临床话题

金葡菌是人类重要的致病菌，是社区与院内获得性菌血症的首要病原菌之一。本文重点探讨 MSSA 血流感染抗菌方案的合理选择。 MSSA：甲氧西林敏感的金黄色葡萄球菌 MRSA：甲氧西林…

A 57-year-old female presents with progressive nail changes. Her fingernails(手指甲) have yel…

Two hours after a right carotid endarterectomy, a 75-year-old man is increasingly somnolen…

A 67-year-old, 84-kg (184-lb) man is postoperative day one after exploratory laparotomy fo…

A 35-year-old woman with no significant medical history is evaluated in the emergency depa…

一名53岁男性因头皮和肛周出现逐渐增大的无痛性结节4个月而至传染病诊所就诊。患者2年前接受了肝和肾移植。他正在服用他克莫司、霉酚酸酯和泼尼松龙等免疫抑制药物。 最可能的诊断是什么？…

A 35-year-old man with a seven-day history of confusion（混乱）, fever, chills（寒战）, and cough …

A 67-year-old woman is intubated and mechanically ventilated through a size 6.5 cuffed end…

A 50-year-old man with a history of several months of productive cough (咳嗽咳痰) presented to…

一名18岁男性因喉咙痛、发热和不适1周，胸膜痛和咳嗽咳痰3天而至急诊科就诊。辅助检查发现患者肺部有多发空洞性病变以及右颈内静脉血栓。从有这种病的患者体内分离到的最常见致病菌是什么？…

A 75-year-old man with diabetes mellitus, hypertension, and peripheralvascular disease is …

一名84岁男性因发热、身体不适、手指和脚趾颜色改变伴疼痛2周就诊。患者否认吸烟史。查体：体温正常，左手数个手指有蓝黑色斑点，双手双脚可见紫癜样病变。双侧桡动脉和足背动脉脉搏均可触及…

After cardiopulmonary bypass, a patient who is on a long-term standing dose of digoxin（地高辛…

A 54-year-old man is admitted to the ICU after presenting with lowerbackpain（下肢疼痛） radiati…

A 71-year-old, 87-kg (192 lbs) man was admitted to the hospital nine days ago for worsenin…

A 22-year-old woman presents to the emergency department with severe head and neck pain th…

A 35-year-old woman with idiopathic(特发性) pulmonary arterial hypertension and a pulmonary a…

A 64-year-old man is admitted to the ICU with hypotension, bronchospasm（支气管痉挛）, and diarrh…

A 65-year-old man is status post three-vessel coronary artery bypass graft(心脏冠脉搭桥术) two we…

A 72-year-old man is admitted to the ICU following evaluationin the em…