本月医学影像:继发于憩室炎并脓毒症的肝脓肿

Reubender Randhawa, A. Nyquist, Tammer El-Aini
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摘要

没有可用的摘要。文章在150字后被截断。临床场景:一名73岁男性,既往有高血压病史,入院4天,有不适、肌痛、晕厥、恶心和呕吐病史。他否认有任何发烧、发冷、腹泻、腹痛或近期旅行。到达医院后,他被发现发烧至103.4°F,并伴有80年代收缩压的低血压。他的基线记录的来自许多门诊诊所的收缩压在110年代。此外,他是低氧血症,需要6升/分钟的补充氧气来维持足够的氧饱和度。体格检查对他的精神状态的改变具有重要意义。他通过触诊否认有任何腹痛,也没有反弹性压痛或保护。他的实验室工作对白细胞减少症和血小板减少症具有重要意义——这是他之前在我们系统中的实验室工作的新成果。腹部和骨盆的CT对比显示,在…
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Medical Image of the Month: Hepatic Abscess Secondary to Diverticulitis Resulting in Sepsis
No abstract available. Article truncated after 150 words. Clinical Scenario: A 73-year-old man with a previous history of hypertension presented to the hospital with a 4-day history of malaise, myalgias, syncope, nausea, and vomiting. He denied having any fevers, chills, diarrhea, abdominal pain, or recent travel. Upon arrival to the hospital, he was found to be febrile to 103.4°F, and hypotensive with systolic blood pressures in the 80’s. His baseline documented systolic blood pressures from numerous outpatient clinics were in the 110’s. In addition, he was hypoxemic requiring 6 L/min of supplemental oxygen to maintain an adequate oxygen saturation. Physical examination was significant for alteration of his mental status. He denied any abdominal pain with palpation, and there was no rebound tenderness or guarding. His lab work was significant for a leukopenia and thrombocytopenia - new from his previous lab work in our system. A CT of the abdomen and pelvis with contrast demonstrated a multiloculated abscess in …
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