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教案1-2、1-3 A 61 y/o woman has intermittent low back pain (facts (pink…
教案1-2、1-3
A 61 y/o woman has intermittent low back pain
facts
pink conjunctiva
percussion at thoracic and lumbar vertebrae
其餘PE大致正常
兩側下肢DTR>3
右腳muscle tone<3
blood test:
low
-HCT、HGB、RBC、lymphopenia
high
-neutrophilia
chest X ray正常
MRI有脊椎狹窄的現象
hypothesis
僵直性脊椎炎(易併發馬尾症候群)
雷德氏症候群
尿毒症
多發性骨髓瘤
leukemia
need to know
ESR
基因檢測
針對可能的細菌感染做近一步檢測
learning objective
成因、併發症、診斷、治療:
1.僵直性脊椎炎
2.chronic leukemia
3.馬尾症候群
4.雷德氏症候群
5.多發性骨髓瘤