Smoking, coffee, and cancer of the pancreas.
Smoking, coffee, and cancer of the pancreas.
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吸烟、咖啡和胰腺癌。
DOI：
10.1136/bmj.285.6336.214-b
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发表时间：
1982
期刊：
影响因子：
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通讯作者：
Lincoln Polissar
中科院分区：
文献类型：
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作者：
Richard K. Severson;Scott Davis;Lincoln Polissar
先生，我对乔治杜尼亚博士关于昏迷鉴别诊断的记忆法的评论（5月29日，第1622页）很感兴趣。我好像记得它有点不同，”AEIOUDDD。虽然我不确定我对元音代表什么的记忆是正确的，但我确实清楚地记得“药物，糖尿病和死亡”这三个D的激烈结尾。“对我们来说，A代表中风，而不是酒精中毒; E代表癫痫; I代表胰岛素，低血糖昏迷;我似乎记得鸦片代表毒品，但如果我对毒品的记忆是正确的，这似乎是多余的，闭塞将非常适合; U当然代表尿毒症，Y不包括在我们在30年代在泰恩河畔使用的记忆中。也许你的读者有其他版本的记忆术，也许甚至包括什么肯定是昏迷创伤的最常见的原因，如被汽车撞？
SIR,-I was intrigued by Dr George Dunea's comments (29 May, p 1622) on the mnemonic for the differential diagnosis of coma. I seem to remember it slightly differently as" AEIOUDDD." Although I am not sure I am correct in my memory of what the vowel sounds stand for, I do remember rather clearly the drastic ending in the three Ds of" drugs, diabetes, and death." For us A stood for apoplexy, not alcoholism; E for epilepsy; I for insulin, a hypoglycaemic coma; 0 I seem to remember as standing for opium as an indicator of drugs in general but this would seem superfluous if my memory of D for drugs is correct, and occlusion would fit very well; U of course stood for uraemia, and Y was not included in the mnemonic we used in Tyne-side in the'30s. Perhaps your readers have other versions of the mnemonic, perhaps even including what must surely be the commonest cause of coma-trauma such as being hit by a motor car?