vibration or soft touch
sensation), subacute combined degeneration of spinal cord,
seizures,[11][12][13][14] or even symptoms of dementia[15] and or other
psychiatric symptoms may be present.
------------
Absorption part
Duodenum: Vit. B9, Fe
Ilium: Vit. B12
------------
Amiodarone
Side Effect
Lab follow
up
------------
Postoperative fever
the five Ws.
Wind POD1-2
the lungs, i.e. pneumonia,
aspiration, and pulmonary embolism. Once attributed to atelectasis, but a recent review suggests that is not supported by
existing clinical evidence.
Water
POD3-5(7)
UTI; urinary
tract infection, related to indwelling catheter (during surgery or currently
i.e. Foley catheter )
Walking (or VEINS, which then sounds like "Weins")
POD4-6(14) deep vein thrombosis or pulmonary
embolism
Wound
POD5-7(14)
surgical site infection, which
in obstetrics or gynaecology, may refer to the uterus(or womb, sounding like
wound).
Wonder drugs or “What did
we do?” POD7+ drug
fever, infections related to intravenous lines or reaction to blood
products
------------
Post-OP
------------
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