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[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...
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[BMJ圣诞专刊]:心电图测试(答案)已关闭评论
Endgames Christmas 2022: Brain Stew Electrocardiogaffe Patricia McGettigan, Ian C Cooper, Jennifer H Martin, et al BMJ 2022; 379 doi: https://doi.org/10.1136/bmj-2022-074083 (Published 19 December 2022)Cite this as: BMJ 2022;379:e074083 Because a physician has possessed himself of an electrocardiograph, a polygraph, an x-ray machine, a blood pressure instrument, or some ingenious form of stethoscope, it does not at...
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[BMJ圣诞专刊]:心电图测试已关闭评论
Endgames Christmas 2022: Brain Stew Electrocardiogaffe Patricia McGettigan, Ian C Cooper, Jennifer H Martin, et al BMJ 2022; 379 doi: https://doi.org/10.1136/bmj-2022-074083 (Published 19 December 2022)Cite this as: BMJ 2022;379:e074083 Because a physician has possessed himself of an electrocardiograph, a polygraph, an x-ray machine, a blood pressure instrument, or some ingenious form of stethoscope, it does not at all follow that he has become competent...
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[JAMA诊断检查解读]:腹透相关腹膜炎的腹水分析(答案)已关闭评论
JAMA Diagnostic Test Interpretation  November 10, 2022 Peritoneal Fluid Analysis in Peritoneal Dialysis–Associated Peritonitis Jeffrey Perl, Ziv Harel, Sharon J. Nessim JAMA. Published online November 10, 2022. doi:10.1001/jama.2022.21289 Case A62-year-old woman undergoing peritoneal dialysis (PD) for kidney failure due to IgA nephropathy presented to the PD clinic with a 1-day history of severe abdominal pain...
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[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...
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[JAMA诊断检查解读]:腹透相关腹膜炎的腹水分析(问题)已关闭评论
JAMA Diagnostic Test Interpretation  November 10, 2022 Peritoneal Fluid Analysis in Peritoneal Dialysis–Associated Peritonitis Jeffrey Perl, Ziv Harel, Sharon J. Nessim JAMA. Published online November 10, 2022. doi:10.1001/jama.2022.21289 Case A62-year-old woman undergoing peritoneal dialysis (PD) for kidney failure due to IgA nephropathy presented to the PD clinic with a 1-day history of severe abdominal pain and cloudy PD fluid. Seven da...
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[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 ...
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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...
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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...
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[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...
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