xujunzju
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每日一题_2022.5.24
A 27-year-old man falls off a fishing boat and is rescued by prehospital providers after b…
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每日一题_2022.5.23
A 67-year-old woman is evaluated in the emergency department for a three-day history of dy…
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每日一题_2022.5.22
A 56-year-old man underwent coronary artery bypass grafting. On postoperative day six, he …
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每日一题_2022.5.21
In the United States, except when there are mitigating circumstances, which of the followi…
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每日一题_2022.5.20
A 40-year-old man presented with a 2-week history of scaly foot rash, joint swelling, peni…
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转载危通笔记20220520_Newsccm
著名的《Clinical infectious diseases》5月有一个增刊,主题是“Digital Strategy and Social Media in Infectio…
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每日一题_2022.5.19
A 58-year-old man is in the ICU three days after being involved in a motor vehicle acciden…
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NEJM: 肠结核
A 36-year-old woman presented to the emergency department with a 1-day history of severe a…
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每日一题_2022.5.18
A 45-year-old homeless man is admitted to the psychiatric ward for acute psychosis. His vi…
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每日一题_2022.5.17
A 65-year-old woman who had an aortic valve replacement seven months ago is three weeks st…
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Critical Care:脓毒性休克患者何时开始使用加压素:我们提出的策略
精氨酸血管加压素(AVP)的使用指征仍有争议。Wieruszewski和Khanna最近建议从经典的阶梯方案向早期多模式升压药物治疗策略发展。正如作者所提到的,作为二级用药启动血管…
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每日一题_2022.5.16
A 36-year-old man was injured in a high-speed motor vehicle accident. He was unbelted and,…
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Neurology病例:脑死亡中的反射动作:临床查体的挑战
49岁女性,在家中被发现心脏骤停,30分钟后行心肺复苏。脑CT可见弥漫性缺氧损伤。经过72小时的目标体温管理后,脑干检查,脑电图和呼吸暂停试验均符合脑死亡。但是,在对左手甲床施压时…
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Journal of Intensive Care:脑死亡:临床综述
摘要 脑死亡,根据神经学标准通常也被称为死亡,几十年来一直被认为是死亡的法律定义。它的决定涉及许多考虑因素和微妙之处。在这篇综述中,我们讨论了脑死亡的哲学和历史,临床诊断和特殊考虑…
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每日一题_2022.5.15
A 58-year-old man with a history of chronic low back pain, hyperlipidemia, and moderate ch…
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每日一题_2022.5.14
A 73-year-old man presented with 1-month history of fatigue and diffuse bone pain. Laborat…
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每日一题_2022.5.13
A 55-year-old man with hypertension has chest pain and is brought to the emergency departm…
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CCM: Temperature Management in the ICU
OBJECTIVE: Temperature abnormalities are recognized as a marker of human disease, and the …