29岁女性黄疸。

NEJM evidence Pub Date : 2025-07-01 Epub Date: 2025-06-24 DOI:10.1056/EVIDmr2400410
Nadia Eden, Victoria Appleby
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引用次数: 0

摘要

摘要晨报是一个历史悠久的传统,在这个传统中,实习医生向他们的同事和临床专家介绍病例,共同探讨患者的表现。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,邀请读者发展鉴别诊断并与该病例的作者一起发现诊断。本报告报告了一位29岁妇女的故事,她在怀孕36周零2天在家分娩婴儿2天后,因黄疸和口腔黏膜出血而就诊于急诊室。通过有针对性的问题、病史记录、身体检查和诊断测试,一个疾病脚本出现了。随着病例的发展,鉴别诊断被细化,直到最终诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 29-Year-Old Woman with Jaundice.

AbstractMorning Report is a time-honored tradition in which physicians-in-training present cases to their colleagues and clinical experts to collaboratively explore a patient's 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 this case. This report examines the story of a 29-year-old woman who presented to the emergency department with jaundice and oral mucosal bleeding, 2 days after delivering an infant at home at 36 weeks and 2 days of gestation. Using targeted questions, history-taking, physical examination, and diagnostic testing, an illness script emerges. As the case unfolds, the differential diagnosis is refined until a final diagnosis is reached.

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