作者imb4721 (getz)
看板CSMU-MED90
标题Re: [公告] PBL甲班第五组请进入
时间Sun Dec 11 23:47:33 2005
※ 引述《imb4721 (getz)》之铭言：
: 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^^
推一下@@
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