Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

Medscape > Fast Five Quizzes Quiz: How Much Do You Know About Tetanus? Michael Stuart Bronze, MD September 08, 2016 Tetanus is characterized by an acute onset of hypertonia, painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical causes. Despite widespread immunization of infants and children since the 1940s, tetanus still occurs in the United States. Currently, tetanus primarily affects o...

JAMA Diagnostic Test Interpretation | September 6, 2016 Clinical Significance of a Positive Antineutrophil Cytoplasmic Antibody (ANCA) Test Viet L. Bui, Tanaz A. Kermani JAMA. 2016;316(9):984-985. doi:10.1001/jama.2016.8307. A 67-year-old woman with a history of idiopathic pulmonary fibrosis was admitted to the hospital for new onset of cough with blood-streaked sputum, which followed several months of weight loss, anorexia, nausea, vomiting, and abdominal pain. She report...

JAMA Diagnostic Test Interpretation | September 6, 2016 Clinical Significance of a Positive Antineutrophil Cytoplasmic Antibody (ANCA) Test Viet L. Bui, Tanaz A. Kermani JAMA. 2016;316(9):984-985. doi:10.1001/jama.2016.8307. A 67-year-old woman with a history of idiopathic pulmonary fibrosis was admitted to the hospital for new onset of cough with blood-streaked sputum, which followed several months of weight loss, anorexia, nausea, vomiting, and abdominal pain. She report...

Medscape > Case Challenges A 30-Year-Old Woman With Lower Abdominal Pain D. Brady Pregerson, MD June 15, 2016 背景 一名既往健康的30岁女性患者因间断非放射性左下腹疼痛到急诊就诊。约5天前开始出现疼痛，且逐渐加重。患者还有发热表现。 就诊时，患者主诉疼痛非常严重，并随运动加剧。患者未主诉任何泌尿系症状（即尿痛或尿频）。患者大便习惯无改变（没有便秘或腹泻）。 患者已婚，最近一次房事系在2周前。患者月经规律，末次月经约在3周前。未观察到阴道分泌物。患者没有性病(STD)病史。患者不吸烟...

JAMA Diagnostic Test Interpretation | July 19, 2016 Evaluation of New-Onset Ascites Yuval A. Patel, Andrew J. Muir. JAMA. 2016;316(3):340-341. doi:10.1001/jama.2016.7600. A white woman in her 60s with undifferentiated connective tissue disease and long-standing pulmonary arterial hypertension presented for evaluation of new-onset ascites. The patient reported no alcohol or drug use and no personal or family history of liver disease. Medications included diltiazem and furos...

Medscape > Case Challenges A 30-Year-Old Woman With Lower Abdominal Pain D. Brady Pregerson, MD June 15, 2016 背景 一名既往健康的30岁女性患者因间断非放射性左下腹疼痛到急诊就诊。约5天前开始出现疼痛，且逐渐加重。患者还有发热表现。 就诊时，患者主诉疼痛非常严重，并随运动加剧。患者未主诉任何泌尿系症状（即尿痛或尿频）。患者大便习惯无改变（没有便秘或腹泻）。 患者已婚，最近一次房事系在2周前。患者月经规律，末次月经约在3周前。未观察到阴道分泌物。患者没有性病(STD)病史。患者不吸烟...