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学习笔记3.10

  • 2026-03-16 04:43:47
学习笔记3.10
今天早上被拒的Case，晚上继续投。老板安排的综述任务还没开始干呜呜，我是懒蛋。明天搞起来！明天没班，我要六点半起床学习！
改了一下公众号的名字，因为S开头的关注的太多了hh，所有改成A
今天继续学习细菌性皮肤病
五：SSSS：破坏桥粒芯蛋白1。特征性表现是弥漫红斑基础上出现无菌性脓疱或松弛性大疱，尼氏征+。眼周口周放射状皲裂，但无黏膜损害。与TEN、脓疱疮、落叶天鉴别
感觉皮肤病最难的就是鉴别诊断。因为皮肤科客观的检查项目不多，很多都靠肉眼诊断。但是有时候教材这一块写的又特别少。
六：淋病
起初尿道口红肿，少量稀薄粘液，24小时内分泌物变为黄白脓性
鉴别诊断
头孢曲松1g肌注，单次治疗
七：软下苷
杜克雷嗜血杆菌，生殖器化脓性溃疡伴疼痛
潜蚀性溃疡边缘，脓性污秽灰色溃疡基底，化脓性腹股沟炎。
八：类丹毒
接触鱼肉类外伤史，红斑肿胀，边缘清晰的多角形紫色红斑。
还额外看了色素性紫癜性皮病和黄瘤
困了困了，明天早起继续学！
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  1. CONNECT:[ UseTime:0.000649s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000906s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000286s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000245s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000484s ]
  6. SELECT * FROM `set` [ RunTime:0.000205s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000602s ]
  8. SELECT * FROM `article` WHERE `id` = 473729 LIMIT 1 [ RunTime:0.000416s ]
  9. UPDATE `article` SET `lasttime` = 1773632241 WHERE `id` = 473729 [ RunTime:0.012873s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000319s ]
  11. SELECT * FROM `article` WHERE `id` < 473729 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000621s ]
  12. SELECT * FROM `article` WHERE `id` > 473729 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000424s ]
  13. SELECT * FROM `article` WHERE `id` < 473729 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.004974s ]
  14. SELECT * FROM `article` WHERE `id` < 473729 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001436s ]
  15. SELECT * FROM `article` WHERE `id` < 473729 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.002048s ]
0.097185s