下礼拜三 早上8:00~10:00 张益彰老师上课 由於ftp传不上去, 我先把教案放在这儿 Scene 1 A 62-year-old male laborer had received a left leg below-knee amputation due to trauma 20 years ago. Two weeks ago before admission, he suddenly suffered from lumbosacral pain, which immediately radiated down to right leg. His symptoms became progressively worse and he eventually experienced difficulty in walking. On admission, the patient was bedridden due to bilateral quadriceps muscle paresis. The motor strength was grade 3 in bilateral thigh muscle and was grade 4 on dorsiflexion and plantar flexion of the right foot. Hypothesia to pinprick and touch sensation were evident below bilateral L3 level and worse on the right side. Bilateral knee tendon reflex were absent and the right side Achilles tendon reflex diminished. Straight-leg raising test were negative bilaterally while the right-side femoral stretching test was positive. Rectal tone was not decreased, and post void residual urine volumes measured less than 50 cc. 老师没说要事先准备 我想我们还是先准备一下好了 至於要不要分工就看大家意思 回一下意见吧^^ --

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