# [和信醫院內科值班手冊草稿區](https://hackmd.io/@htlin222/outline-duty-manual)
> 希望可以十月結束前編完
## 說明：
需要圖片的話，請看[老胡的投影片](https://drive.google.com/drive/folders/1fQknlwaHUAu8FHacN5_64mroQA-XYm-t)
* 不需寫太多生理機轉，重點是診斷跟處理流程
* 這份手冊的目的是如果新手看到可以直接看懂、然後copy duty note，照著流程走，不出錯
* 參考小麻、鐵則
* [HackMD 快速入門教學](/GinelCA0ThGlIDP1TJ19HA)
* 要編輯文件的話按一下左上角的筆
* 
* 盡量幫每一個主題寫一則Duty Note，放在每一個section的最後
* Duty Note 寫法，和信特產就是三個底線___:

I was called for ___. 
___-year-old ___ with uderlying ___, admitted for ___.
The patient developed ___ at ___, accompanied by ___, ___
Vital Signs:
PE showed: 

# (e.g.) Fever, likely pneumonia
Assessment:
-
-
-
Plan:
-
-
-

### 寫作風格指引
* 因為編號很麻煩，條列式儘量用 * 字號就好
* 需要圖片可以直接貼上，會自動上傳，如果有來源的話最好是給一下

## Part 0: 老胡值班心法，應該不用加什麼~維持原樣就好
[概論](/ZSzzHi03RTWaJH-jJkk8-Q)
如果你想去加什麼murmur的話，用 > 放在行首變成引用格式
> 像這樣

## Part 1: 常見主訴，急 (景如)
點我開始編輯→[內科值班01](/84b3GR-uQkOwRmYbZwHBWg)
* Fever
* Shock
* Altered mental status
* Dyspnea
* Chest pain
* Abdominal pain

## Part 2: 常見主訴，沒那麼急的(王澤宇)
點我開始編輯→[內科值班02](/4_udI0QmTSquDxwMozO1pA)
* GI bleeds
* Hypertension
* Sugar
* Allergy/Angioedema
* Pain
* Nausea & Vomiting
* Insomnia
* Delirium
* Headache & Dizziness Dizziness
* Input & Output; U/O Urine output

## Part 3 心肺急症(協霆)
點我開始編輯→[內科值班03](/NvjafCZnSZGkZTe7mlGrYQ)
* VF & Pulseless VT
* Tdp Torsades de pointes
* PEA
* Tachycardia
* Bradycardia
* Intubation
* ACS
* Cardiac tamponade
* Tension pneumothorax
* Acute stroke

## Part 4 感染、喘(黃子寧)
點我開始編輯→[內科值班04](/MUHxPYXORKSqRT1JgS_jeg)
* Sepsis & Antibiotics
* Pneumonia
* Urinary tract infection Skin and soft tissue infection
* Acute heart failure
* COPD AE
* DVT & PE
* Clostridium difficile infection Acute pancreatitis

## Part 5 腎臟科(柯又綸）、腫瘤科急症(宇霖)
點我開始編輯→[內科值班05](/uP2l5sXpTPe1Ixi3VuSMYg)
* Acute kidney injury
* Metabolic acidosis
* Hyponatremia
* Hypernatremia
* Hyperkalemia
* Hypokalemia
---
* Hypercalcemia
* Tumor lysis syndrome
* Lymphoma
* Leukemia
* Bone marrow transplant

## Part 6 臨床技能 (協霆)
[Procedure Note](/lI4miKZES0qkzBC9fBNdIg)
* CVC insertion
* Thoracocentesis o Paracentesis
* Intubation
* Lumbar Puncture
* Paracentesis
* Death