Re: [申覆]醫學一 60題
引自harrison 17th 電子版
The diagnosis of CDAD is based on a combination of clinical criteria: (1)
diarrhea (3 unformed stools per 24 h for 2 days), with no other recognized
cause; plus (2) toxin A or B detected in the stool, toxin-producing C.
difficile detected by stool culture, or pseudomembranes seen in the colon.
PMC is a more advanced form of CDAD and is visualized at endoscopy in only
~50% of patients with diarrhea who have a positive stool culture and toxin
assay for C. difficile (Table 123-1). Endoscopy is a rapid diagnostic tool in
seriously ill patients with suspected PMC and an acute abdomen, but a
negative result in this examination does not rule out CDAD.
https://www.yousendit.com/download/YTY4ek9xV3JJMHRjR0E9PQ
附上表格
※ 引述《meropenem (Mepem美平)》之銘言：
: 艱難梭菌感染所造成的疾病之確診係根據下列你一項
: A 由病人糞便中分離到此菌
: B 由病人糞便中偵測到此菌所分泌的細胞毒素或腸毒素
: C 由病人血液中分離到此菌
: D 由病人血清中偵測到此菌所分泌的細胞毒素或腸毒素
: 答案 B
: 申覆答案 A or B
: Harriso Principles.of.Internal.Medicine.16th.Edition
: P761
: The diagnosis of CDAD is based on a combination of clinical
: criteria: (1) diarrhea (> 3 unformed stools per 24 h for >2 days),
: with no other recognized cause; plus (2) toxin A or B detected in the
: stool, toxin-producing C. difficile detected by stool culture, or
: pseudomembranes seen in the colon.
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