JAMA Clinical Challenge March 21, 2022 Fever, Hypotension, and a Worsening Necrotic Wound Danielle M. Peterson, William E. Damsky, Matthew D. Vesely JAMA. Published online March 21, 2022. doi:10.1001/jama.2022.2806 Case On the day of giving birth via a normal vaginal delivery, a healthy woman in her 20s developed painful swelling on her right thigh, at the site of a methergine injection administered 1 day prior. Despite 3 days of treatment wi...

JAMA Clinical Challenge March 21, 2022 Fever, Hypotension, and a Worsening Necrotic Wound Danielle M. Peterson, William E. Damsky, Matthew D. Vesely JAMA. Published online March 21, 2022. doi:10.1001/jama.2022.2806 Case On the day of giving birth via a normal vaginal delivery, a healthy woman in her 20s developed painful swelling on her right thigh, at the site of a methergine injection administered 1 day prior. ...

JAMA Diagnostic Test Interpretation September 17, 2021 Interpreting SARS-CoV-2 Test Results KC Coffey, Daniel J. Diekema, Daniel J. Morgan, et al JAMA. Published online September 17, 2021. doi:10.1001/jama.2021.16146 Case A53-year-old woman was referred to the gastroenterology clinic for endoscopy because of a submucosal gastric nodule. She had not received a COVID-19 vaccination and lived in Maryland, which...

JAMA Diagnostic Test Interpretation September 17, 2021 Interpreting SARS-CoV-2 Test Results KC Coffey, Daniel J. Diekema, Daniel J. Morgan, et al JAMA. Published online September 17, 2021. doi:10.1001/jama.2021.16146 Case A53-year-old woman was referred to the gastroenterology clinic for endoscopy because of a submucosal gastric nodule. She had not received a COVID-19 vaccination and lived in Maryland, which...

CLINICAL DECISIONS Doctor, How Long Should I Isolate? Siri R. Kadire, Valeria Fabre, and Richard P. Wenzel N Engl J Med March 10, 2021DOI: 10.1056/NEJMclde2100910 Case Vignette 病例介绍 A Woman with Covid-19 一名女性新冠肺炎患者 Siri R. Kadire, M.D. A 24-year-old woman with no relevant medical history presented to the emergency department with a 1-week history of cough and shortness of breath. She stated that she had not had any contact with people...

Dissociated Oxygen Saturations by Dr Paul Young, last update March 16, 2019 aka Hematology Hoodwinker 004 One of the emergency residents has just taken an ABG on the 44 year-old woman in cubicle 3. Prior to her current presentation she had no known medical problems. The patient’s pulse oximetry reading is SpO2 98% on air. 急诊科的一名住院医师刚刚为一名44岁的女性患者做了动脉血气检查。此次发病前，患者没有既往病史。患者吸空气时脉搏氧饱和度(SpO...

Dissociated Oxygen Saturations by Dr Paul Young, last update March 16, 2019 aka Hematology Hoodwinker 004 One of the emergency residents has just taken an ABG on the 44 year-old woman in cubicle 3. Prior to her current presentation she had no known medical problems. The patient’s pulse oximetry reading is SpO2 98% on air. 急诊科的一名住院医师刚刚为一名44岁的女性患者做了动脉血气检查。此次发病前，患者没有既往病史。患者吸空气时脉搏氧饱和度(SpO...

Dissociated Oxygen Saturations by Dr Paul Young, last update March 16, 2019 aka Hematology Hoodwinker 004 One of the emergency residents has just taken an ABG on the 44 year-old woman in cubicle 3. Prior to her current presentation she had no known medical problems. The patient’s pulse oximetry reading is SpO2 98% on air. 急诊科的一名住院医师刚刚为一名44岁的女性患者做了动脉血气检查。此次发病前，患者没有既往病史。患者吸空气时脉搏氧饱和度(SpO...

Dissociated Oxygen Saturations by Dr Paul Young, last update March 16, 2019 aka Hematology Hoodwinker 004 One of the emergency residents has just taken an ABG on the 44 year-old woman in cubicle 3. Prior to her current presentation she had no known medical problems. The patient’s pulse oximetry reading is SpO2 98% on air. 急诊科的一名住院医师刚刚为一名44岁的女性患者做了动脉血气检查。此次发病前，患者没有既往病史。患者吸空气时脉搏氧饱和度(SpO...

ICU Management & Practice, Volume 19 - Issue 2, 2019 A structural approach for diagnosing weaning failure A case from a specialised weaning centre Using a case of a former patient we describe the structured approach of analysis of the cause of weaning failure with corresponding specific therapies used in our Centre for Expertise. Previously, we suggested a structural approach for diagnosing the cause of weaning failure (Heunks and van der Hoeven 2010;...