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16 Anatomic Mnemonics Editor: Christine Wiebe  |  March 14, 2017 How do you remember the anatomical structures housed by the retroperitoneum? Nick Love, PhD, a second-year medical student at Stanford University, created these whimsical images to help remember parts of the human anatomy. All images courtesy of Nick Love, PhD The heart's left ventricle pumps blood throughout the entire body. After leaving the left ventricle, blood enters the aorta, brachiocephalic trunk, t...
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Images in Clinical Medicine Gas in the Left Atrium and Ventricle Mary Thomson, Fredy El Sakr. N Engl J Med 2017; 376: 683 A 60-year-old man with coronary artery disease, ischemic cardiomyopathy with biventricular implantable cardioverter–defibrillator placement, and atrial fibrillation presented with chest pain and numbness in both arms. During his initial presentation, he suddenly collapsed and became unresponsive. Computed tomographic (CT) angiography of his chest...
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[编者按]:以下病例来自即将发表的麻省总医院病例。诊断是什么?哪种诊断检查最可能有帮助?请就诊断发表你的意见,并对应当进行何种诊断检查发表评论。正确的诊断以及病例完整介绍及诊疗过程将于2017年3月23日的新英格兰医学杂志发表。 A 27-Year-Old Woman with Nausea, Vomiting, Confusion, and Hyponatremia Presentation of Case 病例报告 Dr. Meaghan E. Colling (Medicine): A 27-year-old woman was admitted to this hospital because of nausea, vomiting, confusion, and hyponatremia. Meaghan E. Co...
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Images in Clinical Medicine Disseminated Cysticercosis Qiang Meng, M.D., Ph.D. Lingchun Liu, M.D. N Engl J Med 2016; 375: e52 A 23-year-old woman presented with a 1-month history of headache, vomiting, recurrent episodes of syncope, weight gain, and leg pain. A physical examination revealed several subcutaneous nodules on the patient's face and trunk. Exophthalmos, fundal hemorrhage, neck rigidity, and a hypertrophic appearance of the thigh and calf muscles were ...
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Images in Clinical Medicine Swirl Sign — Intestinal Volvulus after Roux-en-Y Gastric Bypass N Engl J Med 2017; 376: e3 DOI: 10.1056/NEJMicm1601775 A 56-year-old man presented after a day and a half of midabdominal pain, nausea, and bilious emesis. The patient had undergone Roux-en-Y gastric bypass 7 years earlier. During the physical examination, tachycardia and tachypnea were noted. The abdominal examination showed a distended, tympanic abdomen with severe...
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Takotsubo cardiomyopathy (TCM), first described in 1990 by Sato et al,[1,2] is a transient cardiac syndrome that involves left ventricular (LV) apical akinesis and basal hypercontraction that may symptomatically mimic acute coronary syndrome (ACS).[1,3] A significant emotional (eg, an unexpected death of a loved one, a divorce, bad financial news) or physical stressor (eg, motor vehicle collision, significant surgery, a stay in the intensive care unit [ICU]) typically...
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IMAGING IN INTENSIVE CARE MEDICINE A nasoenteral feeding tube barking up the wrong tree Hafiz Abdul Moiz Fakih, Salim Daouk, Martin Runnstrom, et al. Intensive Care Med DOI 10.1007/s00134-017-4686-3 A 58-year-old woman with multiple co-morbidities, including a history of kidney and pancreas transplant, was admitted to the intensive care unit for management of septic shock. She had a prolonged course and had a small-bore nasoduodenal feeding tube placed under electr...
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IMAGING IN INTENSIVE CARE MEDICINE Quick diagnosis of venous air embolism Shakeer Shaik, Jyoti Burad and Mohamed Al‐Ismaili Intensive Care Med DOI 10.1007/s00134-016-4660-5 A 38-year-old man with idiopathic dilated cardiomyopathy and chronic atrial brillation presented with symptoms of heart failure. He underwent temporary override pacemaker insertion through right femoral access. A few hours later, he developed shock. Central venous (femoral) and arterial ...
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Acquired Hemophilia: Control the Bleeding, Eliminate the Inhibitor Elizabeth DelGiacco, DO; Jessica Katz, MD, PhD  |  February 8, 2017 A 70-year-old man presents with the acute onset of generalized right-arm weakness. He denies experiencing recent trauma or illness. No evidence of acute stroke is seen on computed tomography (CT) of the brain. Over 48 hours, the patient's right upper extremity becomes painful and swollen with visible ecchymosis. He has no personal or...
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Medscape > Fast Five Quizzes Fast Five Quiz: Are You Prepared to Confront Snakebites? Richard H. Sinert, DO Disclosures | January 10, 2017 Most snakebites are innocuous and are delivered by nonvenomous species. North America is home to 25 species of venomous snakes. Worldwide, only about 15% of the more than 3000 species of snakes are considered dangerous to humans. Although death is rare, local complications from envenomation may occur. 蛇咬伤多数为无毒蛇咬伤因而危害不...
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