{"id":1470,"date":"2022-07-02T22:22:43","date_gmt":"2022-07-02T15:22:43","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=1470"},"modified":"2024-09-14T17:32:30","modified_gmt":"2024-09-14T10:32:30","slug":"tong-hop-de-thi-y5-ky-ll-yk14c-2019","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/tong-hop-de-thi-y5-ky-ll-yk14c-2019\/","title":{"rendered":"T\u1ed4NG H\u1ee2P \u0110\u1ec0 THI Y5 K\u1ef2 ll &#8211; YK14C &#8211; 2019"},"content":{"rendered":"<p><b>NHI 2<\/b><br \/>\nC\u00e2u 1: h\u00e3y li\u1ec7t k\u00ea c\u00e1c nguy c\u01a1 th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb \u0111\u1ebb non v\u00e0 m\u00f4 t\u1ea3 nh\u1eefng d\u1ea5u hi\u1ec7u b\u00ean ngo\u00e0i c\u1ee7a tr\u1ebb s\u01a1 sinh non th\u00e1ng<br \/>\nC\u00e2u 2: TB c\u01a1 ch\u1ebf \u0111\u00f4ng m\u00e1u v\u00e0 1 s\u1ed1 c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y xu\u1ea5t huy\u1ebft \u1edf tr\u1ebb em<br \/>\nC\u00e2u 3: TB c\u00e1c t\u00ecnh tr\u1ea1ng nhi\u1ec5m toan v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m toan<br \/>\n<b>TRUY\u1ec0N NHI\u1ec4M 1<\/b><br \/>\nC\u00e2u 1:<br \/>\nTB ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh truy\u1ec1n nhi\u1ec5m v\u00e0 cho 1 v\u00ed d\u1ee5<br \/>\nC\u00e2u 2:<br \/>\nb\u1ec7nh nh\u00e2n nam 30 tu\u1ed5i, ngh\u1ec1 nghi\u1ec7p : l\u00e0m n\u00f4ng, P: 58kg<br \/>\n\u0110\u1ecba ch\u1ec9: 12\/1 Y jut, Tp BMT,daklak<br \/>\nB\u1ec7nh \u1edf nh\u00e0 2 ng\u00e0y v\u1edbi: \u0111au b\u1ee5ng qu\u1eb7n t\u1eebng c\u01a1n , \u0111i c\u1ea7u ph\u00e2n nh\u1ea7y m\u00e1u 5l\u1ea7n \/ ng\u00e0y, k\u00e8m m\u00f3t r\u1eb7n. Kh\u00f4ng s\u1ed1t, ch\u01b0a \u0111i\u1ec1u tr\u1ecb g\u00ec. Xin nh\u1eadp vi\u1ec7n. V\u00e0o khoa Nhi\u1ec5m l\u00fac 6h15.<br \/>\nT\u00ecnh tr\u1ea1ng v\u00e0o vi\u1ec7n: t\u1ec9nh t\u00e1o, nhi\u1ec7t \u0111\u1ed9 37, M: 72l\/p, HA: 110\/70mmhg, NT: 20l\/p. M\u1ec7t m\u1ecfi, \u0111i c\u1ea7u ltuc, ph\u00e2n nh\u1ea7y m\u0169i m\u00e1u.<br \/>\nXN m\u00e1u : HC: 4,2 tri\u1ec7u\/mm3 ; hct: 43% , Hb: 12g\/dl ; TC: 290.000\/mm3; BC: 5.400( N: 62%,L: 38%)<br \/>\nXN ph\u00e2n: HC (++++)<br \/>\nBC (++++)<br \/>\nE.histolytica magna (+)<br \/>\nY\u00eau c\u1ea7u:<br \/>\n1. Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ec7n lu\u1eadn<br \/>\n2. Vi\u1ebft y l\u1ec7nh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n<br \/>\nC\u00e2u 3:<br \/>\nB\u1ec7nh nh\u00e2n nam 58 tu\u1ed5i. P: 50kg<br \/>\nDc: ph\u01b0\u1eddng t\u1ef1 an tp.bmt<br \/>\nL\u00fd do v\u00e0o vi\u1ec7n: co gi\u1eadt<br \/>\nB\u1ec7nh N3, nh\u1eadp khoa nhi\u1ec5m l\u00fac 5h35<br \/>\nN1: nu\u1ed1t kh\u00f3, n\u00f3i kh\u00f3<br \/>\nN2: kh\u00f3 nhai, h\u00e1 h\u00e0m kh\u00f3<br \/>\nN3: c\u1ee9ng h\u00e0m, \u0111ang l\u00ean c\u01a1n co gi\u1eadt to\u00e0n th\u00e2n<br \/>\nTi\u1ec1n s\u1eed: m\u1ed5 ru\u1ed9t th\u1eeba c\u00e1ch ng\u00e0y nh\u1eadp vi\u1ec7n 15 ng\u00e0y, ch\u01b0a dc ti\u00eam SAT v\u00e0 VAT<br \/>\nKh\u00e1m: t\u00ecnh, nhi\u1ec7t \u0111\u1ed9 38,9. M\u1ea1ch 121l\/p. HA: 120\/80mmhg. V\u1ebft m\u1ed5 \u01b0\u1edbt, ch\u1ea3y m\u1ee7, h\u00e0m h\u00e1: 1cm<br \/>\nC\u00e1c x\u00e9t nghi\u1ec7m cls:<br \/>\nCTM: BC: 10500\/mm3 (N: 75%, L : 25%)<br \/>\nHc: 4.250.000\/mm3<br \/>\nTc: 215.000\/mm3<br \/>\nHct: 41%<br \/>\nC\u00e1c XN kh\u00e1c trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng<br \/>\nC\u00e2u 4:<br \/>\nTr\u00ecnh b\u00e0y ch\u1ea9n \u0111o\u00e1n , \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng b\u1ec7nh quai b\u1ecb<br \/>\nC\u00e2u 5: .m\u1ed9t b\u1ec7nh nh\u00e2n nam 54 tu\u1ed5i. L\u00e0m vi\u1ec7c t\u1ea1i l\u00f2 heo quay \u1edf BMT, nh\u1eadp vi\u1ec7n v\u00e0o ng\u00e0y 2 c\u1ee7a b\u1ec7nh trong t\u00ecnh tr\u1ea1ng l\u01a1 m\u01a1 , s\u1ed1t 38.5, c\u1ed5 g\u01b0\u1ee3ng<br \/>\nCho bi\u1ebft ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9 c\u1ee7a b\u1ec7nh n\u00e0y v\u00e0 c\u00e1ch x\u1eed l\u00fd ban \u0111\u1ea7u<br \/>\n<b>Y H\u1eccC C\u1ed4 TRUY\u1ec0N<\/b><br \/>\nC\u00e2u 1: TB n\u1ed9 dung kh\u00e1m b\u1ec7nh b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p v\u1ea5n ch\u1ea9n<br \/>\nC\u00e2u 2: n\u00eau v\u1ecb tr\u00ed, t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c huy\u1ec7t sau: ph\u1ebf du, th\u1eadn du, phong m\u00f4n, thi\u00ean t\u00f4ng, \u0111\u1ea1i tr\u01b0\u1eddng du<br \/>\nC\u00e2u 3: n\u00eau t\u00ednh v\u1ecb , quy kinh v\u00e0 t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c v\u1ecb thu\u1ed1c sau: c\u1ea9u t\u00edch, t\u1ee5c \u0111o\u1ea1n, \u0111\u1ed7 tr\u1ecdng, \u0111\u1ea3ng s\u00e2m, ho\u00e0ng k\u1ef3.<br \/>\nC\u00e2u 4: TB tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 pp \u0111i\u1ec1u tr\u1ecb b\u1eb1ng y h\u1ecdc c\u1ed5 truy\u1ec1n b\u1ec7nh li\u1ec7t n\u1eeda ng\u01b0\u1eddi do tr\u00fang phong t\u1ea1ng ph\u1ee7 ( th\u1ec3 kh\u00ed huy\u1ebft kh\u00f4ng \u0111\u1ebfn )<br \/>\nC\u00e2u 5: tb tri\u1ec7u ch\u1ee9ng ls v\u00e0 pp \u0111i\u1ec1u trih b\u1eb1ng yhct b\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p th\u1ec3 th\u1ea5p t\u00fd<br \/>\n<b>CH\u01af\u01a0NG TR\u00ccNH Y T\u1ebe QU\u1ed0C GIA<\/b><br \/>\nC\u00e2u1: TB tr\u00e1ch nhi\u1ec7m c\u1ee7a B\u1ed9 K\u1ebf ho\u1ea1ch v\u00e0 \u0110\u1ea7u t\u01b0 trong qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u h\u00e0nh ch\u01b0\u01a1ng tr\u00ecnh m\u1ee5c ti\u00eau qu\u1ed1c gia<br \/>\nC\u00e2u 2: TB l\u1ecbch ti\u00eam ch\u1ee7ng trong ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng c\u1ee7a VN d\u00e0nh cho tr\u1ebb em v\u00e0 l\u1ecbch ti\u00eam ch\u1ee7ng u\u1ed1n v\u00e1n cho ph\u1ee5 n\u1eef mang thai v\u00e0 tu\u1ed5i sinh \u0111\u1ebb<br \/>\n<b>KINH T\u1ebe Y T\u1ebe<\/b>: d\u1ef1 ki\u1ebfn thi tr\u1eafc nghi\u1ec7m n\u00ean kh\u00f4ng bik \u0111\u1ec1. N\u1ebfu c\u00f3 thay \u0111\u1ed5i s\u1ebd c\u1eadp nh\u1eadt sau\u00a0<img decoding=\"async\" class=\"mceSmilieSprite mceSmilie8\" title=\"Big Grin :D\" src=\"https:\/\/ykhoataynguyen.com\/styles\/default\/xenforo\/clear.png\" alt=\":D\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NHI 2 C\u00e2u 1: h\u00e3y li\u1ec7t k\u00ea c\u00e1c nguy c\u01a1 th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb \u0111\u1ebb non v\u00e0 m\u00f4 t\u1ea3 nh\u1eefng d\u1ea5u hi\u1ec7u b\u00ean ngo\u00e0i c\u1ee7a tr\u1ebb s\u01a1 sinh non th\u00e1ng C\u00e2u 2: TB c\u01a1 ch\u1ebf \u0111\u00f4ng m\u00e1u v\u00e0 1 s\u1ed1 c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y xu\u1ea5t huy\u1ebft \u1edf tr\u1ebb em C\u00e2u 3: TB c\u00e1c t\u00ecnh tr\u1ea1ng &hellip;<\/p>\n","protected":false},"author":11,"featured_media":4495,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[],"class_list":["post-1470","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-de-thi-y-da-khoa-nam-5"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=1470"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1470\/revisions"}],"predecessor-version":[{"id":1471,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1470\/revisions\/1471"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/4495"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=1470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=1470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=1470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}