一名50岁男性,左侧虚弱,说话困难。

NEJM evidence Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI:10.1056/EVIDmr2400331
Isabella Ferando, Teresa Ju, Vera Sharashidze, Negar Asdaghi
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引用次数: 0

摘要

晨报是一个历史悠久的传统,在培训中的医生向他们的同事和临床专家展示病例,共同检查有趣的患者陈述。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。这篇报告研究了一个50岁的男人的故事,他提出了他的左侧身体虚弱和说话困难的评估。通过提问、身体检查和测试,一份演示文稿的疾病脚本出现了;在诊断之前,这种区别会不断改进。
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A 50-Year-Old Man with Left-Sided Weakness and Difficulty Speaking Clearly.

Morning 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 50-year-old man who presented for evaluation of weakness on the left side of his body and difficulty speaking clearly. Using questions, physical examination, and testing, an illness script for the presentation emerges; the differential is refined until a diagnosis is made.

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