现在位置 >首页 > 临床影像
[NEJM临床医学影像]:假性血小板增多已关闭评论
IMAGES IN CLINICAL MEDICINE Pseudothrombocytosis Konstantinos Liapis, Stavros Papadakis N Engl J Med 2023; 388:746DOI: 10.1056/NEJMicm2209299 An 80-year-old woman who had been admitted to the intensive care unit (ICU) with severe burns was noted to have an elevated platelet count. She had been rescued from a house fire and admitted to the ICU for the management of second- and third-degree burns involving 55% of her body-surface area. On presentation, labor...
阅读全文
[NEJM临床医学影像]:胆汁胸已关闭评论
IMAGES IN CLINICAL MEDICINE Bilothorax Yu Kurahara, Ikue Nagayama N Engl J Med 2023; 388:e17DOI: 10.1056/NEJMicm2206943 A 77-year-old man with metastatic lung adenocarcinoma presented to the emergency department with a 2-week history of dyspnea. Examination was notable for reduced breath sounds at the right lung base. A chest radiograph showed a pleural effusion on the right side (Panel A). An abdominal ultrasound image showed previously known liver metast...
阅读全文
[NEJM发表论文]:脑囊型包虫病已关闭评论
IMAGES IN CLINICAL MEDICINE Cerebral Cystic Echinococcosis Sumit Thakar, Akhil Sunil N Engl J Med 2023; 388:e10DOI: 10.1056/NEJMicm2208104 A previously healthy 14-year-old boy who lived on a farm presented with a 1-month history of episodic headaches associated with vomiting. Physical examination was notable for papilledema. Magnetic resonance imaging of the head showed a multiloculated cyst measuring 6.0 cm by 6.2 cm by 5.8 cm in the right temporoparietal...
阅读全文
[NEJM临床医学影像]:脑泡型包虫病已关闭评论
IMAGES IN CLINICAL MEDICINE Cerebral Alveolar Echinococcosis Hu Ju, Chuanchuan Liu N Engl J Med 2023; 388:453DOI: 10.1056/NEJMicm2202196 A 17-year-old boy presented to the emergency department with a 3-week history of dizziness, headache, and weakness of the right leg. Neurologic examination was notable for 4/5 strength in the right lower leg. Computed tomography (CT) of the head revealed ring-enhancing lesions in the frontal lobe and basal ganglia on the ...
阅读全文
[NEJM临床医学影像]:脾结核已关闭评论
IMAGES IN CLINICAL MEDICINE Splenic Tuberculosis Chung-Yen Chen, Po-Jen Yang N Engl J Med January 21, 2023DOI: 10.1056/NEJMicm2206174 A 29-year-old man with human immunodeficiency virus (HIV) infection presented to the emergency department with a 2-week history of abdominal pain on the left side. Six months before presentation, he had received a diagnosis of HIV infection and non–drug-resistant pulmonary tuberculosis, for which antiretroviral and four-drug...
阅读全文
[NEJM临床医学影像]:汞中毒已关闭评论
IMAGES IN CLINICAL MEDICINE Mercury Poisoning Yunying Feng, Fengdan Wan A previously healthy 25-year-old man presented to the general medicine clinic with a 3-month history of worsening fatigue, nausea, and dry cough. One week before the onset of his symptoms, he had injected 4 ml of elemental mercury intravenously as a folk remedy for tinea cruris. Conjunctival pallor was observed on physical examination. Laboratory studies showed a hemoglobin level of 6.5 g...
阅读全文
[NEJM发表论文]:安全带征与安全带主动脉已关闭评论
IMAGES IN CLINICAL MEDICINE Seat-Belt Sign and Seat-Belt Aorta Yuita Fukuyama, Tomokazu Motomura N Engl J Med November 5, 2022DOI: 10.1056/NEJMicm2204183 A 53-year-old woman presented to the emergency department with abdominal pain after being involved in a head-on motor vehicle collision in which she had been a driver and had been wearing a seat belt. Examination revealed decreased breath sounds in the right lung field, diffuse tenderness on palpation of the ...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Foreign-Body Aspiration in a Child Katarzyna M. Saar, Christopher R. Grindle N Engl J Med 2022; 386:1741DOI: 10.1056/NEJMicm2115363 A healthy 12-month-old girl was brought to the emergency department with a 4-hour history of coughing and stridor. Four hours earlier, she had choked while eating. Her respiratory rate was 38 breaths per minute, and her oxygen saturation was 98% while she was breathing ambient air. On examination, s...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Emphysematous Aortitis Edward C. Traver, Nina J. Gao N Engl J Med 2022; 386:1833DOI: 10.1056/NEJMicm2116075 A 74-year-old man with a history of end-stage kidney disease and coronary artery disease, as well as a 3-day history of anorexia and generalized weakness, was brought to the emergency department for evaluation of decreased responsiveness during hemodialysis. On examination, he appeared ill and provided only brief responses...
阅读全文
[NEJM临床医学影像]:严重皮下气肿已关闭评论
IMAGES IN CLINICAL MEDICINE Severe Subcutaneous Emphysema Sulakshan Rasiah, Max Whitchurch N Engl J Med 2022; 387:e18DOI: 10.1056/NEJMicm2200611 A 75-year-old man with chronic obstructive pulmonary disease underwent lung-volume–reduction surgery of the right upper lobe by means of video-assisted thoracoscopy. Postoperatively, a right apical pneumothorax and subcutaneous emphysema developed. The subcutaneous edema gradually worsened to extend from the pelvi...
阅读全文
×
腾讯微博