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...

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...

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...

JAMA Diagnostic Test Interpretation  August 8, 2022 Serum Cystatin C for Estimation of GFR Michael G. Shlipak, Lesley A. Inker, Josef Coresh JAMA. Published online August 8, 2022. doi:10.1001/jama.2022.12407 Case An 80-year-old man with type 2 diabetes and hypertension was referred to the nephrology clinic for assessment of persistent hyperkalemia despite discontinuation of his angiotensin-converting enzyme in...

JAMA Diagnostic Test Interpretation  August 8, 2022 Serum Cystatin C for Estimation of GFR Michael G. Shlipak, Lesley A. Inker, Josef Coresh JAMA. Published online August 8, 2022. doi:10.1001/jama.2022.12407 Case An 80-year-old man with type 2 diabetes and hypertension was referred to the nephrology clinic for assessment of persistent hyperkalemia despite discontinuation of his angiotensin-converting enzyme inhibitor. The patient was frail...

JAMA Guide to Statistics and Methods  July 15, 2022 Patient-Reported Outcome Measures in Clinical Research Kevin P. Weinfurt, Bryce B. Reeve JAMA. Published online July 15, 2022. doi:10.1001/jama.2022.11238 Health conditions may cause patients to feel ill and have impaired functioning in their daily lives. Thus, it is important to assess how patients are feeling and functioning when evaluating the effects of interventions to prevent or treat ...

Imaging in Intensive Care Medicine Published: 29 November 2021 Diffuse aspergillosis in a patient with SARS-CoV-2 pneumonia Giorgio Berlot, Ariella Tomasini, Rossana Bussani  Intensive Care Medicine volume 48, pages 609–610 (2022) A 59-year-old man with a severe pneumonia due to coronavirus disease 2019 (COVID-19) died in multiple organ failure caused by a postoperative septic shock subsequent to a hemicolectomy for a right colon infarction occurred two weeks ...

Rapid-Onset Cystic Bronchiectasis in a Mechanically Ventilated Patient with COVID-19 Michael Gilmartin ,  Ahmad Basirat ,  Conor Barry , et al Am J Respir Crit Care Med Vol 205, Iss 6, pp 721–722, Mar 15, 2022 A 40-year-old man presented to the ICU after intubation due to respiratory failure secondary to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonitis. Past medical history revealed a history of intravenous drug use (heroin). Early blood a...

IMAGES IN CLINICAL MEDICINE Primary Cutaneous Blastomycosis Albert Alhatem, Kristin C. Smith N Engl J Med 2022; 386:e49DOI: 10.1056/NEJMicm2116178 A 53-year-old man presented to the dermatology clinic with a 4-month history of red, raised, itchy skin lesions on his left lower back and buttock. He had no known medical history and reported no constitutional or respiratory symptoms. He worked as a landscaper, often sustaining skin abrasions while trimming tre...

IMAGES IN CLINICAL MEDICINE Pneumatosis Intestinalis in Necrotizing Enterocolitis Lorraine Tong, Yu-Tang Chang N Engl J Med 2022; 386:1070DOI: 10.1056/NEJMicm2115830 An 11-day-old boy born at 39 weeks of gestation presented to the emergency department with watery diarrhea, bilious emesis, progressively worsening abdominal distention, and shock. There had been no complications during his birth, and he had been growing appropriately while receiving breast mi...