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- HARI INI TUH MAMI JDI SAKSI D TPS
- Baru Hari ini Pertama kalinya saya menyesal tidak masuk kelas
- Papa H'ppy B'day
- Treatment of Hair Loss
- sO Du u thinks u know about disney?
- US MED*THX JESUS CHRIST
- wildchild
- Abdominal Paracentesis
- Friends
- Longing For Street Food n Spring Season
- Recall product Containing Peanut Butter
- Local Anesthesia
- The Year of The Ox Jan26th-Feb13th 2010
- D list of patho
- Thoracentesis
- These r watz i'm playing it
- New Year 2009
- ULnar Gutter Splint
- This is My Lord who set me free from my guilt
- This is the First Comments
MOM telp...ktanya dri jam 6 pgi d jemput utk jadi saksi d TPS ..wkwk..
dri pgi sampe jam 9...ada 1400 kertas harus d tanda tangan hoho....mom blng masyarakata skrng byk gak peduli coz 40% golput hohoho.....
trus ade saya yg plng bungsu itu..jga d suru congtreng hohoho..mewakili opa n oma ...wuuiiihh..
coba yah klu gw ada..gw udh fto2 itu kerjaannya hohoho..
Likewise every good tree bears good fruit

Hari ini tuh....Saya sanagt menyesal tidak masuk 3 jam pelajaran Kesukaan...pelajaran yg menjadi basic from medicine...Saya sampai nangis..
Kenapa saya tidak masuk??
Jawabannya sangat mengecewakan...
"ALARM HP KU DI PASANG 1 JAM LEWAT DARI PELAJARAN ITU"
Benar-benar saya menangis...sebenarnya saya masih bisa pergi karena masih ada 2 jam..tapi saya memilih untuk menangis ..karena saya lalai..saya malas..segitunya ngantuk sampe telat bangun..
kejadian ini mengingatkan waktu di sma..Tuh mau presentasi kimia baru terlambat 1 menit saja sudah tidak di kase masuk..tapi dulu pas di kunci saya ngotok mau masuk karena cm terlambat 1 menit saja.Tapi in.kejadiannya juga sama masih ada kesempatan untuk masuk kelas tapi saya tak mau..saya kecewa terhadap diri saya sendiri..
sebenarnya saya tdr jam 7 pagi..terus psng alarm..tahunya alarm ke psng terlambat satu jam..*ceroboh*..
trus beberapa menit yg llu Mom Rosalinda call me* Hi,Stephanie..ehy dont u come to d class? r u okey?* dont lie to me..i know u..r u okey??
rosalinda say* dont worry stephanie i think uu already know..
but actually..eventhough ive already study it..i dunno why..im still feel disapointed to myself..i hate my self..i hate this habit...i wanna be better person..
Many Thx for care to me..
Many thx..
Tapi saya benar-benar kecewa karena telat bangun..kecewa..koq bisa yah..
Sekarang masih kecewa..tapi ini bakalan belajar...Benarbenar ini untuk yg pertama kali saya kecewa tak masuk kelas..saya kecewa terhadap diriku yg nyatanya masih ceroboh..
Likewise every good tree bears good fruit

Happy Bday Papa^^
Miss u so Much
Likewise every good tree bears good fruit

Hair loss is a common and distressing symptom. With the approval of two drugs that promote hair growth — finasteride and minoxidil — we can now treat patients with some types of hair loss. Both drugs influence the hair-growth cycle and increase the length and diameter of existing hair, although their mechanisms of action differ. In this article, I will focus on the treatment of two common problems, androgenetic alopecia and alopecia areata, both of which involve a reversible alteration of the hair-growth cycle.
The Hair-Growth Cycle
Hair growth is cyclic, with phases of growth (anagen), involution (catagen), and rest (telogen).The cycles of active growth and rest are regulated by complex messages between the epithelium and the dermis that are not yet well understood. In a normal scalp, most follicles are growing (90 to 95 percent), a few are undergoing involution (less than 1 percent), and the remainder are resting (5 to 10 percent).
At the end of telogen, hair is released and shed and the next cycle is initiated. Each day, up to 100 hairs in telogen are shed from the head and about the same number of follicles enter anagen. The duration of anagen determines the length of hair, and the volume of the hair bulb determines the diameter.
We are born with all our terminal hair follicle* approximately 100,000 on the scalp *that are predetermined to grow long, thick hair. Other follicles are predetermined to grow vellus hair, which is short, fine, and relatively nonpigmented and covers much of the body. Follicles can become larger or smaller under systemic and local influences that alter the duration of anagen and the volume of the hair matrix. Androgens are important in regulating hair growth. At puberty, androgens increase the size of follicles in the beard, chest, and limbs and decrease the size of follicles in the bitemporal region, which reshapes the hairline in men and many women.
Androgenetic Alopecia
Androgenetic alopecia is hereditary thinning of the hair induced by androgens in genetically susceptible men and women. This condition is also known as male-pattern hair loss or common baldness in men and as female-pattern hair loss in women. Thinning of the hair usually begins between the ages of 12 and 40 years in both sexes, and approximately half the population expresses this trait to some degree before the age of 50.The pattern of inheritance is polygenic.
Pathophysiology
In susceptible hair follicles of the scalp, dihydrotestosterone binds to the androgen receptor, and the hormone-receptor complex then activates the genes responsible for the gradual transformation of large, terminal follicles to miniaturized follicles. With successive hair cycles, the duration of anagen shortens and the follicles become smaller, producing shorter, finer hairs that cover the scalp poorly. These miniaturized hairs of various lengths and diameters are the hallmark of androgenetic alopecia. At the same time, the number of follicles per unit of area remains the same.
Dihydrotestosterone is formed by the peripheral conversion of testosterone by 5-reductase. There are two isoforms of 5-reductase* type 1 and type 2*which, together with other enzymes, regulate specific steroid transformations in the skin. Young men and young women with androgenetic alopecia have higher levels of 5-reductase, more androgen receptors, and lower levels of cytochrome P-450 aromatase, which converts testosterone to estradiol, in hair follicles in the frontal region of the scalp than in the occipital region. The various clinical patterns of androgenetic alopecia in men and women may reflect quantitative differences in the levels of 5-reductase, the number of androgen receptors, and the levels of aromatase in specific regions of the scalp at various ages.
Treatment in Men
--> Finasteride
--> Minoxidil
Treatment in Women
--> Minoxidil
--> Finasteride
--> Estrogen
--> Spironolactone
Alopecia Areata
Treatment
--> Glucocorticoids
--> Minoxidil
--> Anthralin
--> Topical Immunotherapy
Likewise every good tree bears good fruitTHE "DISNEY" NAME: DISIGNY
THE 1ST COMPANIES NAME OF DISNEY IS LAUGH-O-GRAM
OF COURSE..THE 1ST companies started when Walt at 21 years old..wow..walt was too young..N d stories of push in boost is so simple,A boy who is a commoner is in love with a Princess*_*

It turns out the symbol is made of the letters S, T, and R, which stands for "Smoke Tree Ranch," Disneys ranch in Palm Springs, California. Nearby Walts ranch lives a good friend of his, who became the inspiration of the character "Jacques" the Mouse in Cinderella!


*look...read...Im an Author"neditor wkwk..be a doctor 4 help others..be author also help others by giving a inspiring ideas through an word.
By Khosu


its origin came from Isigny sur Mer in Normandy, France. Walt moved to a village in Lincolnshire, England now named Norton Disney.
THE 1ST JOB OF "DISNEY" IS DRIVING AN AMBULANCE
Walt tried to join d army to fight in World War I n was rejected..coz he was too young(in 1917 he was 16 years old),so he joined The Red Cross instead.His 1st job there as ambulance driver in France.
THE 1ST COMPANIES NAME OF DISNEY IS LAUGH-O-GRAM
in November 3,1922..My bday at 2nd November...Well this is feb..wow..My Lovely Pediatrics n my dad were born in this month*juzt wanna said Hppy Bday..Hppy Valentines..Miss U so mucchhh..^_^
OF COURSE..THE 1ST companies started when Walt at 21 years old..wow..walt was too young..N d stories of push in boost is so simple,A boy who is a commoner is in love with a Princess*_*
Puss in Boots was never touched again by Walt Disney.He has appeared in 1999
N then Walt join to ComiColor fairy tales..But all d characters r hand drawing of Walt Disney..Again..All by Walt n d name of it is Ub Iwerks.

These below r one of d movie of walts
Marys Little Lamb, May 1, 1935(Mother Goose Goes Hollywood: Silly Symphony, December 23, 1938
Before Mickey Mouse, There was Oswald the Lucky Rabbit
DISNEY GOES TO WAR in 1942
They ask Walt to drawing for airplane,tanks, minesweepers, bombers, and figher planes.so walt contribute for Great war
Before 1927(when Walt at 25 years old) He was join with Ub Iwerks,They are all tried to design which character is best ..They tried sketches of various animals, including dog, cat, cow, frog and horse before settling on a mouse (based on Disneys pet mouse Mortimer). from dog,cat,etc..on that time Walt lost his money *problem..so He decided to build a company alone*Walt Disney Production*coz Walt Have a new idea.They were going to call the character Mortimer Mouse, but Walts wife Lilian convinced him to change the name to Mickey Mouse(1928).
Disneys Folly: Snow White...Money comes*
over $184 million. Not bad for a "folly."
DISNEY GOES TO WAR in 1942
They ask Walt to drawing for airplane,tanks, minesweepers, bombers, and figher planes.so walt contribute for Great war
Disney was a Train Lover
DISNEYS MYSTERIOUS TIE CLIP
The Walt Disney bronze statue in Disneyland has a weird tie clip that looks like a symbol from an alien language.
Walt even built a miniature railroad in his backyard called the Carolwood Pacific Railroad. It was named after the street on which his home was located.
Disneys backyard railroad became an inspiration for the Disneyland theme park.
WALTS DISNEYLAND TRIBUTE TO HIS FATHER
Elias Disney, Walts father, was a carpenter who earned about $1 a day.He continued to work odd jobs afterwards, including farming, running a newspaper delivery business, and working in a jelly factory.Elias didnt live long enough to see Disneyland, but the lamp in his window is always lit in his honor.
CIGARETTES KILLED DISNEY
Walt Disney was a chain smoker. In 1966, he was scheduled to undergo a neck surgery for an old polo injury, but a pre-surgery X-ray showed a large tumor in his left lung. Doctors ultimately removed the lung, but Disney died later that year.In 1951, Disney produced a short clip titled trying to "No Smoking" of Goofy quit smoking. The company banned the cartoon from TV broadcast.
It turns out the symbol is made of the letters S, T, and R, which stands for "Smoke Tree Ranch," Disneys ranch in Palm Springs, California. Nearby Walts ranch lives a good friend of his, who became the inspiration of the character "Jacques" the Mouse in Cinderella!

*look...read...Im an Author"neditor wkwk..be a doctor 4 help others..be author also help others by giving a inspiring ideas through an word.
By Khosu
Likewise every good tree bears good fruit
Today....I open my email ....Oh My God...
I got..I got it...
Ive already ID for eligble follow USMLE..Thx..
now..i must prepared for it.
n its means i will not come back home until i passed n get my position.
THX JESUS.
Likewise every good tree bears good fruit
Equitment
Needle entry Sites
Patient Position
Local Anesthesia
Insert of a catheter
SAAG
Abdominal Paracentesis Editor(s): Todd W Thomsen,MD Gary S Setnik,MD
Contributor(s): Valerie Vigil,
Section Editor(s): Phillip M Harter,MD
* Pre-Procedure
INDICATIONS
Diagnosis of new-onset ascites
Evaluation for SBP
Admission surveillance paracentesis
Therapeutic drainage of tense ascites
CONTRAINDICATIONS
Coagulation disorders
The use of fresh-frozen plasma or platelet concentrates is not recommended.
Abnormalities of the overlying skin.
Distended intra-abdominal organs
Intra-abdominal adhesions and surgical scars
EQUIPMENT
Skin-cleansing agent (e.g., chlorhexidine or povidone-iodine)
Sterile gauze, drape, gloves
Local anesthetic (e.g. 1% lidocaine) (see Local Anesthesia for further details)
5- to 10-mL syringe with a 25- and 22- gauge needle for injection of anesthetic
Needle and catheter assembly (2-inch, 18-gauge intravenous catheters without retractable needles or paracentesis-specific devices)
35- to 60-mL syringe for aspiration of ascitic fluid
High-pressure drainage tubing
Specimen tubes
Evacuated containers (as many as five or more)
Sterile occlusive dressing
Bedside ultrasound machine (optional)
ANATOMY
Needle entry sites
2 cm below the umbilicus in the anatomic midline
RLQ or LLQ, 4 to 5 cm superior and medial to the anterior superior iliac spine
* Post-Procedure
CARE
Apply pressure to the site.
Monitor the patient after large-volume paracentesis.
COMPLICATIONS
Postparacentesis circulatory dysfunction
May occur after large-volume paracentesis (>5 L).
Albumin may be administered after large-volume paracentesis to prevent postparacentesis circulatory dysfunction.
Persistent leakage of ascitic fluid
Use of the Z-tract technique may prevent this complication.
Placement of a single suture may stop the leak.
Other complications are rare.
RESULT ANALYSIS
The serum-ascites albumin gradient
SAAG values greater than 1.1 g/dL occur with portal hypertension.
Additional testing is required for patients with SAAG values lower than 1.1 g/dL.
Testing for spontaneous bacterial peritonitis
Ascitic fluid polymorphonuclear cell counts greater than 250/mm3 are indicative of SBP.
Likewise every good tree bears good fruitJoseph Reinaldo Lolong
Michael Mark Manuhurapon
Metutala Beanal
Yanissa Tanura Timbuleng
Khosu
Likewise every good tree bears good fruit
Winter zzzzzz......
COLD.COLD.FREEZING COLD.


FREEZING WIND
Now!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Its freezing cold in Suzhou at the moment.....i hate it...
According to the weather forecast it was a whopping minus 18 degrees last night....i hate snow...
Anyways, what better thing to do when its freezing cold outside??
* to dream about BENG-BENG chocolate?
* to dream about hug someone?
* to dream about my home in Manado?
* to dream about crazy chem lecture in high school?
* to dream about share angry mood to my sister?
* to dream about makes my brothers cry?
* to dream about spring...?
And with spring comes... wonderful street food!! Ah... just looking at these photos
Fried dumpling ..yumzz..jiaozi
Pancake.n pumpkin cake greasy but good hoho
.jpg)
zz seafood..
although you have to agree that they look kind of yummy...
i never eat these clasic fruit stick
Finally. NO STREET meal is complete without a cup of milky*buble tea*_*
* (snd苏州新区)asahya朝日屋Japanese
* (snd)blue marlin蓝枪鱼German
* (snd)blue lotus 蓝莲花Pizza & Subs
* (snd)melrose 美罗斯Pizza & Subs
* (snd)yangyang 洋洋Chinese
* (snd)milo coffee 米箩
* (snd)wine 酒Beverages
* Good eatsAmerican
* Indian at the cross
* Jacks Place Italian
* Southern cross
* The bookwormItalian
Nirai-kanai
SalusKorean
Shin SolloKorean
Simons kitchen & bakery
Soft drinks, Beers & Wines
SorrentoItalian
THAI by simon
Tomato kitchen cafeItalian
YOYO Cafe
Yue Thai Vietnamese
YumwayPizza & Subs
La Rose CafeFrench
Melrose PizzaPizza & Subs
Mr. PizzaPizza & Subs
you are an idiot if you think the *all d list of restaurant above in suzhou has good food. Its the worst.hoho...but not all*_*My mom,bros,sis have d best one for me.
mom i juzt have all d restaurant menus above but i dont know how to make them hoho..teach me mom..
Thx for andre,steven,christi,lisa,veny who ever cook a yummy one for me*_*
Chocolate make everthing better^^
Pancake.n pumpkin cake greasy but good hoho
.jpg)
zz seafood..
although you have to agree that they look kind of yummy...
i never eat these clasic fruit stick
Finally. NO STREET meal is complete without a cup of milky*buble tea*_*
* (snd苏州新区)asahya朝日屋Japanese
* (snd)blue marlin蓝枪鱼German
* (snd)blue lotus 蓝莲花Pizza & Subs
* (snd)melrose 美罗斯Pizza & Subs
* (snd)yangyang 洋洋Chinese
* (snd)milo coffee 米箩
* (snd)wine 酒Beverages
* Good eatsAmerican
* Indian at the cross
* Jacks Place Italian
* Southern cross
* The bookwormItalian
Blue MarlinGerman
Deep blueChinese
EbonyAmerican
Grocery listBeverages
Hot ChicChinese
Hua Jiu ZangJapanese
J&J Cafe Bakery, WinesItalian
Likewise every good tree bears good fruit
mmm..Starbucks coffee product,Amway(Nutrilite),Health valley, also recall by FDA...
The sources of the outbreak of illnesses caused by Salmonella Typhimurium are peanut butter and peanut paste produced by the Peanut Corporation of America (PCA) at its Blakely, Georgia processing plant.
u can click these two link below
Likewise every good tree bears good fruit
☆╭┐┌╮☆°
╭┘└┘└╮∴°☆°
└┐..┌┘───╮∴°
╭┴──┤Happy ├╮
│oo│CowYear│●°
╰┬──╯牛年快乐│ ∴°﹒
☆ ˍ|ˍ/ˍˍˍˍˍ/∴☆ 26 jan 09-13 Feb 10
年年快乐。。
恭喜。。
恭喜。。
恭喜发财。。
万事如意。。
身体健康。。
新年快乐。。
红包。。红包。。红包。。
哈哈哈哈。。
*——*
はなててた むはつゃすにす ゃすし たすなせ
にはすゃそつひつなゃのふなゃのゎ
上帝保护你的
Likewise every good tree bears good fruit

click n see one


EQUIPMENT
* Personal protective equipment (gloves, face shield)
* Skin cleansing agent (chlorhexidine or povidone-iodine solution)
* Needles (large and small, e.g., 18- and 25- to 30-gauge)
* Syringe (e.g., 10 mL)
* Anesthetic agent
walkin..walking ..too crowd..go to my fave restaurant hoho..
while im passed 2 exam hoho..Thx Jesus..
Thx for d BP too..
Sunday..go to d church hoho..
In d morning im going to see a parade in shantan jie..
in d evening i will rise up a lanterns to 1000 metes when lit n carry my new years wishes to d heavens. As d sky lantern rises,it takes away all troubles n brings good luck n fortune in d future.
Nice..for New year Eves...with fire crackers too..hoho..
I love it..n also something increase in my bank accounts wkwk..Thx..^^
The Oxs counterpart in the western zodiac is Capricorn.
Famous Ox People: Napoleon,Princess Diana,Walt Disney
Likewise every good tree bears good fruit

The Ox is a powerful sign and represent prosperity through hard work.Oxen are dependable,modest,smart,peace-loving,often easy oing and trusting.But they can also be stubborn methodical,and fiercely competitive,with nasty tempers to boot.Oxen are natural born mentors and teachers and both mentally and physically alert.Like their animal namesake.oxen are unswervingly patient,tireless in their work,and capable of enduring any amount of hardship without complaint.
Ox people need peace and quite to work through their ideas,and when they have set their mind on something it is hard for them to be convinced otherwise.Oxen are very logical and systematic in whatever they do,to the point of sometimes being criticized for lack of imagination.Ox people speak little but are extremely intelligent.
In the upcoming Ox year,we can expect a conservative year,one of traditions and values.This is not a year to be outgeous.A year with slow but steady stability and growth.according to the Chinese Calender,this is an Earth Ox year.An Earth Ox year is a year of harvest when we reap what we have sown.
The Oxs counterpart in the western zodiac is Capricorn.
Famous Ox People: Napoleon,Princess Diana,Walt Disney
Likewise every good tree bears good fruiti wanna sleep hohoho,,next time i will type again hoho
Adrenal Gland肾上腺shènshàngxiàn
• Lesions of Adrenal Cortex
o Heterotopia
o Cortical Nodule
o Congenital Hyperplasia
o Acquired Hyperplasia
o Adrenocortical Tumors
o Neuroblastoma
o Ganglioneuroblastoma
o Ganglioneuroma
o Adrenal Medullary Hyperplasia
o Pheochromocytoma
Anus肛门gāngmén
• Inflammatory Diseases
o Granuloma Inguinale
o Lymphogranuloma Venereum
• Hypertrophied Papillae
o Hypertrophied Papillae
o Melanoma
o Pagets Disease
o Squamous Cell Carcinoma
o Verrucous Carcinoma
Appendix
• Acute Appendicitis
o Appendicitis
o Crohns Disease
o Oxyuriasis
o Adenocarcinoma
o Carcinoid Tumor
o Mucinous Tumors
• Pagets Disease
o Pagets Disease
o Angiosarcoma
o Chondroblastoma
o Chondroma
o Chondromyxoid Fibroma and Related Tumors
o Chondrosarcoma
o Chordoma
o Epithelioid Hemangioendothelioma
o Ewings Sarcoma
o Giant Cell Tumor
o Hemangioma
o Malignant Fibrous Histiocytoma
o Malignant Lymphoma and Related Lesions
o Metastatic Tumorso Osteochondroma
o Osteoid Osteoma and Osteoblastoma
o Osteoma
o Osteosarcoma
o Aneurysmal Bone Cyst
o Fibrous Dysplasia and Related Lesions
o Langerhans Cell Histiocytosis
o Metaphyseal Fibrous Defect
o Myositis Ossificans
o Solitary Bone Cyst
• Alterations in Cellularity
o Aplastic Anemia
o Gelatinous Transformation
• Inflammatory Disorders
o Granulomatous Inflammation
• Leukemias and Related Disorders
o Acute Leukemia
o Acute Myelofibrosis
o Chronic Idiopathic Myelofibrosis
o Chronic Lymphocytic Leukemia
o Chronic Myeloid Leukemia
o Essential Thrombocythemia
o Hairy Cell Leukemia
o Hairy Cell Leukemia Variant
o Myelodysplastic Syndrome
o Myeloid Sarcoma
o Polycythemia Vera
o Prolymphocytic Leukemia
o Richters Syndrome
o Splenic Lymphoma with Villous Lymphocytes
• Non-Hodgkins Lymphoma
o Adult T-Cell Leukemia/Lymphoma
o Aggressive NK-Cell Lymphoma
o Anaplastic Large Cell Lymphoma
o Angioimmunoblastic Lymphoma
o B-Cell Lymphoma
o Hepatosplenic T-Cell Lymphoma
o Large Granulated T-Cell Lymphoma
o Post-Transplant T-Cell Lymphoma
o Sézary Syndrome
o Benign Lymphocytic Aggregates
o Hodgkins Lymphoma
• Histiocytic Disorders
o Hemophagocytic Syndromes
o Langerhans Cell Histiocytosis
o Malignant Histiocytosis
o Amyloidosiso Heavy Chain Disease
o Lymphoplasmacytic Lymphoma
o Monoclonal Gammopathy of Undetermined Significance
o Osteosclerotic Myelomao Plasma Cell Leukemia
o Plasma Cell Myeloma
o Plasmacytoma
o Systemic Mastocytosis
o Metastatic Tumors
o Lipid Storage Diseases
Breast乳房
• Adenoma
o Lactating Adenoma
o Microglandular Adenosis
o Sclerosing Adenosis
o Atypical Ductal Hyperplasia
o Atypical Lobular Hyperplasia
o Blunt Duct Adenosis
o Ductal Hyperplasia
o Fibroadenoma
o Intraductal Papilloma
o Nipple Adenoma
o Tubular Adenoma
o Invasive Ductal Carcinoma
o Invasive Lobular Carcinoma
o Carcinoma of Male Breast
o Gynecomastia
o Myofibroblastoma
o Fat Necrosis
o Fibrocystic Disease
o Flat Epithelial Atypia
o Malignant Lymphoma
o Duct Ectasia
• Other Primary Tumors and Tumorlike Conditions
o Fibromatosiso Hamartoma
o Juvenile Papillomatosis
o Pseudoangiomatous Stromal Hyperplasia
o Adenoid Cystic Carcinoma
o Adenomyoepithelioma
o Myoepithelial Carcinoma
o Angiosarcoma
o Phylloides Tumor
CNS中枢神经系统
• Congenital Abnormalities
o Colloid Cyst of the Third Ventricle
o Meningocele
o Angitiso CADASIL
o Cerebral Amyloid Angiopathy
o Vascular Malformation
o Sarcoidosis
o Abscess
o Cysticercosis
o Herpes Simplex Encephalitis
o HIV-1o Progressive Multifocal Leukoencephalopathy
o Toxoplasmosiso Varicella Zoster
• Other Lesionso Rathke Cleft Cyst
• Primary Tumors
o Anaplastic Astrocytoma (WHO Grade III)
o Astroblastoma
o Atypical Teratoid/Rhabdoid Tumor
o Central Neurocytoma
o Cerebellar Liponeurocytoma
o Chordoid Glioma of the Third Ventricle
o Chordoma
o Choroid Plexus Tumors
o Desmoplastic Infantile Ganglioglioma / Astrocytoma
o Dysembryoplastic Neuroepithelial Tumor
o Dysplastic Gangliocytoma of the Cerebellum
o Ependymoblastoma
o Ependymoma
o Gangliocytoma and Ganglioglioma
o Gemistocyte-Rich Astrocytoma
o Germ Cell Tumors
o Glioblastoma Multiforme (WHO Grade IV)
o Gliomatosis Cerebri
o Gliomesenchymal Tumors
o Hemangioblastoma
o Medulloblastoma
o Melanocytic Tumors
o Meningeal Hemangiopericytoma
o Meningioma
o Mixed Gliomas
o Myxopapillary Ependymoma
o Nerve Sheath Tumors
o Oligodendroglioma
o Paraganglioma
o Pilocytic Astrocytoma
o Pineal Tumors
o Pleomorphic Xanthoastrocytoma
o Primary CNS Lymphoma
o Subependymal Giant Cell Astrocytoma
o Subependymoma
o Well-Differentiated Astrocytoma (WHO Grade II)
o Metastatic Tumors
ENT
• Tumors
o Nasopharyngeal Angiofibroma
o Nasopharyngeal Carcinoma
o Olfactory Neuroblastoma
o Sinonasal Carcinoma
o Sinonasal Papilloma
Esophagus食道shídào
• Reflux Esophagitis
o Barretts Esophagus
• Squamous Cell Carcinoma
o Squamous Cell Carcinoma
• Other Types of Carcinoma
o Adenocarcinoma
o Basaloid Squamous Cell Carcinoma
o Sarcomatoid Carcinoma
• Smooth Muscle Tumors and GIST-Type Stromal Tumors
o Leiomyoma
• Atresia and Related Anomalies
o Congenital Anomalies
• Heterotopia
o heterotopia
• Diverticula
o Diverticula
• Cysts
o Cysts
• Reflux Esophagitis
o Reflux Esophagitis
• Other Tumors and Tumorlike Conditions
o Malignant Melanoma
Fallopian Tube输卵管
• Tubal Pregnancy
o Tubal Pregnancy
• Carcinoma
o Carcinoma
Gallbladder胆囊 dănnáng
• Tumors
o Carcinoma of Gallbladder
o Carcinoma of Extrahepatic Bile Ducts
Heart心脏xīnzāng
• Myocardial Biopsy
o Drug Induced Cardiomyopathy
o Idiopathic Dilated Cardiomyopathy
o Idiopathic Hypertrophic Cardiomyopathy
o Myocarditis
• Heart Transplant
o Heart Transplant Rejection
• Cardiac Valves
o Cardiac Valves
• Coronary Artery Bypass
o Coronary Artery Bypass
• Coarctation of Aorta
o Coarctation of Aorta
• Cardiac Tumors
o Cystic Tumor of the Atrioventricular Nodal Region
o Hemangioma
o Malignant Lymphoma
o Mesothelial/Monocytic Incidental Cardiac Excrescences (Cardiac MICE)
o Metastatic Tumor
o Myxomao Papillary Fibroelastoma
o Rhabdomyoma
o Sarcoma
• Non-Neoplastic Diseases
o Degenerative Joint Disease
o Ganglia
o Gout and Pseudogout
o Infectious Arthritis
o Rheumatoid Arthritis
• Tumors and Tumorlike Conditions
o Pigmented Villonodular Synovitis and Bursitis
o Synovial Osteochondromatosis
o Tendosynovial Giant Cell Tumor
Kidney肾脏shènzāng
• Adenomas
o Metanephric Adenoma and Adenofibroma
o Tubulopapillary Adenoma
• Angiomyolipoma
o Angiomyolipoma
• Clear Cell Sarcoma
o Clear Cell Sarcoma
• Cystic Diseases of the Kidney
o Acquired Renal Cystic Disease
o Autosomal Dominant Polycystic Kidney Disease
o Autosomal Recessive Polycystic Kidney Disease
o Medullary Sponge Kidney
o Multicystic Renal Dysplasia
o Nephronophthisis–Medullary Cystic Kidney Disease Complex
o Simple Cysts
• Intrarenal Neuroblastoma and Peripheral Neuroectodermal Tumor
o Intrarenal Neuroblastoma and Peripheral Neuroectodermal Tumor
• Juxtaglomerular Cell Tumor
o Juxtaglomerular Cell Tumor
• Malignant Lymphoma and Related Lymphoid Lesions
o Malignant Lymphoma and Related Lymphoid Lesions
• Mesoblastic Nephroma
o Mesoblastic Nephroma
o Metanephric Stromal Tumor
o Metanephric Stromal Tumor
• Metastatic Tumors
o Metastatic Tumors
• Multicystic Nephroma
o Multicystic Nephroma
• Nephroblastomatosis and Nephrogenic Rests
o Nephroblastomatosis and Nephrogenic Rests
• Neuroendocrine Tumors
o Neuroendocrine Tumors
• Oncocytoma and Oncocytosis
o Oncocytoma and Oncocytosis
• Other Benign Tumors and Tumorlike Conditions
o Malakoplakia
• Renal Cell Carcinoma
o Renal Cell Carcinoma
• Rhabdoid Tumor
o Rhabdoid Tumor
• Sarcomas
o Renal Sarcomas
• Tubulointerstitial Nephritis
o Xanthogranulomatous Pyelonephritis
• Wilms Tumor
o Wilms Tumor
Large Bowel
• Colitiso Amebic Colitis
o Crohns Disease
o Cytomegalovirus Colitis
o Graft Versus Host Disease
o Ischemic Colitis
o Neonatal Necrotizing Enterocolitis
o Nonspecific Bacterial Colitis
o Pseudomembranous Colitis
o Tuberculosis
o Ulcerative Colitis
o Collagenous Colitis
o Lymphocytic Colitis
• Diverticulosis
o Diverticulosis
• Hirschprungs Disease and Related Disorders
o Hirschsprungs Disease
• Other Non-Neoplastic Lesions
o Colitis Cystica Profunda
o Endometriosiso Radiation Change
o Solitary Rectal Ulcer
• Tumors
o Adenocarcinoma
o Carcinoid Tumor
o Lymphoma
o Polyps
o Stromal Tumors
o Ganglioneuroma
• Cysts and Laryngocele
o Cyst
o Laryngocele
• Laryngeal Nodule and Contact Ulcer
o Contact Ulcer
o Laryngeal Nodule
• Tumors and Tumorlike Conditions
o Intraepithelial Proliferative Lesions
o Invasive Carcinoma
o Papilloma and Papillomatosis
o Small Cell Carcinoma
o Verrucous Carcinoma
Liver肝脏 gānzāng
• Abscess
o Abscess
• Bile Duct Tumors and Tumor-like Conditions
o Bile Duct Adenoma
o Bile Duct Carcinoma
o Bile Duct Hamartoma
o Biliary Cystadenoma and Cystadenocarcinoma
• Childhood Disorders and Disorders of Metabolism
o Alpha-1 Antitrypsin Deficiency
• Cholestasis and Biliary Diseases
o Cholestasiso Extrahepatic Bile Duct Atresia
o Paucity of Interlobular Bile Ducts
o Primary Biliary Cirrhosis
o Primary Sclerosing Cholangitis
• Cirrhosis
o Cirrhosis
• Disorders of Copper and Iron Metabolism
o Hemochromatosis
o Iron Overload
o Wilsons Disease
• Drug-Induced and Toxic Liver Injury
o Drug Induced and Toxic Liver Injury
• Echinococcus Cyst (Hydatid Cyst)
o Echinococcus Cyst
• Liver Cell Tumors and Tumor-like Conditions
o Focal Nodular Hyperplasia
o Hepatoblastoma
o Liver Cell Adenoma
o Liver Cell Carcinoma
• Liver Disease in Pregnancy
o Acute Fatty Liver of Pregnancy
o Toxemia of Pregnancy
• Liver Involvement in Other Organ and Systemic Diseases
o Amyloidosis and Light Chain Deposition Diseases
o Granulomas
• Liver Pathology in Organ Transplantation
o Graft Versus Host Disease
o Liver Transplant
• Mesenchymal Tumors and Tumor-like Conditions
o Angiosarcoma
o Benign Infantile Hemangioendothelioma
o Embryonal Sarcoma
o Epithelioid Hemangioendothelioma
o Hemangiomao Mesenchymal Hamartoma
• Metastatic Tumors
o Metastatic Tumors
• Nodular Regeneration
o Nodular Regeneration
• Steatosis and Steatohepatitis
o Steatohepatitis
o Steatosis
• Viral Hepatitis
o Acute Hepatitis
o Chronic Hepatitis
Lung
• Carcinoma
o Adenocarcinoma
o Bronchioalveolar Carcinoma
o Large Cell Carcinoma
o Pulmonary Blastoma
o Sarcomatoid Carcinoma and Carcinosarcoma
o Small Cell Carcinoma
o Squamous Cell Carcinoma
• Non-Neoplastic Lesions
o Abscesso Adenovirus Pneumonia
o Alveolar Proteinosis
o Asbestosiso Atypical Mycobacteria
o Bronchiectasiso Bronchiolitis Obliterans–Organizing Pneumonia
o Bronchocentric Granulomatosis
o Congenital Cystic Disease
o Congenital Lobar Emphysema
o Cystic Adenomatoid Malformation
o Cytomegalovirus Pneumonia
o Desquamative Interstitial Pneumonia
o Diffuse Alveolar Damageo Dirofilaria
o Eosinophilic Pneumonia
o Erdheim–Chester Diseaseo Giant Cell Interstitial Pneumonia
o Herpes Simplex Pneumonia
o Langerhans Cell Histiocytosis
o Legionnaires Disease
o Lipoid Pneumonia
o Mycoplasma Pneumonia
o Nocardiosis
o Pulmonary Veno-Occlusive Disease
o Respiratory Bronchiolitis-Associated Interstitial Lung Disease
o Sequestrations
• Other Primary Tumors
o Adenoid Cystic Carcinoma
o Carcinoid Tumor
o Clear Cell Tumors
o Epithelioid Hemangioendothelioma
o Hamartoma
o Inflammatory Pseudotumor
o Lymphangioleiomyomatosis
o Lymphomatoid Granulomatosis
o Mucoepidermoid Carcinoma
o Sclerosing Hemangioma
Lymph Nodes
• Inflammatory/Hyperplastic Diseases
o Acute Nonspecific Lymphadenitis
o AIDS-Related Lymphadenopathy
o Angioimmunoblastic Lymphadenopathy
o Atypical Mycobacteriosis
o Castlemans Disease
o Cat Scratch Disease
o Chronic Nonspecific Lymphadenitis
o Dermatopathic Lymphadenitis
o Fungal Infectionso Infectious Mononucleosis
o Langerhans Cell Histiocytosis
o Lepromatous Leprosy
o Lupus Erythematosus
o Lymphogranuloma Venereum
o Necrotizing Lymphadenitis
o Postvaccinial Lymphadenitis
o Rheumatoid Arthritis
o Rosai-Dorfman Disease
o Sarcoidosis
o Syphilis
o Toxoplasmosis
o Tuberculosis
• Malignant Lymphoma
o Anaplastic Large Cell Lymphoma
o Burkitts Lymphoma
o Classical Hodgkins Lymphoma
o Diffuse Large B-Cell Lymphoma
o Follicular Lymphoma
o Lymphoblastic Lymphoma
o Lymphocyte Predominant Hodgkins Lymphoma
o Mantle Cell Lymphoma
o Marginal B-Cell Lymphoma
o Peripheral Post-Thymic T-Cell Lymphoma
o Small Lymphocytic Lymphoma
• Metastatic Tumors
o Metastatic Tumors
• Patterns of Hyperplasia
o Hyperplasia
• Tumors of the Cells of the Accessory Immune System
o Dendritic Follicular Cell Tumor
o Interdigitating Dendritic Cell Tumor
Mandible and Maxilla
• Inflammatory Diseases
o Dental Granuloma
o Osteomyelitis
• Simple Bone Cyst
o Simple Bone Cyst
• Central Giant Cell Granuloma and Other Giant Cell-Containing Lesions
o Central Giant Cell Granuloma
o Cherubism
• Benign Fibro-osseous Lesions
o Ossifying Fibroma
o Cementifying Fibroma
o Cementomao Osteoblastoma
• Epithelial Cysts
o Dentigerous Cyst
o Eruption Cyst
o Gingival Cyst
o Lateral Periodontal Cyst
o Keratinizing and Calcifying Odontogenic Cyst
o Radicular Cysto Odontogenic Keratocyst
o Glandular Odontogenic Cyst
o Nasoalveolar Cyst
o Nasopalatine Cyst
o Dermoid Cyst
o Palatal Cyst
• Odontogenic Tumors
o Adenomatoid Odontogenic Tumor (Adenoameloblastoma)
o Calcifying Epithelial Odontogenic Tumor
o Squamous Odontogenic Tumoro Ameloblastic Fibroma
o Odontoma
o Odontogenic Myxoma
o Odontogenic Fibroma
o Ameloblastoma
o Ameloblastic Carcinoma
o Ameloblastic Fibrosarcoma
o Clear Cell Odontogenic Carcinoma
Mediastinum
• Cysts (Other Than Thymic)
o Non Thymic Cysts
• Thymus
o Thymic Carcinoid
o Thymic Carcinoma
o Thymic Cysts
o Thymoma
• Germ Cell Tumors
o Germ Cell Tumors
• Malignant Lymphoma
o Hodgkins Lymphoma
o Large Cell Lymphoma
o Lymphoblastic Lymphoma
o Marginal B-Cell Lymphoma
Ovary
• Tumors
o Brenner Tumor and Transitional Cell Carcinoma
o Carcinoid Tumor
o Choriocarcinoma
o Clear Cell Tumors
o Dysgerminoma
o Embryonal Carcinoma
o Endometrioid Tumors
o Fibroma
o Gonadoblastoma
o Granulosa Cell Tumor
o Immature Malignant Teratoma
o Lipid Cell Tumor
o Malignant Mixed Müllerian Tumor
o Mature Cystic Teratoma
o Metastatic Tumors
o Mucinous Tumors
o Sex Cord Tumor with Annular Tubules
o Small Cell Carcinoma
o Struma Ovarii
o Strumal Carcinoid
o Thecoma
o Wolffian Adnexal Tumor
o Yolk Sac Tumor
Pancreas胰腺yíxiàn
• Ampullary Carcinoma and Precursor Lesions
o Ampullary Carcinoma and Precursor Lesions
• Pseudocysts
o Pseudocysts
• True Cysts
o True Cysts
• Tumors
o Acinar Cell Tumors
o Anaplastic Carcinoma
o Ductal Adenocarcinoma
o Endocrine Tumorso Intraductal Papillary Mucinous Neoplasms
o Microcystic Cystadenoma and Cystadenocarcinoma
o Mucinous Cystic Neoplasmso Pancreatoblastoma
o Solid–Pseudopapillary Tumor
Parathyroid
• Adenoma
o Adenoma
• Chief Cell Hyperplasia
o Primary Chief Cell Hyperplasia
o Secondary Chief Cell Hyperplasia
• Water-Clear Cell Hyperplasia
o Water-Clear Cell Hyperplasia
• Carcinoma
o Carcinoma
• Hyperparathyroidism
o Primary Hyperparathyroidism
o Secondary Hyperparathyroidism
Pleura
• Tumors
o Malignant Mesothelioma
o Metastatic Tumors
o Solitary Fibrous Tumor
Prostate前列腺
• Normal Anatomy
o Normal Anatomy
• Nodular Hyperplasia
o Nodular Hyperplasia
• Infarct
o Infarct
• Prostatitis
o Prostatitis
o Abscess
o Tuberculosis and BCG-Induced Granulomas
o Granulomatous Prostatitis
o Prostatitis with Eosinophils
• Carcinoma
o Carcinoma
• Other Tumors
o Embryonal Rhabdomyosarcoma
Renal Pelvis, Ureter and Bladder
• Congenital Abnormalities
o Urachal Adenocarcinoma
• Cystitis
o Malakoplakia
• Other Primary Carcinomas
o Adenocarcinoma of the Bladder
o Small Cell Carcinoma
o Squamous Cell Carcinoma
• Other Malignant Tumors
o Embryonal Rhabdomyosarcoma
• Tumors of Renal Pelvis and Ureter
o Adenocarcinoma of the Renal Pelvis and Ureter
o Transitional Cell Carcinoma of the Renal Pelvis and Ureter
• Transitional Cell (Urothelial) Carcinoma
o Transitional Cell Carcinoma of the Bladder
Salivary Glands
• Epithelial Tumors
o Acinic Cell Carcinoma
o Adenoid Cystic Carcinoma
o Basal Cell Adenocarcinoma
o Basal Cell Adenoma
o Benign Mixed Tumor
o Lymphoepithelioma-Like Carcinoma
o Malignant Mixed Tumor
o Mucoepidermoid Carcinoma
o Papillary Adenocarcinoma
o Salivary Duct Carcinoma
o Small Cell Carcinoma and Other Neuroendocrine Carcinomas
o Squamous Cell Carcinoma
o Tumors with Myoepithelial Differentiation
o Warthins Tumor
Skin
• Arthropod-Induced Diseases
o Arthropod Bite Reaction
o Demodicosis
o Scabies
• Bacterial and Rickettsial Infections
o Atypical Mycobacterial Infection
o Erysipelas
o Impetigo
o Leprosyo Lupus Vulgaris
o Malakoplakia
o Necrotizing Fasciitis
o Rhinoscleroma
o Staphylococcal Scalded Skin Syndrome
• Cutaneous Deposits
o Amyloidosis
o Calcinosis Cutis
o Corticosteroid Injection Site
o Gouto Tattoos
• Cutaneous Drug Reactions
o Drug Reaction
• Cutaneous Infiltrates - Non-Lymphoid
o Mastocytosis
• Cutaneous Mucinoses
o Cutaneous Myxoma
o Digital Mucus Cyst
o Focal Mucinosis
o Follicular Mucinosis
o Mucocele of Lip
o Myxedema, Generalized
o Myxedema, Pretibial
o Scleredema
• Cysts, Sinuses and Pits
o Dermoid Cyst
o Pilonidal Sinus
o Proliferating and Malignant Trichilemmal Cyst
o Steatocystoma Multiplex
o Trichilemmal (Sebaceous) Cyst
o Vellus Hair Cyst
• Diseases of Cutaneous Appendages
o Acne Necrotica
o Acne Vulgaris
o Androgenic Alopecia (common baldness)
o Furuncleo Hidradenitis Suppurativa
o Rosacea
• Disorders of Collagen
o Chondrodermatitis Nodularis Helicis
o Collagenosis Nuchae (Nuchal Fibroma)
o Eosinophilic Fasciitis
o Localized Scleroderma
o Systemic Scleroderma
• Disorders of Elastic Tissue
o Connective Tissue Nevi
o Elastofibroma
o Elastosis Perforans Serpiginosa
o Pseudoxanthoma Elasticum
• Disorders of Epidermal Maturation and Keratinization
o Dariers Diseaseo Grovers Disease
o Hailey-Hailey Disease
o Warty Dyskeratoma
• Disorders of Pigmentation
o Ephelis
o Incontinentia Pigmenti
o Vitiligo
• Metabolic and Storage Diseases
o Porphyria Cutanea Tarda
• Miscellaneous Conditions
o Acanthosis Nigricans
o Accessory Tragus
o Erythroderma
o Supernumerary Nipple
• Mycoses and Algal Infections
o Chromoblastomycosis
o Dermatophytoses
o Majocchis Granuloma
o Mycetomao North American Blastomycosis
o Protothecosis
o Rhinosporidiosis
o Sporotrichosis
• Panniculitis
o Cytophagic Histiocytic Panniculitis
o Erythema Induratum
o Erythema Nodosum
o Membranous Lipodystrophy
o Pancreatic Panniculitis
o Traumatic Fat Necrosis
• Protozoal Infections
o Leishmaniasis
• Reactions to Physical Agents
o Photoallergic Dermatitis
o Polymorphous Light Eruption
o Radiation Dermatitis
• Spirochetal Infections
o Syphilis
• The Granulomatous Reaction Pattern
o Granuloma Annulare
o Necrobiosis Lipoidica
o Necrobiotic Xanthogranuloma
o Reaction to Foreign Body
o Rheumatoid Nodule
o Sarcoidosis
• The Lichenoid Reaction Pattern
o Erythema Multiforme
o Lichen Planus
o Lupus Erythematosus
o Lupus Panniculitis
• The Psoriasiform Reaction Pattern
o Psoriasis
• The Vasculopathic Reaction Pattern
o Behçets Disease
o Erythema Elevatum Diutinum
o Granuloma Faciale
o Leukocytoclastic Vasculitis
o Pyoderma Gangrenosum
o Septic Vasculitis
o Sweet Syndrome
• The Vesiculobullous Reaction Pattern
o Acute Generalized Exanthematous Pustulosis
o Bullous Pemphigoid
o Dermatitis Herpetiformis
o Epidermolysis Bullosa Acquisita
o Linear IgA Bullous Dermatosis
o Pemphigus Foliaceus
o Pemphigus Vegetans
o Pemphigus Vulgaris
o Subcorneal Pustular Dermatosis
o Toxic Epidermal Necrosis
• Viral Diseases
o Condyloma Acuminatum
o Epidermodysplasia Verruciformis
o Herpes Simplex
o Herpes Zoster
o Milkers Nodule
o Molluscum Contagiosum
o Orfo Verruca Vulgaris
Small Intestine小肠 xiăocháng
• Tumors
oAdenocarcinoma
o Carcinoid Tumor
o Hamartomatous Polyps
• Congenital Defects
o Heterotopic Pancreas
o Intestinal Atresiao Intestinal Duplication
o Meckels Diverticulum
• Malabsorption
o Celiac Disease
o Tropical Sprue
oWhipples Disease
• Crohns Disease
o Crohns Disease
• Other Inflammatory Diseases
o Intestinal Spirochetosis
• Intussusception
o Intussusception
• Ulcers
o Duodenal Ulcer
• Tumors
o Benign Vascular Tumor
o Brunners Gland Polyp
o Gangliocytic Paraganglioma
o Gastrointestinal Stromal Tumor
o Inflammatory Fibroid Polyp
o Malignant Lymphoma
o Metastatic Tumor
Soft Tissues
• Tumors
o Alveolar Rhabdomyosarcoma
o Alveolar Soft Part Sarcoma
o Angiosarcoma
o Benign Fibrous Histiocytoma
o Calcifying Aponeurotic Fibroma
o Clear Cell Sarcoma
o Clear Cell Smooth Muscle Tumors
o Dedifferentiated Liposarcoma
o Elastofibroma
o Embryonal Rhabdomyosarcoma
o Epithelioid Sarcoma
o Extraskeletal Ewings Sarcoma
o Fibroma of Tendon Sheath
o Fibromatosiso Fibrosarcoma
o Fibrous Hamartoma of Infancy
o Giant Cell Fibroblastoma
o Giant Cell Tumor of Soft Parts
o Glomus Tumoro Granular Cell Tumor
o Hemangioendothelioma
o Hemangioma
o Hibernoma
o Inflammatory Myofibroblastic Tumor
o Inflammatory Myxohyaline Tumor
o Leiomyoma
o Leiomyosarcoma
o Lipoblastoma
o Lipoma
o Low-Grade Fibromyxoid Sarcoma
o Lymphangioma
o Lymphangiomyoma
o Lymphangiosarcoma
o Malignant Fibrous Histiocytoma
o Malignant Peripheral Nerve Sheath Tumor
o Myxofibrosarcoma
o Myxoid Chondrosarcoma
o Myxoid Liposarcoma
o Myxoma
o Myxopapillary Ependymoma
o Nerve Sheath Myxoma
o Neurofibroma
o Neuroma
o Nodular Fasciitis and Related Lesions
o Ossifying Fibromyxoid Tumor
o Perineurioma
o Pigmented Neuroectodermal Tumor of Infancy
o Pleomorphic Liposarcoma
o Pleomorphic Rhabdomyosarcoma
o Plexiform Fibrohistiocytic Tumor
o Rhabdoid Tumor
o Rhabdomyoma
o Schwannoma
o Soft Tissue Chondroma
o Soft Tissue Extraskeletal Osteosarcoma
o Solitary Fibrous Tumor
o Synovial Sarcoma
o Well-Differentiated Liposarcoma
Stomach胃wèi
• Carcinoma
o Adenocarcinoma
• Chronic Gastritis
o Chronic Gastritis
• Heterotopic Tissues
o Heterotopic Pancreas
• Hypertrophic Pyloric Stenosis
o Hypertrophic Pyloric Stenosis
• Lymphoid Tumors and Tumorlike Conditions
o Intermediate/High-Grade Lymphoma
o Low-Grade Lymphoma
• Menetriers Disease and Zollinger-Ellison Syndrome
o Menetriers Diseaseo Zollinger–Ellison Syndrome
• Other Tumors
o Metastatic Tumors
• Other Types of Gastritis
o Diffuse Eosinophilic Gastritis
o Hemorrhagic Gastritis
• Peptic and Other Benign Ulcers
o Peptic Ulcer
• Polyps
o Adenomas
o Fundic Gland Polyps
o Hyperplastic Polyps
o Inflammatory Fibroid Polyp
• Stromal Tumors
o Stromal Tumors
• Well-Differentiated Neuroendocrine Tumors
o Well-Differentiated Neuroendocrine Tumors
Testis
• Cryptorchidism
o Cryptorchidism
• Tumors
o Choriocarcinoma
o Embryonal Carcinoma
o Intratubular Germ Cell Tumor
o Leydig Cell Tumor
o Lymphomao Mature and Immature Teratoma
o Mixed Germ Cell–Sex Cord–Stromal Tumors
o Seminomao Sertoli Cell Tumor
o Teratocarcinoma
o Yolk Sac Tumor
Thyroid甲状腺jiă zhuàng xiàn
• Congenital Abnormalities
o Heterotopic Thyroid Tissue
• Thyroiditis
o Autoimmune Thyroiditis
o Granulomatous Thyroiditis
o Riedels Thyroiditis
• Hyperplasia
o Dyshormonogenetic Goiter
o Graves Disease
o Nodular Hyperplasia
• Tumors
o Follicular Adenoma
o Follicular carcinoma
o Hürthle Cell Tumors
o Hyalinizing Trabecular Adenoma and Related Lesions
o Medullary Carcinoma
o Papillary Carcinoma
o Poorly Differentiated Carcinoma
o Undifferentiated Carcinoma
Trophoblastic Disease
• Gestational Trophoblastic Disease
o Choriocarcinoma
o Complete Hydatidiform Mole
o Epithelioid Trophoblastic Tumor
o Invasive Hydatidiform Mole
o Partial Hydatidiform Mole
o Placental Site Trophoblastic Tumor
Urinary Bladder膀胱băngguāng
• Benign Tumors
o Inverted Papilloma
o Paraganglioma
• Metaplastic Conditions
o Intestinal Metaplasia and/or Cystic Change
o Mesonephroid Metaplasia
o Squamous Metaplasia
• Other Malignant Tumors
o Embryonal Rhabdomyosarcoma
• Other Primary Carcinomas
o Small Cell Carcinoma
• Tumorlike Conditions
o Inflammatory Pseudotumor
o Postoperative Spindle Cell Tumor
Uterine Cervix
• Tumors
o Cervical Intraepithelial Neoplasia
o Invasive Squamous Cell Carcinoma
o Microinvasive Squamous Cell Carcinoma
o Neuroendocrine Carcinoma
• Tumors
o Adenomatoid Tumor
o Endometrial Polyps
o Malignant Mixed Müllerian Tumor
o Müllerian Adenosarcoma
• Squamous Intraepithelial Lesions
o Squamous Intraepithelial Lesions
• Invasive Squamous Cell Carcinoma
o Invasive Squamous Cell Carcinoma
• Pagets Disease
o Pagets Disease
• Aggressive Angiomyxoma and Related Lesions
o Aggressive Angiomyxoma
Likewise every good tree bears good fruit
INDICATIONS
* Diagnosis of PLEURAL EFFUSION
* Therapeutic drainage of LARGE EFFUSIONS
* Radiographic diagnosis of pleural effusion
* Visible when 200 ML of fluid is present.
* Effusions that LAYER ON THE MOST DEPENDENT PORTION of the chest (lateral decubitus view) and are at least 10 MM thick are amenable to simple thoracentesis.
CONTRAINDICATIONS
* COAGULOPATHY, thrombocytopenia, or other bleeding disorders
* Inability of the patient to cooperate
* ABNORMALITIES in the overlying SKIN
* MECHANICAL VENTILATION
* Hemodynamic or respiratory INSTABILITY
EQUIPMENT
* Skin cleansing agent and sterile gauze
* Sterile drape and gloves **STERILE TECHNIQUE**
* Local anesthetic and 5- to 10-mL syringe with 25- and 22-gauge needles
* Needle and catheter assembly
* 35- to 60-mL syringe for aspiration of pleural fluid
* 3-way stopcock
* High-pressure drainage tubing
* Specimen tubes and evacuated containers (1 or 2)
* Sterile occlusive dressing
* Bedside US machine (optional)
* NEEDLE AND CATHETER assemblies
* IV catheters: 16- to 18-gauge IV catheters without retractable needles
* Thoracentesis-specific devices
* Through-the-needle catheters (less commonly used)
ANATOMY
* The PLEURA is a thin layer of serous tissue forming the PARIETAL AND VISCERAL PLEURA.
* Pleural fluid may collect if there is excessive hydrostatic pressure, increased capillary permeability, or lymphatic obstruction.
* The pleural cavity at the POSTERIOR COSTODIAPHRAGMATIC RECESS extends to the level of the 12th rib.
* Needle insertion sites
* Posterior approach (preferred)
* The needle is inserted in the MIDTHORAX LINE, at least one interspace BELOW THE LEVEL of the effusion.5
* The needle should NOT BE INSERTED INFERIOR TO THE NINTH RIB.
* In patients UNABLE TO SIT UPRIGHT, a MIDAXILLARY approach may be used with the patient SUPINE, or a POSTERIOR AXILLARY line approach may be used with the patient in the LATERAL RECUMBENT position.
* The neurovascular bundle
* The NEUROVASCULAR BUNDLE runs along the inferior surface of the ribs.
CARE
* Chest films SHOULD BE OBTAINED in the following circumstances5:
* AIR WAS ASPIRATED during the procedure.
* CHEST PAIN, DYSPNEA, OR HYPOXEMIA develops.
* MULTIPLE NEEDLE PASSES were required.
* The patient is CRITICALLY ILL or receiving MECHANICAL VENTILATION.
COMPLICATIONS
* IATROGENIC PNEUMOTHORAX (see Needle Thoracostomy for further details)
* POSTEXPANSION PULMONARY EDEMA
* POSTEXPANSION PULMONARY EDEMA is rare and may occur after removal of a LARGE VOLUME of pleural fluid.
* Hemothorax, intraabdominal organ injury, and air embolism
* Pain, cough, and localized infection
RESULT ANALYSIS
* TRANSUDATE VS. EXUDATE
* TRANSUDATES are caused by INCREASED HYDROSTATIC PRESSURE.
* EXUDATES are caused by EITHER INCREASED CAPILLARY PERMEABILITY OR LYMPHATIC OBSTRUCTION.
Likewise every good tree bears good fruit
Repeat Neuromuscular Exam
Splint Application
Measures The Splint
Anatomy
Boxers Fracture
Ulnar Gutter Splint
Editor(s): Todd W Thomsen MD,Gary S Setnik,MD,FACEP
Contributor(s): Miguel A Ramirez,BS Lars C Richardson,MD
Section Editor(s): Charles S Day,MD
* Pre-Procedure
INDICATIONS
Temporary immobilization for fractures of the fourth or fifth metacarpals or phalanx
CONTRAINDICATIONS
Infection
Impending compartment syndrome
Diabetic or other neuropathy
EQUIPMENT
Slightly warm (not over 24°C) water and bucket
Stockinette (optional)
Soft cotton bandage/undersplint material (e.g., Webril padding), 3- or 4-inch
Plaster bandages, 3- or 4-inch
Elastic bandages (Ace)
Adhesive tape
ANATOMY
The radius and ulna articulate distally with the carpal bones to form the wrist.
The metacarpal bones articulate with the distal carpal bones. The proximal phalanges articulate with the distal metacarpal bones.
* Post-Procedure
CARE
Radiographically confirm that the reduction was achieved and maintained after splinting.
Repeat a neurovascular examination.
Instruct the patient to keep the splint clean and dry.
The extremity should remain elevated for the first 2-3 days.
Loosen the elastic bandage if neurovascular symptoms arise.
Reevaluate if increased pain or burning develops.
COMPLICATIONS
Plaster burn
Pressure sores
Nerve palsy
Vascular compromise
Likewise every good tree bears good fruit
What happen ..?? TOday??
Wow..My Final Exam is so cUte
well..
This is the last day of 2008..
Time go tuuuuuuu fast..
5 years ago..wow..
* so many bad thing ive done..
* so many sad thing ive felt..
* so many nice thing ive looked..
I wanna say thank to my mama,my teachers,my papa,my sisters,my brothers and my friends
Someday I will tell the truth "naked"^^
at Desember 2007 I asked Jesus as my Lord and my saviour.Ever since,Jesus protect and guidance me.He always answer my pray in amazing ways.
I have a lot of sin,but Jesus set me free..Thanks very much to my supermom who recognise Jesus to me.Until 8-8-08 Jesus show me a miracle"that in medical explanation cant" but they do it.
Im really sorry to do bad thing to my sister"thi" sorry
really sorry to do bad thing to my brothers"Andre n Dendi" im tuuu selfish
and to everyone.
Everyone need forgiveness but i know gives a forgiveness,chance to someone is hard to do.
See the picture above..He already paid our sin so we can stand in front of the God thrones..
^With all i am...Ill living for His Name^
Likewise every good tree bears good fruit
This is the First Comment.
Well,Tomorrow...
Whats event??
Oh,I have Final Practical Examination..
Remember 31 des"Dr.S.E.Arikalang M.Kes was born"Happy Bday^^
Also Only one day left to enter"New Year 09"^^
The Last I ve been in china for 445 days
Im missing my Mama
Likewise every good tree bears good fruit






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恭喜发财
