Gyn Uro

OB / Gyn – Urology combined conference 主講者 : 湯夢彬指導者 : 沈國壽李之微 96-09-26

General data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OB / Gyn history ,[object Object],[object Object],[object Object],[object Object]

Present illness ,[object Object],[object Object],[object Object]

Present illness ,[object Object],[object Object]

Past and personal history ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Lab data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impression and plan ,[object Object],[object Object],[object Object],[object Object]

Hospital course ,[object Object],[object Object],[object Object],[object Object]

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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IVP and PV (Day 6) 5 min 15 min

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CT scan of abdomen (Day 6) ,[object Object],[object Object],[object Object],[object Object]

L't Percutaneus nephrostomy (PCN) (Day 6) ,[object Object],[object Object],[object Object],[object Object]

Finding of Cystoscopy 1.Protruding mucosa and few necrotic change over posterior wall of the bladder. 2.Can’t detect the ureteral orifices, bilateral. 3.Found stitches over left lateral posterior wall. 4.No blood clots retention. (clear urine)

Cystoscopic biopsy ~ Chronic cystitis (inflammatory cell infiltration, interstitial edema, granulation tissue in lamina propria)

Discharge on Day 9 ,[object Object],[object Object]

Final diagnosis (Day 9) ,[object Object],[object Object],[object Object],[object Object]

尿道排泄造影術 (96-07-13) ,[object Object],[object Object],[object Object]

Antegrade pyelography (96-08-06) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Demerit of operation ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hemodynamic changes in normal pregnancy 10 to 15 beat/min increase in heart rate

Hemodynamic and renal changes during normal pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Evaluation & treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gyn Uro

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Gyn Uro