A 52-Year-Old Man with a Chronic Nasal Wound.

NEJM evidence Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI:10.1056/EVIDmr2400089
Samuel G Ruchman, Beret Fitzgerald, Gavriel Roda, Natalie Van Ochten, Alyssa Y Castillo, Samantha R Kaplan
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Abstract

AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report examines the story of a 52-year-old man who sought evaluation for a chronic nasal lesion that had eroded into his nasal septum. Using questions, physical examination, and testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is refined until a diagnosis is made.

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一名 52 岁男子的慢性鼻腔伤口。
摘要 "晨间报告 "是一个历史悠久的传统,由受训医师向同事和临床专家介绍病例,共同研究有趣的患者表现。晨间报告 "部分旨在继承这一传统,通过介绍患者的主要问题和故事,邀请读者与病例作者一起进行鉴别诊断并发现诊断结果。本报告探讨了一名 52 岁男子的故事,他因慢性鼻腔病变侵蚀鼻中隔而寻求评估。通过提问、体格检查和化验,病例中出现了疾病脚本。随着临床病程的进展,鉴别诊断不断完善,直至确诊。
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