现在位置 >首页 > 临床影像
0℃
IMAGES IN CLINICAL MEDICINE Thrombotic Thrombocytopenic Purpura Shruti Bhandari and Rohit Kumar N Engl J Med 2019; 380:e23DOI: 10.1056/NEJMicm1813768 A 35-year-old man presented to the emergency department with a 2-day history of abdominal pain, headache, and brown urine. On examination, his temperature was 37.5°C. He was alert and oriented to time, place, and self, and he had no purpura or petechiae. Laboratory evaluation revealed a hemoglobin level of 8....
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Pneumatosis Cystoides Intestinalis with Pneumoperitoneum Francesco Pata, and Salomone Di Saverio N Engl J Med 2019; 380:e17DOI: 10.1056/NEJMicm1808960 A 61-year-old woman presented to the emergency department with acute onset of diffuse abdominal pain and a 1-week history of diarrhea and vomiting. Her medical history included chronic obstructive pulmonary disease, which was being treated with an inhaled glucocorticoid and a long...
阅读全文
0℃
Intensive Care Medicine Nasogastric tube ending in the right pleura of an intubated patient Paparoupa, M., Yan, Y., Möller, M. et al. Intensive Care Med (2018). https://doi.org/10.1007/s00134-018-5460-x An 89-year-old woman was treated in our intensive care unit with Escherichia coli urosepsis. The patient developed multiple organ failure and became intubated and mechanically ventilated. On the third intensive care day, a new 16Fr. type “Levin” nasogastric tube was ...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Portal Venous Gas Ming Cui, and Xin Lu N Engl J Med 2018; 379:e37 DOI: 10.1056/NEJMicm1806082 A 72-year-old man presented to the emergency department with an 11-hour history of periumbilical abdominal pain and inability to pass flatus. His medical history included chronic lymphocytic leukemia (for which he had been taking ibrutinib), type 2 diabetes, and chronic hepatitis B virus infection. The pulse was 155 beats per minute, and the blood press...
阅读全文
0℃
Re-expansion pulmonary oedema Alice Petiot, Sammy Tawk, Benoît Ghaye Lancet 2018; 392: 507 A 46-year-old man presented to the emergency department with moderate dyspnoea and a 4-day history of cough. His medical history also included alcoholic cirrhosis with portal hypertension and ascites. On admission, a chest x-ray showed complete white-out of the right hemithorax with contralateral mediastinal deviation compatible with a large pleural effusion—presumed to be hepatic hy...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Corrigan’s Pulse and Quincke’s Pulse Hector I. Michelena, and Maurice Enriquez-Sarano N Engl J Med 2018; 379:e9 DOI: 10.1056/NEJMicm1715353 A 58-year-old man was referred to the cardiology clinic for evaluation of exertional dyspnea. Twelve years before presentation, he had undergone a bioprosthetic aortic-valve replacement for treatment of severe bicuspid aortic stenosis and for repair of an ascending aortic aneurysm. On physical examination, h...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Vibrio vulnificus Infection Jin Park, and Chang-Seop Lee N Engl J Med 2018; 379:375 DOI: 10.1056/NEJMicm1716464 A 71-year-old man presented to the emergency department with a 2-day history of fever and excruciating pain in his left hand that had developed 12 hours after eating raw seafood. He had a history of type 2 diabetes mellitus and hypertension and was undergoing hemodialysis for end-stage renal disease. At the time of presentation, hemor...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Cryptococcus neoformans Meningoencephalitis Raul Recio, and Ana Perez-Ayala N Engl J Med 2018; 379:281 DOI: 10.1056/NEJMicm1801051 A 36-year-old man presented to the emergency department with a 2-week history of fever, headache, drowsiness, and photophobia. He was previously healthy and was sexually active with men. The physical examination was notable for a temperature of 38.3°C and neck stiffness. Computed tomography of the head was normal. T...
阅读全文
0℃
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...
阅读全文
0℃
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, ...
阅读全文
×
腾讯微博