[JAMA Intern Med发表文章]:安全处方奈玛特韦和利托那韦:避免药物相互作用已关闭评论
Teachable Moment
Less Is More
February 20, 2023
Safely Prescribing Nirmatrelvir and Ritonavir—Avoiding Drug-Drug Interactions
Roshni Culas, Sridesh Nath, Sarath Nath
JAMA Intern Med. 2023;183(4):362-363. doi:10.1001/jamainternmed.2022.6834
Story From the Front Lines
A72-year-old man called his primary care physician (PCP) after 2 days of throat pain, myalgia, mild shortness of breath, and fever. A home COVID-19 antigen test result was positive. ...
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[NEJM临床医学影像]:Erdheim-Chester病的“毛状肾”已关闭评论
IMAGES IN CLINICAL MEDICINE
“Hairy Kidney” in Erdheim–Chester Disease
Nityasree Srialluri, Mohamed G. Atta
N Engl J Med 2023; 388:925DOI: 10.1056/NEJMicm2208776
A 62-year-old man undergoing abdominal ultrasonography for the evaluation of gallstones was found to have a retroperitoneal mass. A physical examination and the results of routine laboratory studies, including tests of renal function, were normal. A computed tomographic (CT) urogram showed soft-tis...
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[NEJM临床医学影像]:假性血小板增多已关闭评论
IMAGES IN CLINICAL MEDICINE
Pseudothrombocytosis
Konstantinos Liapis, Stavros Papadakis
N Engl J Med 2023; 388:746DOI: 10.1056/NEJMicm2209299
An 80-year-old woman who had been admitted to the intensive care unit (ICU) with severe burns was noted to have an elevated platelet count. She had been rescued from a house fire and admitted to the ICU for the management of second- and third-degree burns involving 55% of her body-surface area. On presentation, labor...
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[NEJM临床医学影像]:胆汁胸已关闭评论
IMAGES IN CLINICAL MEDICINE
Bilothorax
Yu Kurahara, Ikue Nagayama
N Engl J Med 2023; 388:e17DOI: 10.1056/NEJMicm2206943
A 77-year-old man with metastatic lung adenocarcinoma presented to the emergency department with a 2-week history of dyspnea. Examination was notable for reduced breath sounds at the right lung base. A chest radiograph showed a pleural effusion on the right side (Panel A). An abdominal ultrasound image showed previously known liver metast...
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[NEJM发表论文]:脑囊型包虫病已关闭评论
IMAGES IN CLINICAL MEDICINE
Cerebral Cystic Echinococcosis
Sumit Thakar, Akhil Sunil
N Engl J Med 2023; 388:e10DOI: 10.1056/NEJMicm2208104
A previously healthy 14-year-old boy who lived on a farm presented with a 1-month history of episodic headaches associated with vomiting. Physical examination was notable for papilledema. Magnetic resonance imaging of the head showed a multiloculated cyst measuring 6.0 cm by 6.2 cm by 5.8 cm in the right temporoparietal...
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[NEJM临床医学影像]:脑泡型包虫病已关闭评论
IMAGES IN CLINICAL MEDICINE
Cerebral Alveolar Echinococcosis
Hu Ju, Chuanchuan Liu
N Engl J Med 2023; 388:453DOI: 10.1056/NEJMicm2202196
A 17-year-old boy presented to the emergency department with a 3-week history of dizziness, headache, and weakness of the right leg. Neurologic examination was notable for 4/5 strength in the right lower leg. Computed tomography (CT) of the head revealed ring-enhancing lesions in the frontal lobe and basal ganglia on the ...
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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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