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JAMA network用不少圖文影片來介紹醫學的最新資訊，還是AMA(美國醫學會)創辦的刊物 裡面有個子分類learning可做為學習的參考 相關介紹： http://vip.flysheet.com.tw:8080/mednews/077/item/489-077-news.html

準備期太早(半年以上)不會比短時間衝刺(1-2個月狂念)好 內容FC趙俊彥 要訂目標，高還是過? 高:全念+解剖病理題海+讀>2遍以上 過:前測一定做，按照個別程度，可以放1-2科(病藥之類)，解剖微免讀熟比較穩。甚至有的人考古題導向學習就夠了。

@raymondseed 非常謝謝你詳細的答覆。

@omm uptodate是這樣寫的，你可以參考看看 If bicarbonate is given, the arterial pH and serum calcium should be monitored every two hours during the infusion. The bicarbonate infusion should be discontinued if the urine pH does not rise above 6.5 after three to four hours, if the patient develops symptomatic hypocalcemia, if the arterial pH exceeds 7.5, or if the serum bicarbonate exceeds 30 mEq/L. If the bicarbonate solution is discontinued, volume repletion should be continued with isotonic saline. 但我必須說，我沒有在臨床上實際照顧過rhabdomyolysis的病人，還希望有遇過的學長姐能夠分享一下實際的臨床處置

@greatgordon By 黃峻偉醫師 這個問題放到新代科社團中，有兩位前輩給意見： 蔡吉力醫師建議先確認單位和正常值，因為他給的參考值和單位與我們台灣用的單位對不上。 陳煥文醫師說functional nodule通常TSH不會這麼正常，而且大小更大。 請參考。

@rain776779 希望這樣有解決你的問題~~

不知道他打的regimen是什麼？大概多久前打完？一些化療的副作用可能可以考慮，像是5fu 會有 hyperammonemic encephalopathy ，可以抽ammonia看看

@martinsue 你好～ 值班的時候每個病房都會有自己的值班室，通常都會待在那，我是還沒有聽說過有人回去宿舍睡的，因為宿舍其實蠻遠的，而且如果不是一線科的話，其實待在值班是有會有不錯的品質。 外宿的話其實也沒有特別要多近，也是有人每天花個40分鐘在通勤，總之只要你準時到就好。台大intern都有提供宿舍，基本上都是免費的。 中午有時候病房會訂便當，價格大概也在100上下，醫院美食街的話，因為是微風地下街，所以其實花起來也不便宜，大概都100-200之間，不過你也可以選擇員工的自助餐，大約60-70都可以解決

我問小兒科的CR也是說早產兒SMOF持續性輸注，而不需要休息 早產兒器官相對較不成熟，如果熱量不夠，反而會讓器官成熟更晚更不好 一個月Follow up一次肝功能即可 成人如果使用SMOF反而要一周Follow up 一次，因為兒科是按照體重滴注SMOF所以不怕給過量,成人往往不論體重直接吊一包run 60ml/hr,反倒要擔心給過頭

自創口訣分享+1~ 氫氧鉀乾溫，兩心兩肺一中毒(後半感謝樓上上的靈感) 鉀乾溫：真感恩的台語 氫：hydrogen 氧：hypoxia 鉀：hypo/hyper-kalemia 乾：hypovolemia 溫：hypothermia 兩心：AMI+temponade 兩肺：pulmonary embolism+tension pneumothorax (兩心兩肺的順序都是thrombosis[裡面塞住]+ 外面塞住) 一中毒：toxicology

@omm 打Decardron是我之前去北榮呼吸加護病房時的做法~ 每間醫院的做法可能都還是有所差異XD

我們會先從網站上符合的名單抽出，再請中獎者提出 FB 分享貼文的證明

@endzone 我沒有遇過欸~~

@YiHsuan-Ho 關於重建階梯的內容，我有看過非常多種講法。secondary closure的定義為 closure by secondary intention，我想兩者應該意義接近。可參考連結的內容

@Raqsky 謝謝勘誤!!的確是Nicardipine!!

學弟寫的超仔細!

@xxxx2050 補充高長內科： 平日 以前有procedure day這件事情，但在我們離開前就還給PGY/R了(咦) 現在應該是只要做"跟team"的三管EKG等等那些 所以比較累的chest,GI,Nephro應該是會輕鬆些 不含procedure的話，白天除了查房打打note就是躺床XD 值班 老話一句看人品 接胚的話，基本上是門診胚(平2假4) 但星期六會大進，有碰過pgy們接滿，總值order pgy們分給intern接急診胚 我碰過接到2個急診胚的班 *強烈建議不確定處置的還是要問上面，會有炸彈......

@gary791002 在 [PGY面試襲來] Quiz2: 患者出現急性腎衰竭AKI，後續安排的檢查與鑑別診斷？ 裡說： Contrast造成的AKI好像是intrinsic為主吧？ Contrast造成的AKI的機轉其實包含pre-renal和intrinsic的成分 contrast會造成腎臟血管收縮，也包含toxin的成分~~ PS 我把contrast也補充到intrinsic中囉