可乐🥤要加冰(我是♂男的🙌🏻）

生命真的好脆弱，果然一副健康的身体才是人最重要的财产。

萌的不行，乖的不行

Thank You @drkeithsiau - Sir - For a surgeon - it is a beautiful 3D Reconstructed CT scan of abdomen., Which strongly suggests a Sigmoid volvulus .This is classic configuration of coffee bean / bent inner tube / omega loop sign—well visualized here, showing a markedly dilated, twisted sigmoid loop with a closed-loop obstruction pattern What next? (Management Approach)—- 1. Assess clinical stability first Signs of peritonitis, ischemia, or perforation? Fever, tachycardia Guarding/rigidity Leukocytosis, acidosis If YES → Emergency surgery (no delay) 2. If NO signs of gangrene/perforation First-line: Endoscopic decompression Flexible sigmoidoscopy + rectal tube placement Success rate: ~70–90% Immediate relief of obstruction 3. Post-decompression strategy Because recurrence is high (~60%): Plan definitive surgery (elective sigmoid resection) once stabilized 4. If endoscopic decompression fails Proceed to urgent laparotomy Options: Sigmoid resection with primary anastomosis (stable patient) OR Hartmann’s procedure (unstable / contaminated field) CT red flags for surgery Pneumatosis intestinalis Portal venous gas Lack of bowel wall enhancement Free air —-Clinical Pearl In elderly, bedridden, or chronic constipated patients—this is a time-sensitive diagnosis. Early decompression can be lifesaving, but definitive surgery prevents recurrence. Enjoyed writing this 😁 #MedTwitter #MedEd #MedX @IhabFathiSulima @drabdulhameed07 @Lap_surgeon @Doctors__squad

@s_bond68661 哈哈，re9首发价格还是太贵了，我也是咬了咬牙才下定决心买的，等dlc出来后再买我觉得最划算

@Colawithicecube 我也想玩！冰可乐🥰

爽玩RE9一宿，解密少，战斗爽，我最喜欢用第一人称操作格蕾丝，越害怕就越爱玩。

@IXXA00 爽歪歪了！

@Colawithicecube 爽

@wcc5687 里昂篇有点短了，卡普空就这样，卡预算卡得极严，不过爽是真爽，安魂这把枪是真超模，格蕾丝用安魂把疗养院都给染红了

@Colawithicecube 最大问题就是流程真的短，里昂爽不够

@Old_uncle52 疗养院初见玛莉快被吓死了，真的是一动都不敢动😭，正摸着黑去找那根螺丝刀呢，啪的一声玛莉从后面冲出来当着我面啃爆了一个脑袋，吓得我直往回跑😭，疗养院最刺激的就是躲玛莉了

@Colawithicecube 格蕾丝的角色代入感真的很强

@xiaoxin0000812 @trpaomo 哈哈，感觉上过班的都这个样🤦🏻‍♂️，看似还活着，实际魂都不知道丢哪儿了。

@Colawithicecube @trpaomo 哈哈哈哈哈哈哈太逗了🤣

这半死不活的样子太像我们这种人了，还得是姐的眼尖。

@Private_plot 谁能想到今年还有春休期😵

@zz160268 Happy happy happy🙆🏻‍♂️

@Colawithicecube 开心就好😎

感谢小舟老师鼎力赞助的冰可乐，爽歪歪🙆🏻‍♂️

@ttttttxu 唉，学医就这样，清闲是种奢侈品，其实累就算了，最怕的就是这种突然的袭击🤛🏻。

@Colawithicecube 我靠可乐当医生好辛苦哦

呼，下台了，还好就一台，喝点汽水快乐一下，手术室空调和没开一样，给我热一身汗。

@wcc5687 碳碳你也是

@Colawithicecube 照顾好自己的身体

正要眯一会儿，来电话说要上个手术，心微死

@wcc5687 希望这一天来晚一点儿🙇🏻‍♂️，我还不想体验新副本🙅🏻‍♂️

@Colawithicecube 会有这么一天的（别问我怎么知道的）

@wcc5687 Please no

@Colawithicecube 恭喜完成副本，即将解锁新成就:下夜班后被喊去手术

一面ピンク色の世界が美しすぎる...🌸

@Shsudubdk Happy birthday to you～🍀💚 祝阿迪克斯身体健康，事事顺心💁🏻‍♂️

步入新的一岁。