本月肺病例:复活还是医学临终仪式?

L. Wesselius
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引用次数: 0

摘要

没有摘要。文章在第一页之后被截断。一名88岁男性,于2020年10月20日出现呼吸急促和发热,过去一天体温高达101.5华氏度。他没有已知的患病接触或暴露于COVID-19。PMH, SH和FH•无肺部病史报告,尽管他很少使用Xopenex MDI。•冠状动脉疾病既往冠状动脉搭桥术(1978年);多个后续支架;慢性心房颤动;•3-4期CKD(肌酸1.95)•长期服用华法林体格检查•体温37.3,Sat为RA 92%, 2lpm 95%,•肺部:右上胸很少有杂音•CV:正常,无杂音•外:1至2+水肿(慢性,使用TED导管)以下哪一种是最有可能的诊断?1. 社区获得性肺炎充血性心力衰竭COVID-19 4。1和35。以上任何一个…
本文章由计算机程序翻译,如有差异,请以英文原文为准。
December 2020 Pulmonary Case of the Month: Resurrection or Medical Last Rites?
No abstract available. Article truncated after the first page. History of Present Illness An 88-year-old man who has been short of breath and febrile up to 101.5° F for the past day presented on October 20, 2020. He has no known sick contacts or exposure to COVID-19. PMH, SH, and FH • No reported pulmonary history although he had a Xopenex MDI which he rarely used. • Coronary artery disease with prior coronary artery bypass grafting (1978); multiple subsequent stents; chronic atrial fibrillation; pacemaker (Micra) • Stage 3-4 CKD (creatinine 1.95) • Chronically on warfarin Physical Examination • Temp 37.3, Sat 92% on RA, 95% on 2 lpm, • Lungs: Few crackles in right upper chest • CV: regular, no murmur • Ext: 1 to 2+ edema (chronic, uses TED hose) Which of the following is/are the most likely diagnosis? 1. Community-acquired pneumonia 2. Congestive heart failure 3. COVID-19 4. 1 and 3 5. Any of the above …
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