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@jkresnre: British boxer Anthony Joshua survives car crash #news #fyp #fypシ
jkresnre
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Tuesday 30 December 2025 07:06:36 GMT
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Replying to @Joyce🌸 Case Study 243: Gastroparesis Gastroparesis is delayed stomach emptying with no physical blockage. Why it happens: • Long-standing high blood sugar damages the vagus nerve • The vagus nerve controls stomach muscle contractions • Impaired signaling → food and liquid sit in the stomach far longer than normal The key clue: • The “sloshing” sound/sensation is a real exam finding called a succussion splash • Caused by retained fluid and food in a stomach that isn’t emptying • Points toward a motility problem, not a structural one Why the workup looked normal: • Gastroparesis is functional, not structural • Endoscopy and imaging aren’t expected to show anything • The confirming test is a gastric emptying study (meal with tracer, tracked over time) Management: • Tighter glucose control (high blood sugar itself slows emptying) • Smaller, more frequent low-fat, low-fiber meals • Prokinetic medications to stimulate stomach contractions • Anti-nausea medication as needed • Gastric electrical stimulation for severe, refractory cases #Gastroparesis #SundayCaseStudy #CaseStudy243 #ladyspinedoc
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蔣萬安提倒閣 盧秀燕:若倒閣成功建議年底立委合併選舉 2026-07-30 10:46 聯合報/ 記者陳敬丰/台中即時報導 台中市長盧秀燕認為,如果倒閣成功、國會解散,最好把國會重新選舉和年底地方大選合併,以免勞民傷財。 台北市長蔣萬安日前呼籲對行政院長卓榮泰提出不信任案,若倒閣成功,很可能出現解散國會重選的狀況。台中市長盧秀燕今天表示,若真的發生倒閣成功、國會解散,她建議將立法委員選舉和年底的地方大選合併,以免分兩次投票勞民傷財。 盧秀燕今天赴議會備詢,會前受訪表示,今天下午中選會主委游盈隆會來拜訪她,時間就在議會結束之後,游沒有說明拜訪的原因,應該是為了年底大選,來討論選務與公投事宜;台中選票非常多,超過全國十分之一,無論游來拜訪的原因為何,她都歡迎。 盧秀燕指出,蔣萬安提出倒閣的提議,若倒閣成功,且賴總統依法宣布解散立法院,按照憲法期程,年底之前勢必要舉行國會重選;今年底本來就有地方大選,如果真的發生倒閣成功、國會解散的狀況,她希望到時候合併選舉,時間很近,分兩次投票勞民傷財。 盧秀燕補充,如果國會重選和地方大選合併,就是史上第一次中央選舉和地方選舉合併辦理,這樣比較妥當。
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