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JAMA Diagnostic Test Interpretation November 16, 2018 Serum Creatinine in the Critically Ill Patient With Sepsis Matthieu Legrand, John A. Kellum JAMA. Published online November 16, 2018. doi:10.1001/jama.2018.16627 Case 病例 A 73-year-old man underwent esophageal resection for cancer. He had a history of hypertension that was treated with an angiotensin receptor blocker. Preoperative estimated glomerular filtration rate (GFR) was 98 mL/min/1.73 m2. On the second post...
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JAMA Diagnostic Test Interpretation September 14, 2018 Coagulation Test Interpretation in a Patient Taking Direct Oral Anticoagulant Therapy Michelle Sholzberg, Yan Xu JAMA. 2018;320(14):1485-1486. doi:10.1001/jama.2018.13998 Case 病例 A 74-year-old man presented with spontaneous, acute onset of confusion and headache. He had no preceding head trauma or falls. He had a history of atrial fibrillation with an annual stroke risk of 2.9% (based on points accrued for ...
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JAMA Diagnostic Test Interpretation September 14, 2018 Coagulation Test Interpretation in a Patient Taking Direct Oral Anticoagulant Therapy Michelle Sholzberg, Yan Xu JAMA. 2018;320(14):1485-1486. doi:10.1001/jama.2018.13998 Case 病例 A 74-year-old man presented with spontaneous, acute onset of confusion and headache. He had no preceding head trauma or falls. He had a history of atrial fibrillation with an annual stroke risk of 2.9% (based on points accrued for ...
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CLINICAL DECISIONS Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome Michael Y. Mi, Michael A. Matthay, and Alan H. Morris N Engl J Med 2018; 379:884-887 DOI: 10.1056/NEJMclde1804601 Continue Current Treatment with Other Therapies Alan H. Morris, M.D. The decision to use ECMO for Mr. Jackson raises difficult issues that include both physician overconfidence in ECMO and the credibility of study results. Our first obligation is to ensure sa...
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CLINICAL DECISIONS Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome Michael Y. Mi, Michael A. Matthay, and Alan H. Morris N Engl J Med 2018; 379:884-887 DOI: 10.1056/NEJMclde1804601 Recommend Initiation of Venovenous ECMO Michael A. Matthay, M.D. This 36-year-old man has very severe ARDS caused by influenza pneumonia. His Pao2 is only 50 mm Hg, with an Fio2 of 1.0 and PEEP of 15 cm of water, and his arterial oxygen saturation is 80 to 82...
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CLINICAL DECISIONS Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome Michael Y. Mi, Michael A. Matthay, and Alan H. Morris N Engl J Med 2018; 379:884-887 DOI: 10.1056/NEJMclde1804601 Case Vignette: A Man With Severe ARDS Mr. Jackson is a 36-year-old man whom you are caring for in the intensive care unit (ICU). Before this hospitalization, he was healthy and took no medications. He has never smoked, and he drinks three or four beers every ...
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JAMA Diagnostic Test Interpretation February 6, 2018 Evaluating Thrombocytopenia During Heparin Therapy Yu-Min Shen, Heather Wolfe, Stephen Barman JAMA. 2018;319(5):497-498. doi:10.1001/jama.2017.21898 Case A 45-year-old man was hospitalized with abdominal pain. He was diagnosed with superior mesenteric vein thrombosis with mesenteric ischemia and treated with partial small bowel resection and 2 weeks of enoxaparin while hospitalized. Three weeks later, he presented ...
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JAMA Diagnostic Test Interpretation February 6, 2018 Evaluating Thrombocytopenia During Heparin Therapy Yu-Min Shen, Heather Wolfe, Stephen Barman JAMA. 2018;319(5):497-498. doi:10.1001/jama.2017.21898 Case A 45-year-old man was hospitalized with abdominal pain. He was diagnosed with superior mesenteric vein thrombosis with mesenteric ischemia and treated with partial small bowel resection and 2 weeks of enoxaparin while hospitalized. Three weeks later, he presented ...
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Methemoglobinemia Due to Antifreeze Ingestion Andrew N. Farkas, Anthony Scoccimarro, Anthony F. Pizon N Engl J Med 2017; 377: 1993-1994 To the Editor: Ingestion of antifreeze that contains ethylene glycol produces acidosis, nephropathy, coma, and cardiovascular collapse.1 Previously, minimal increases in methemoglobin levels (to as high as 6%; normal value, < 1.0% or < 1.5%, depending on the assay) after ingestion of antifreeze have been reported,2 with no known caus...
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Drugs & Diseases > Fast Five Quizzes Fast Five Quiz: Are You Familiar With Key Elements Regarding Heat Stroke? Richard H. Sinert, DO August 02, 2017 问题5. Which of the following is accurate about the treatment of heat stroke?有关热射病的治疗,以下说法哪个是准确的? A. Patients with EHS should be admitted to the hospital for 24 hours, but patients with NEHS typically do not require hospitalization EHS患者应住院24小时,但NEHS患者通常无需住院治疗 B. Cooling of athle...
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