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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: How Much Do You Know About Systemic Inflammatory Response Syndrome? Michael R. Pinksy, MD, CM, Dr(HC), FCCP, MCCM February 12, 2018 In 1992, the American College of Chest Physicians and the Society of Critical Care Medicine introduced definitions for systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis, septic shock, and multiple organ dysfunction syndrome. The idea behind defining SIRS wa...
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IMAGES IN CLINICAL MEDICINE Aspiration of a Chicken Bone Huey Ming Seah, Marcela Mautone N Engl J Med 2018; 378:e25 DOI: 10.1056/NEJMicm1713423 A 78-year-old man presented to the emergency department with stridor, shortness of breath, and fever (38.1°C). Five days earlier, he had come to the emergency department with the sensation of having a foreign body in his throat, approximately an hour after a choking episode that had occurred while he was eating chicken. At that ti...
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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: How Much Do You Know About Systemic Inflammatory Response Syndrome? Michael R. Pinksy, MD, CM, Dr(HC), FCCP, MCCM February 12, 2018 In 1992, the American College of Chest Physicians and the Society of Critical Care Medicine introduced definitions for systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis, septic shock, and multiple organ dysfunction syndrome. The idea behind defining SIRS wa...
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IMAGES IN CLINICAL MEDICINE Raindrop Skull Fabio Solis, Cesar Gonzalez N Engl J Med 2018; 378:1930 DOI: 10.1056/NEJMicm1714471 A 46-year-old man presented to the emergency department with a 1-month history of fatigue, shortness of breath, and low back pain and report of a weight loss of 30 kg over the previous 10 months. On physical examination, his conjunctiva and palms were pale. Laboratory evaluation revealed a hemoglobin level of 4.9 g per deciliter (reference range, ...
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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: How Much Do You Know About Systemic Inflammatory Response Syndrome? Michael R. Pinksy, MD, CM, Dr(HC), FCCP, MCCM February 12, 2018 In 1992, the American College of Chest Physicians and the Society of Critical Care Medicine introduced definitions for systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis, septic shock, and multiple organ dysfunction syndrome. The idea behind defining SIRS wa...
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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: Test Your Knowledge on Key Aspects of Heart Failure Yasmine S. Ali, MD, MSCI March 21, 2018 Heart failure is the pathophysiologic state in which the heart, via an abnormality of cardiac function (detectable or not), fails to pump blood at a rate commensurate with the requirements of the metabolizing tissues or is able to do so only with an elevated diastolic filling pressure. In general, the mortality rate...
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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: Test Your Knowledge on Key Aspects of Heart Failure Yasmine S. Ali, MD, MSCI March 21, 2018 Heart failure is the pathophysiologic state in which the heart, via an abnormality of cardiac function (detectable or not), fails to pump blood at a rate commensurate with the requirements of the metabolizing tissues or is able to do so only with an elevated diastolic filling pressure. In general, the mortality rate...
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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: Test Your Knowledge on Key Aspects of Heart Failure Yasmine S. Ali, MD, MSCI March 21, 2018 Heart failure is the pathophysiologic state in which the heart, via an abnormality of cardiac function (detectable or not), fails to pump blood at a rate commensurate with the requirements of the metabolizing tissues or is able to do so only with an elevated diastolic filling pressure. In general, the mortality rate...
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Perspective > Medscape > Fast Five Quizzes Fast Five Quiz: Test Your Knowledge on Key Aspects of Heart Failure Yasmine S. Ali, MD, MSCI March 21, 2018 Heart failure is the pathophysiologic state in which the heart, via an abnormality of cardiac function (detectable or not), fails to pump blood at a rate commensurate with the requirements of the metabolizing tissues or is able to do so only with an elevated diastolic filling pressure. In general, the mortality rat...
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IMAGES IN CLINICAL MEDICINE Colon Cutoff Sign Po-Yi Chen, M.D. N Engl J Med 2018; 378:1621 DOI: 10.1056/NEJMicm1714270 A 74-year-old woman presented to the emergency department with a 3-day history of lower abdominal pain, nausea, and vomiting. She had been unable to pass any stool for 1 week and reported having had small-caliber stool during the previous 6 months. On physical examination, bowel sounds were reduced, and the patient had periumbilical tenderness. Laboratory...
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