CASE VIGNETTE A Woman with Septic Shock Rebecca E. Berger, M.D. http://www.nejm.org/doi/full/10.1056/NEJMclde1705277#discussion Editor's Comment Management of Septic Shock — Polling Results Rebecca E. Berger, M.D., and Julie R. Ingelfinger, M.D. Management of septic shock was transformed in 2001 with the publication of the randomized, controlled trial, “Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock,” by Emanuel Rivers and colleagues.[1] Tha...

CASE VIGNETTE A Woman with Septic Shock Rebecca E. Berger, M.D. http://www.nejm.org/doi/full/10.1056/NEJMclde1705277#discussion Ms. Jones is a 65-year-old woman with a history of hypertension who presents to the emergency department with a 3-day history of chills and dysuria. The only medication she is taking is amlodipine, at a dose of 10 mg daily; she had had normal electrolyte levels and renal function at a routine visit 6 weeks earlier. On arrival at the emergency dep...

60-Year-Old Man with Non-resolving Pneumonia Submitted by Nicholas C. James, MD, Timothy N. Liesching, MD Department of Pulmonary and Critical Care Medicine Lahey Hospital & Medical Center Burlington, Massachusetts from https://www.thoracic.org/professionals/clinical-resources/clinical-cases/01-15.php History 病史 A 60 year-old man with a past medical history for coronary artery disease requiring four vessel coronary artery bypass grafting, hypertension, hyperlipidemi...

60-Year-Old Man with Non-resolving Pneumonia Submitted by Nicholas C. James, MD, Timothy N. Liesching, MD Department of Pulmonary and Critical Care Medicine Lahey Hospital & Medical Center Burlington, Massachusetts from https://www.thoracic.org/professionals/clinical-resources/clinical-cases/01-15.php History 病史 A 60 year-old man with a past medical history for coronary artery disease requiring four vessel coronary artery bypass grafting, hypertension, hyperlipidemi...

60-Year-Old Man with Non-resolving Pneumonia Submitted by Nicholas C. James, MD, Timothy N. Liesching, MD Department of Pulmonary and Critical Care Medicine Lahey Hospital & Medical Center Burlington, Massachusetts from https://www.thoracic.org/professionals/clinical-resources/clinical-cases/01-15.php History 病史 A 60 year-old man with a past medical history for coronary artery disease requiring four vessel coronary artery bypass grafting, hypertension, hyperlipidemi...

Quiz: Are You Prepared to Confront Animal Bites? Richard H. Sinert, DO August 18, 2015 Determining the exact incidence of animal bite wounds in the United States is difficult, because many are never reported. Each year, an estimated 4.5 million dog bites occur, which result in hundreds of thousands of emergency department visits. Do you know the concerns associated with such injuries and how best to treat them? Test yourself with this short quiz. 以下哪种咬伤最常见于狗...

60-Year-Old Man with Non-resolving Pneumonia Submitted by Nicholas C. James, MD, Timothy N. Liesching, MD Department of Pulmonary and Critical Care Medicine Lahey Hospital & Medical Center Burlington, Massachusetts from https://www.thoracic.org/professionals/clinical-resources/clinical-cases/01-15.php History 病史 A 60 year-old man with a past medical history for coronary artery disease requiring four vessel coronary artery bypass grafting, hypertension, hyperlipidemi...

Quiz: Are You Prepared to Confront Animal Bites? Richard H. Sinert, DO August 18, 2015 Determining the exact incidence of animal bite wounds in the United States is difficult, because many are never reported. Each year, an estimated 4.5 million dog bites occur, which result in hundreds of thousands of emergency department visits. Do you know the concerns associated with such injuries and how best to treat them? Test yourself with this short quiz. 以下哪种咬伤最常见于狗...

60-Year-Old Man with Non-resolving Pneumonia Submitted by Nicholas C. James, MD, Timothy N. Liesching, MD Department of Pulmonary and Critical Care Medicine Lahey Hospital & Medical Center Burlington, Massachusetts from https://www.thoracic.org/professionals/clinical-resources/clinical-cases/01-15.php History 病史 A 60 year-old man with a past medical history for coronary artery disease requiring four vessel coronary artery bypass grafting, hypertension, hyperlipidemi...

Quiz: Are You Prepared to Confront Animal Bites? Richard H. Sinert, DO August 18, 2015 Determining the exact incidence of animal bite wounds in the United States is difficult, because many are never reported. Each year, an estimated 4.5 million dog bites occur, which result in hundreds of thousands of emergency department visits. Do you know the concerns associated with such injuries and how best to treat them? Test yourself with this short quiz. 以下哪种咬伤最常见于狗...