A 52-Year-Old Man with Abdominal Pain and Jaundice.

NEJM evidence Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI:10.1056/EVIDmr2400285
Ogaga Urhie, Kirtan Patolia, Michael Alebich
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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 presented to the emergency department with subacute abdominal pain and jaundice. Fever, worsening liver function tests, and multi-organ failure developed. Using questions, physical examination, and testing, an illness script for the presentation emerges; the differential is refined until a final diagnosis is made.

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一名 52 岁男子腹痛并伴有黄疸。
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,通过介绍病人的主要问题和故事,邀请读者与病例作者一起进行鉴别诊断并发现诊断结果。本报告探讨的是一名 52 岁男子的故事,他因亚急性腹痛和黄疸就诊于急诊科。随后出现发热、肝功能检查恶化和多器官功能衰竭。通过提问、体格检查和化验,该病例的病情脚本逐渐浮出水面;鉴别诊断不断完善,直至最终确诊。
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