现在位置 >首页 > 临床影像
0℃
IMAGES IN CLINICAL MEDICINE Bronchoesophageal Fistula Pierluigi di Mauro and Vittorio Ferrari N Engl J Med 2020; 383:e137DOI: 10.1056/NEJMicm2018535 A 50-year-old man presented to the emergency department with a 5-day history of shortness of breath, chest pain, and a cough. Fifteen days before presentation, he had received a diagnosis of large-cell neuroendocrine carcinoma of the lung with brain metastases. The oxygen saturation was 93% while the patient w...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Green UrineVCAD510 JN0-643 Maja Boshkovska Spaseski, and Dejan Spaseski N Engl J Med 2020; 383:e128DOI: 10.1056/NEJMicm2017137 A 62-year-old man with chronic obstructive pulmonary disease presented to the emergency department with a 2-day history of dyspnea and was found to have hypercapnic respiratory failure. Intubation was performed, mechanical ventilation and a continuous infusion of propofol were initiated, and the patient ...
阅读全文
0℃
Capnocytophaga canimorsus Infection Robert D.H. Markewitz and Tobias Graf N Engl J Med 2020; 383:1167DOI: 10.1056/NEJMicm1916407 A 62-year-old man presented to the emergency department with a 1-day history of fever and a 3-day history of chest pain. His medical history was notable for coronary heart disease and for a splenectomy that he had undergone after a car accident. Four days before presentation, he had been bitten on the left hand by his dog and h...
阅读全文
0℃
Miliary Tuberculosis Jerald Pelayo and Kathleen Ruddiman N Engl J Med 2020; 383:e78DOI: 10.1056/NEJMicm2001934 A 56-year-old man presented to the emergency department with a 2-month history of fatigue, weight loss of 10 kg, night sweats, and fever. He had a cough producing sputum that was occasionally bloodtinged. He had immigrated to the United States from Haiti 10 years earlier. On examination, his temperature was 36.2°C. He was breathing comfortably but ap...
阅读全文
0℃
CLINICAL PICTURE| VOLUME 395, ISSUE 10235, P1516, MAY 09, 2020 Myocarditis in a patient with COVID-19: a cause of raised troponin and ECG changes Denis Doyen, Pamela Moceri, Dorothée Ducreux, et al Lancet 2020; 395: 1516 A 69-year old man, from Lombardy, Italy, was admitted to our unit because of acute respiratory distress syndrome that required mechanical ventilation; he was in Nice, France, on holiday. He had previously been fit and well; he had a history of...
阅读全文
0℃
Massive Splenomegaly from Disseminated Mycobacterium avium–intracellulare Infection Lucas R. Massoth, Abner Louissaint, Jr. N Engl J Med 2020; 382:1041DOI: 10.1056/NEJMicm1905550 A 29-year-old man with HIV infection presented with abdominal pain and drenching nights sweats. Computed tomography of the abdomen revealed massive splenomegaly caused by disseminated Mycobacterium avium–intracellulare infection.
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Skin Discoloration from Amiodarone Robert P. Murphy and Michelle Canavan N Engl J Med 2020; 382:e5DOI: 10.1056/NEJMicm1906774 An 81-year-old man with a history of atrial fibrillation and hypertension presented to the emergency department after a fall. His medications were apixaban, ramipril, bisoprolol, amlodipine, and amiodarone. Physical examination revealed blue and gray pigmentation, sometimes referred to as ceruloderma, wit...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Crazy Paving in Pulmonary Alveolar Proteinosis Brian W. Allwood and Sami Bennji N Engl J Med 2020; 382:275DOI: 10.1056/NEJMicm1908563 A 34-year-old man with a 20-pack-year smoking history presented to the emergency department with a 4-month history of progressively worsening dyspnea and nonproductive cough. The oxygen saturation was 65% while the patient was breathing ambient air. He appeared to have dyspnea at rest, his fi...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Crepitus and Subcutaneous Emphysema Yehia Saleh and Ahmad Alratroot N Engl J Med 2020; 382:e1DOI: 10.1056/NEJMicm1907386 An 86-year-old woman with a history of severe emphysema presented to the emergency department with sudden-onset shortness of breath. Two weeks earlier, she had been treated for community-acquired pneumonia that was complicated by a pneumothorax on the right side, leading to the temporary insertion of a chest t...
阅读全文
0℃
IMAGES IN CLINICAL MEDICINE Multiple Renal Arteries Sahib Y. Tuteja and Bence Forgac N Engl J Med 2019; 381:862DOI: 10.1056/NEJMicm1902894
阅读全文
×
腾讯微博