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[NEJM临床医学影像]:气道中的硬币已关闭评论
A Coin in the Airway Victor Bor-Chang Hsue, Vijay Patel N Engl J Med 2024; 390: e33 DOI: 10.1056/NEJMicm2312266 A healthy 14-year-old boy presented to the emergency department with a 6-hour history of hoarseness and difficulty swallowing after having accidentally swallowed a coin. On physical examination, the patient was breathing comfortably without stridor or drooling. Radiographs of the chest (Panel A, posteroanterior view) and ...
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[NEJM临床医学影像]:免疫性血小板减少患者的自发性口腔紫癜已关闭评论
IMAGES IN CLINICAL MEDICINE Spontaneous Oral Purpura in Immune Thrombocytopenia Jakob L. Drivenes, Anette Bygum N Engl J Med 2024; 390:1029DOI: 10.1056/NEJMicm2312260 A 76-year-old man presented to the dermatology clinic with a 2-day history of blood-filled blisters on the tongue. The lesions had appeared suddenly without antecedent trauma. He reported no other bleeding symptoms. The physical examination was notable for multiple hemorrhagic bullae on the t...
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[NEJM临床医学影像]:绿色的透析流出液以及血浆已关闭评论
IMAGES IN CLINICAL MEDICINE Green Dialysis Effluent and Plasma Bao-ping Xu, Xiao-tao Wang N Engl J Med 2024; 390:e27DOI: 10.1056/NEJMicm2311085 A 72-year-old man with end-stage kidney disease who began receiving continuous renal-replacement therapy in the intensive care unit (ICU) was noted to have green-colored dialysis effluent and plasma. Seven hours earlier, the patient had presented to the emergency department with a gastrointestinal perforation. An e...
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[JAMA临床挑战]:胃内硬币形状的不透光物品(答案)已关闭评论
JAMA Clinical Challenge  October 30, 2023 Coin-Shaped Opacities in the Stomach Neil Shadbeh Evans, Paul Aronowitz, Timothy E. Albertson JAMA. 2023;330(20):2016-2017. doi:10.1001/jama.2023.19032 Case A50-year-old man with end-stage kidney disease receiving hemodialysis was admitted to the hospital for treatment of calciphylaxis and foot cellulitis. His home medications included sevelamer and hydrocodone-acetaminophen (10...
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[JAMA临床挑战]:胃内硬币形状的不透光物品(问题)已关闭评论
JAMA Clinical Challenge  October 30, 2023 Coin-Shaped Opacities in the Stomach Neil Shadbeh Evans, Paul Aronowitz, Timothy E. Albertson JAMA. 2023;330(20):2016-2017. doi:10.1001/jama.2023.19032 Case A50-year-old man with end-stage kidney disease receiving hemodialysis was admitted to the hospital for treatment of calciphylaxis and foot cellulitis. His home medications included sevelamer and hydrocodone-acetaminophen (10...
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[ICU Management & Practice]: 容积CO2图的基础知识:一次呼吸CO2分析已关闭评论
Basics of Volumetric Capnography ‑ Part 2: Single Beath CO2 Analysis Anatomical dead space, alveolar dead space, and CO2 elimination: Learn how they can give you an insight into the patient's lung condition. Single breath CO2 analysis: insight into the patient‘s lung condition The volumetric capnogram can also be divided into three areas: Area X ‑ CO2 elimination Area Y ‑ Alveolar dead space Area Z ‑ Anatomical dead space The size of the areas, ...
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[JAMA临床挑战]:接受化疗患者外周血中的原始细胞(答案)已关闭评论
JAMA Clinical Challenge  October 6, 2023 Peripheral Blasts in a Patient Receiving Chemotherapy Sabin Kshattry, Terri L. Parker, Scott F. Huntington JAMA. 2023;330(16):1581-1582. doi:10.1001/jama.2023.17117 Case An 80-year-old man with stage II bladder carcinoma (T2NXM0) and atrial fibrillation treated with apixaban presented to the emergency department with 1 week of fatigue and 2 days of dyspnea on exertion. One week p...
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[JAMA临床挑战]:接受化疗患者外周血中的原始细胞已关闭评论
JAMA Clinical Challenge  October 6, 2023 Peripheral Blasts in a Patient Receiving Chemotherapy Sabin Kshattry, Terri L. Parker, Scott F. Huntington JAMA. 2023;330(16):1581-1582. doi:10.1001/jama.2023.17117 Case An 80-year-old man with stage II bladder carcinoma (T2NXM0) and atrial fibrillation treated with apixaban presented to the emergency department with 1 week of fatigue and 2 days of dyspnea on exertion. One week prior to presentation, he recei...
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[JAMA Surg统计与方法学指导]:外科教学研究常见错误的实践指导已关闭评论
Guide to Statistics and Methods  Surgical Education Research January 3, 2024 Practical Guide to Common Flaws With Surgical Education Research Dimitrios Stefanidis, Laura Torbeck, Amy H. Kaji JAMA Surg. Published online January 3, 2024. doi:10.1001/jamasurg.2023.6675 Introduction Over the past 2 decades, surgical education literature has seen tremendous growth driven by changes in graduate medical education,...
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[NEJM临床医学影像]:缩窄性心包炎已关闭评论
IMAGES IN CLINICAL MEDICINE Constrictive Pericarditis Meghan Nahass, John Kassotis N Engl J Med 2023; 389:2087DOI: 10.1056/NEJMicm2301671 A 69-year-old woman presented to the emergency department with a 3-year history of dyspnea on exertion. She had a history of focal pleural plaques that had been attributed to asbestos exposure that occurred during her work at an insulation-manufacturing company. Physical examination was notable for signs of volume overlo...
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