现在位置 >首页 > 临床话题
0℃
Images in Clinical Medicine Uterine Rupture with Protruded Legs in a Large Amniocele Pierre-Emmanuel Bouet, M.D., CharlyneHerondelle, M.D. N Engl M Med 2016; 375; e51 A 33-year-old asymptomatic woman (gravida 6, para 5) presented at 22 weeks of gestation with a large herniation of the amniotic sac through the left uterine wall that was detected by routine ultrasonography. She had had five previous cesarean sections through a transverse incision of the lower ut...
阅读全文
0℃
11 Causes of Discolored Urine Josh Palka, DO; Christopher S Atalla, DO  |  December 19, 2016 Normal urine coloration ranges from clear to yellow. However, a multitude of pathologies and agents can change the color and/or clarity of urine. This slideshow discusses several potential causes of abnormal urine color. The neurologic imaging studies and urine samples were obtained in an elderly woman who underwent mild hypothermia therapy for an atypical intracerebral hemorrhage...
阅读全文
0℃
Images in Clinical Medicine Tongue Fasciculations in Organophosphate Poisoning Bharath A. Chhabria, M.B., B.S. Ashish Bhalla, M.D. N Engl J Med 2016; 375: e7 DOI: 10.1056/NEJMicm1605077 Copyright © 2016 Massachusetts Medical Society. A 15-year-old boy who lived with his family on a farm presented to the emergency department with a 1-day history of vomiting, diarrhea, and altered sensorium. On initial assessment, he was drowsy and had tachypnea and hypote...
阅读全文
0℃
11 Community-Acquired Infections Sandra G Gompf, MD, FACP, FIDSA  |  December 15, 2016 Influenza Seasonal influenza (flu) infects up to 20% of the US population annually, leading to an average of over 200,000 hospitalizations per year and, between the 1976-77 and 2006-07 flu seasons, resulting in approximately 3,300-49,000 deaths yearly.[33,34] Influenza vaccination offers the best available defense—even in years with lower effectiveness—and it is recommended for all indi...
阅读全文
0℃
Images in Clinical Medicine Tinea Imbricata Carrick Burns, M.D. Johannah Valentine, M.D N Engl J Med 2016; 375: 2272 DOI: 10.1056/NEJMicm1516757 Copyright © 2016 Massachusetts Medical Society An 18-year-old Fijian woman presented with a 3-year history of a concentric, scaly rash on her shoulders; the rash was also present on her trunk, arms, and legs (not shown). The rash was pruritic and progressively spread to involve approximately 70% of the body-surface ar...
阅读全文
0℃
11 Community-Acquired Infections Sandra G Gompf, MD, FACP, FIDSA  |  December 15, 2016 The term "community acquired" encompasses many infections we may encounter in practice, though not always on a common basis. The range of diseases encompassed by the term continues to evolve in association with the ongoing diversification and aging of the population, climate change, and travel. From the reemergence of vaccine-preventable diseases to sporadic outbreaks of plague[1] to ch...
阅读全文
0℃
JAMA Diagnostic Test Interpretation Repeat Clostridium difficile Testing Arjun Gupta, MBBS; Sahil Khanna, MBBS, MS JAMA 2016; 316: 2422-2423 A 28-year-old man presented with abdominal pain and diarrhea (10-12 Bristol type 7 stools per day; Bristol scale range, 1-7 [1, separate hard pieces; 7, watery stool]) after completing a course of azithromycin for pneumonia. He was diagnosed with Clostridium difficile infection (CDI) with a positive stool polymerase chain reaction (PC...
阅读全文
0℃
JAMA Diagnostic Test Interpretation Repeat Clostridium difficile Testing Arjun Gupta, MBBS; Sahil Khanna, MBBS, MS JAMA 2016; 316: 2422-2423 A 28-year-old man presented with abdominal pain and diarrhea (10-12 Bristol type 7 stools per day; Bristol scale range, 1-7 [1, separate hard pieces; 7, watery stool]) after completing a course of azithromycin for pneumonia. He was diagnosed with Clostridium difficile infection (CDI) with a positive stool polymerase chain reaction...
阅读全文
0℃
Usefulness of the Pulmonary Artery Catheter in a Perioperative Setting Øyvind S. Svendsen, Gaute K. Wathle, Paul Husby, et al. Am J Respir Crit Care Med 2016; 194: 1426-1427 An obstruction in superior vena cava (SVC) may decrease blood drainage from the upper half of the body, leading to head and neck swelling, upper extremity edema, and dyspnea, as well as cerebral edema. This condition, termed SVC syndrome, is rare during cardiac surgery. Malposition of SVC cannu...
阅读全文
0℃
Images in Clinical Medicine Neurogenic Megacolon in Spinal Cord Injury Rukma R. Govindu, Michelle Kelley N Engl J Med 2016; 375: e45 DOI:10.1056/NEJMicm1604013 Copyright © 2016 Massachusetts Medical Society. A  44-year-old man with a 20-year history of quadriplegia from a gunshot wound to the neck presented to the emergency department with symptoms of a urinary tract infection. His medical history included chronic megacolon and neurogenic bladder, and he had been admitted...
阅读全文
×
腾讯微博