CSF Study

	Normal	Bacterial	TB	Fungal		Aseptic
Opening pressure (mm CSF)	9-18	18-30				9-18
WBC (/mm3)	0-5	100-10000	< 500	< 300
Glucose (mg/dL)	50-75	<45			50-100
Protein (mg/dL)	15-40	100-1000	100-200	40-300	0-100

小麻

	Normal	Bacterial	Viral	Neoplastic	Fungal
Opening pressure (mm CSF)	< 170	>300	<300	200	300
WBC (/mm3)	< 5	> 1000	< 1000	< 500
% PMN	0	>80%	1~50%
Glucose	> 40	< 40	> 40	< 40
Protein	< 50	> 200	< 200	> 200
Gram stain	-	+	-
Cytology	-			+

Tintinnali 7e

[ECHO] Cardiac Views

[Drugs] Nitroglycerin

Nitroglycerin

(Millisrol)    5 mg/10ml     è 0.5 mg/ml
Starting from 10 mcg/min (1.2 ml/hr);
Titrate by 5 mcg/min (0.6 ml/hr) every 3~5 min up to 20 mcg/min (2.4 ml/hr);
If still no response, Titrate by 10 mcg/min (1.2 ml/hr) up to 200 mcg/min (24 ml/hr)

(Nitrostat)   0.6 mg/tab

[EKG] VT versus Abberancy

Favor VT:
1. Uniform QRS-polarity from V1~V6 統一QRS的axis是Positive或Negative 

2. Capture beat 一堆wide QRS中有narrow QRS

3. Fusion beat   一堆wide QRS中有"中等寬度" QRS

4. AV-dissociation   一堆wide QRS中有occasional P wave

[EKG] Ischemia? Infarction?

1. RV-infarction likely:
(a) STE in lead III > II
(b) STE in lead V1 > V2
(c) STD in lead V2 +STE or isoelectric in lead V1

2. WPW mimicking as AMI
(a) INFERIOR leads有large Q-wave   ==> IMI
(b) V1有large R-wave                         ==> PMI

3. STE in aVR: 
(a) + aVL: Left-Main
(b) + V1: Left-Main or proximal-LAD, 但若aVR > V1: Left-Main

4. Reciprocal changes (STD + TWI) in aVL:
(a) Inf. MI
(b) Ant. MI
(c) LVH
(d) LBBB
(e) Digitalis use

5. New Tall T-wave in V1: NEW-UPright T-wave in V1 + T-wave:V1>V6
(a) Ischemia (LCx or RCA)
(b) LVH
(c) LBBB
(d) High left ventricular voltage (Young athlete)
(e) Normal variant

6. Posterior-MI: 看lead V1~V3有無 (STD + UPright-T + Tall R-wave)