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Overcoming the Barrier


Rabih M. Geha ... 其他 • 2018.12.06

本刊的这一栏目中,某真实患者的信息按阶段(粗体)呈现给一名临床专家,后者对这些信息做出回应,和读者分享相关背景信息及其推理(常规字体)。作者随后做出评论。

 

一名74岁男性因黄疸到急诊科就诊。3日,患者妻子发现患者巩膜和皮肤黄染,随后出现进行性嗜睡、意识错乱和主观发热。患者右上腹有与进食无关的持续轻度疼痛。患者未诉强直、胸痛、咳嗽、呼吸困难、排便习惯改变、排尿困难或皮疹。





作者信息

Rabih M. Geha, M.D., Gurpreet Dhaliwal, M.D., Lisa G. Winston, M.D., Thomas S. Kickler, M.D., and Reza Manesh, M.D.
From the Department of Medicine, University of California, San Francisco (R.M.G., G.D., L.G.W.), Medical Service, San Francisco VA Medical Center (R.M.G., G.D.), and Zuckerberg San Francisco General Hospital and Trauma Center (L.G.W.) — all in San Francisco; and the Department of Pathology, Johns Hopkins University School of Medicine (T.S.K.), and the Department of Medicine, Johns Hopkins Hospital and Johns Hopkins University School of Medicine (R.M.) — both in Baltimore. Address reprint requests to Dr. Geha at San Francisco VA Medical Center, 4150 Clement St. (111), San Francisco, CA 94121, or at rabih.geha@ucsf.edu.

 

参考文献

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