临床话题

心脏骤停病因的识别和纠正在高级生命支持 (ALS) 中至关重要。患者心脏骤停前的经过对于区分这些病因很重要。不幸的是，这些信息并不总是很容易获得，致使ALS 团队开始考虑使用5H …

An elderly patient is admitted to the ICU for septic shock. Urine culture is significant f…

A 41-year-old man with a history of schizophrenia（精神分裂症） had a sudden cardiac arrest while…

该呼吸方式多见于什么疾病？（单选） A . 肺心病  B . 休克  C . 哮喘急性发作  D . 中枢性呼吸功能不全  E . 化学感受器功能不全​ 题目解析： 潮式呼吸（Ch…

A morbidly obese man with abody mass index of 50 is in the medical ICU with…

A 78-year-old woman admitted to the ICU for chest trauma develops a supraventricular arrhy…

A 62-year-old man with chronic obstructive pulmonary disease presented to the emergency de…

A 63-year-old man with apast（过去） history of hypertension and diabetes melli…

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…