منابع مشابه
[Image of the month].
A 76-year-old woman complained of abdominal pain in the right upper quadrant and fever that had been developing over the previous 10 days. On examination, she presented pain in the right upper quadrant with positive Murphy’s sign. Computed tomography showed the presence of acute cholecystitis and, as a casual finding, the presence of cholelithiasis with air in its interior (Fig. 1). The presenc...
متن کاملImage of the month.
A 54-YEAR-OLD restrained driver was involved in a rollover motor vehicle crash and came to the emergency department complaining of shortness of breath, left pleuritic chest pain, and back pain. Her vital signs included the following: heart rate, 73 beats/ min; blood pressure, 172/102 mm Hg; and respirations, 18/min. Although the patient’s breath sounds were decreased on the left side, her oxyge...
متن کاملImage of the Month
A HEALTHY 27-year-old man had a 3-day history of left lower quadrant abdominal pain, anorexia, nausea, vomiting, and diarrhea. Physical examination results were remarkable for a temperature of 39°C with rebound tenderness and guarding in the left lower quadrant. Laboratory values were significant for a white blood cell count of 12.3310/L, and abdominal x-rays showed a gas pattern consistent wit...
متن کاملImage of the month--quiz case.
A 68-YEAR-OLD MAN WAS ADMITTED TO THE hospital with fever, right loin pain, and right hip stiffness of 3 days’ duration. He has had 3 hospital admissions since February 2005 for right-sided psoas abscess. The abscess was treated with ultrasonographic-guided drainage twice, and 2 weeks before this admission, the patient had an open appendectomy through a Lanz incision with evacuation of the absc...
متن کاملPathology Image of the Month: Black Thyroid.
A 54-year-old Caucasian male had a witnessed collapse on the street. He was transported to the emergency department and subsequently pronounced dead. An unlimited autopsy examination was conducted under authorization of the coroner. Medical record review later revealed that the decedent had a history of alcohol abuse, chronic obstructive pulmonary disease, congestive heart failure, and chronic ...
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ژورنال
عنوان ژورنال: Archives of Surgery
سال: 2009
ISSN: 0004-0010
DOI: 10.1001/archsurg.2008.533-a