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CLINICAL PRACTICE: Acute Calculous Cholecystitis
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
A 42-year-old woman presents with severe pain in the right upper quadrant, which started 15 hours earlier. She has had episodic pain in that location previously that lasted up to 2 hours. She has had one episode of vomiting with the current attack. Her temperature is 38.5{degrees}C, and the heart rate is 95 beats per minute. How should her condition be evaluated and treated?
VIDEOS IN CLINICAL MEDICINE: Placement of a Femoral Venous Catheter
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
Figure A femoral venous catheter may be necessary when peripheral access to the circulatory system is compromised and no other sites for placing a central catheter are available. This video demonstrates the insertion of a femoral venous catheter and explains the indications and potential complications.
IMAGES IN CLINICAL MEDICINE: Systemic Sclerosis and Acral Osteolysis
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
A 71-year-old woman received a diagnosis of systemic sclerosis more than 30 years ago when she presented with Raynaud's phenomenon and cutaneous sclerosis. At that time she did not require ...
IMAGES IN CLINICAL MEDICINE: Spontaneous Thrombolysis of an Obstructed Mechanical Aortic Valve
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
A 28-year-old man with idiopathic dilated cardiomyopathy who had had St. Jude aortic- and mitral-valve replacements 3 years earlier presented with decompensated heart failure. The examination was notable for marked ...
CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL: Case 20-2008 -- A 57-Year-Old Woman with Abdominal Pain and Weakness after Gastric Bypass Surgery
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
A 57-year-old woman was admitted to the hospital because of abdominal pain and weakness, 1 month after gastric bypass surgery. In the month after the operation, episodes of tachycardia, bradycardia, diarrhea, dark urine, and abdominal pain occurred, with urine cultures that were positive for bacteria. After admission, weakness and numbness in the legs and arms developed and progressed to flaccid quadriparesis. A diagnostic test was performed.
EDITORIAL: New Anticoagulants -- The Path from Discovery to Clinical Practice
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
For more than half a century, heparin and vitamin K antagonists have defined anticoagulant therapy for the short-term and long-term management, respectively, of thrombotic disorders of the venous system. The ...
EDITORIAL: A Small Molecule for a Large Disease
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
Almost three decades ago, Victor McKusick and I reviewed Marfan's syndrome in the Journal and advised traditional medical and surgical approaches to management.1 The holy grail at that time was ...
SOUNDING BOARD: Informing Candidates for Solid-Organ Transplantation about Donor Risk Factors
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
A debate exists about informing potential organ-transplant recipients about the general risks associated with transplantation and the specific risks associated with a particular organ. In this article, the authors discuss whether and how the behavioral risks of donors should be considered and how that might affect choices and outcomes.
CORRESPONDENCE: Hypereosinophilic Syndrome and Mepolizumab
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
To the Editor: Rothenberg and colleagues (March 20 issue)1 provide data on the use of mepolizumab, an anti-interleukin-5 monoclonal antibody, ...
CORRESPONDENCE: Red-Cell Storage and Complications of Cardiac Surgery
Mercredi 25 Juin 2008 - 06:55 - 1 année, 8 mois depuis   -  Santé  -  New England Journal of Medicin
To the Editor: Koch et al. (March 20 issue)1 report increased risks of postoperative complications and death among patients undergoing ...

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