作者imb4721 (getz)
看板CSMU-MED90
標題[公告] PBL甲班第五組請進入
時間Fri Dec 9 00:31:22 2005
下禮拜三
早上8:00~10:00
張益彰老師上課
由於ftp傳不上去,
我先把教案放在這兒
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.
老師沒說要事先準備
我想我們還是先準備一下好了
至於要不要分工就看大家意思
回一下意見吧^^
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