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ASTERIXIS (HEPATIC FLAP/FLAPPING TREMOR.-dấu rung vỗ cánh)

ASTERIXIS (HEPATIC FLAP/FLAPPING TREMOR.-dấu rung vỗ cánh)

ASTERIXIS (HEPATIC FLAP/FLAPPING TREMOR.-dấu rung vỗ cánh)

Thực hiện: Bệnh nhân được yêu cầu giơ 2 cánh tay ra phía trước, tạo với thân một góc khoảng 60 độ, với bàn tay gấp về phía lưng (dorsiflexed – dorsi-: lưng, flex: gấp), cổ tay căng ra (extended). Mục đích của động tác này là làm căng cơ gấp cổ tay (là nhóm cơ bị ảnh hưởng nhiều hơn, người khám dễ quan sát sự co cơ tự phát hơn).Người khám tác động bằng cách đẩy bàn tay người bệnh về phía lưng. Bệnh nhân run vẫy cả bàn tay, gọn (brief), không có nhịp điệu (rhythmless), tần số thấp (3-5 Hz). Dấu run vẫy có thể ở 2 bên bàn tay hoặc chỉ 1 bên. Nguyên nhân : "DRUGS (ABC) FAILED Helping Him" DRUGS (ABC) : - Alcohol - Barbiturate - carbamazepine FAILED : - respiratory failure - liver failure - renal failure Helping : [[[ H = HYPO ]]] - hypoglycemia - hypokalemia - hypomagnesemia Him : [[[ H = HEMORRHAGE ]]] - intracerebral hemorrhage - subarachinoid hemorrhage - subdural hematoma

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Cuộc đời thì ngắn, mà nghề thì miên man;cơn bệnh phập phù;kinh nghiệm hiểm nguy, còn quyết định thì thật khó.Người thầy thuốc không phải chỉ chuẩn bị để tự mình làm đúng, mà còn khiến cho bệnh nhân, người đi theo và các yếu tố xung quanh hợp tác hài…

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_WidgetManager._RegisterWidget('_ContactFormView', new _WidgetInfo('ContactForm0000001', 'sec_Theme_Hidden', document.getElementById('ContactForm0000001'), {'contactFormMessageSendingMsg': '\u0110ang g\u1eedi...', 'contactFormMessageSentMsg': 'Th\u01b0 c\u1ee7a b\u1ea1n \u0111\xe3 \u0111\u01b0\u1ee3c g\u1eedi.', 'contactFormMessageNotSentMsg': 'Kh\xf4ng th\u1ec3 g\u1eedi th\u01b0.\xa0Vui l\xf2ng\xa0th\u1eed l\u1ea1i sau.', 'contactFormInvalidEmailMsg': 'C\u1ea7n nh\u1eadp \u0111\u1ecba ch\u1ec9 email h\u1ee3p l\u1ec7.', 'contactFormEmptyMessageMsg': 'Tr\u01b0\u1eddng th\u01b0 kh\xf4ng th\u1ec3 \u0111\u1ec3 tr\u1ed1ng.', 'title': 'Bi\u1ec3u m\u1eabu li\xean h\u1ec7', 'blogId': '6712670173064621179', 'contactFormNameMsg': 'T\xean', 'contactFormEmailMsg': 'Email', 'contactFormMessageMsg': 'Th\xf4ng b\xe1o', 'contactFormSendMsg': 'G\u1eedi', 'contactFormToken': 'AOuZoY6JW_M4u-0fsG3hyV18iTyUb0DroQ:1732387177813', 'submitUrl': 'https://www.blogger.com/contact-form.do'}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList0000002', 'sec_Addon_Widgets', document.getElementById('LinkList0000002'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_LinkListView', new _WidgetInfo('LinkList7', 'sec_Addon_Widgets', document.getElementById('LinkList7'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_HTMLView', new _WidgetInfo('HTML22', 'sec_Addon_Widgets', document.getElementById('HTML22'), {}, 'displayModeFull'));
_WidgetManager._RegisterWidget('_ImageView', new _WidgetInfo('Image5', 'sec_Addon_Widgets', document.getElementById('Image5'), {'resize': false}, 'displayModeFull'));
</script>
</body>