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实习医生日记之顽固失眠

实习医生日记之顽固失眠

今日去我院某教授跟门诊,有一位中年女性患者因“反复失眠20余年”来就诊。在此之前我并不知道真正意义上的熊猫眼,不过今日可真的见识到了,特拍了一张照片:

实习医生日记之—妊娠剧吐

实习医生日记之—妊娠剧吐

刘某,女,32岁,第一次怀孕,停经已12周。该患者停经的第九周开始出现恶心呕吐,开始时呕吐尚不多,3-5次每天。后来呕吐逐渐加重,7-8次每天,呕不能食,呕出食物及黄胆水。

实习医生日记之猪蹄脚

实习医生日记之猪蹄脚

组成 黄芪10克,党参(或太子参)10克,丹参10克,炒白术10克,薏苡仁15克,仙鹤草15克,白花蛇舌草15克,甘草5克。功能 益气活血,健运脾胃。主治 适用于治疗慢性萎缩性胃炎,或伴有肠上皮化生等

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2013年欧洲绝经后妇女骨质疏松症诊断治疗指南

字号:T|T|T
摘要:

in 1997, the european foundation for osteoporosis and bone disease (subsequently the international osteoporosis foundation, iof) published guidelines for the diagnosis and management of osteoporosis, subsequently updated in 2008 by the iof and european society for clinical and economic evaluation of osteoporosis and osteoarthritis (esceo). since then, there have been significant advances in the field of osteoporosis. these include the development of new techniques for measuring bone mineral, improved methods of assessing fracture risk and new treatments that have been shown to significantly reduce the risk of fractures at vulnerable sites.

against this background, the scientific advisory board of the esceo, in collaboration with the iof, has recognised a need to update the guidance which is detailed below. the high societal and personal costs of osteoporosis pose challenges to public health and physicians, particularly since most patients with osteoporosis remain untreated. indeed, less than 20 % of patients with a fragility fracture receive therapy to reduce future fracture within the year following fracture.

the aim of this guidance is to stimulate a cohesive approach to the management of osteoporosis in europe. the term guidance rather than guidelines is used, to avoid any prescriptive connotations since country- or region-specific guidelines are now widely available in many european countries and continue to evolve. rather, the guidance can inform the development of new guidelines or the revision of existing guidelines. whilst focussed on a european perspective and on postmenopausal women, the principles may be of some assistance in other regions of the world and in men.

编辑: 长江

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