A 26-Year-Old Woman with Postpartum Abdominal Pain.

NEJM evidence Pub Date : 2025-02-01 Epub Date: 2025-01-28 DOI:10.1056/EVIDmr2400398
Luke P Burns, Ashish Premkumar, Anna Czapar, En-Ling Wu, Alan L Hutchison, Omar Jamil, Sonali Paul, Sarosh Rana
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引用次数: 0

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 26-year-old woman who developed acute hepatocellular liver injury following a cesarean delivery for fetal distress. Using targeted questions, physical examination, and diagnostic testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is iteratively refined until a final diagnosis is made.

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26岁女性产后腹痛1例。
摘要晨报是一个历史悠久的传统,在这里,实习医生向他们的同事和临床专家展示病例,共同研究有趣的患者陈述。早间报道部分试图通过呈现患者的主要关注点和故事来继承这一传统,邀请读者进行鉴别诊断,并与病例作者一起发现诊断。本报告探讨了一位26岁妇女因胎儿窘迫而剖宫产后发生急性肝细胞性肝损伤的故事。通过有针对性的问题、身体检查和诊断测试,演示文稿的疾病脚本出现了。随着临床病程的进展,这种鉴别方法不断改进,直到做出最终诊断。
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