Medical Mystery Solved - Hard to Swallow | NEJM
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- Опубліковано 27 лис 2024
- This short Double Take video from the New England Journal of Medicine emphasizes
the importance of remaining vigilant in broadening the differential diagnosis
when clinical cases evolve atypically. Focusing on a patient whose diagnosis was
delayed, the video guides viewers through the sequential clinical events that
required additional diagnostic evaluation, culminating in the final diagnosis.
This video is based on a Clinical Problem-Solving article published in NEJM
(Hard to Swallow, by M.J. Litt et al., www.nejm.org/d...,
in the October 7, 2021, issue), and the companion Interactive
Medical Case (www.nejm.org/d...,
in the
September 30, 2021, issue).
The New England Journal of Medicine is the world’s leading general medical
journal. Continuously published for over 200 years, NEJM publishes
peer-reviewed research along with interactive clinical content for physicians,
educators, and the global medical community at NEJM.org. - Наука та технологія
Poor initial management in the ER!
Fascinating case. Glad she made it through okay.
Thank you for excellent case presentation ! It seems that resection of left Carotid body at childhood caused damage to left internal jugular vein that increased possibility to develop thrombus especially if triggered by adjacent organ infection ( Thromboxans induced thrombosis ) , if I were at emergency for similar case I will refer to ENT at second visit
@gocet I agree with you. Excellent audio-visual material and the way to explain is awesome. I will share your video and star following you right now. Dr Nadamuni my congratulations.
EXCELLENT! Thanks for presenting!
Interesting. Well explained & aesthetic illustrations. Great work
Good explanation and video direction good work 👍👍👍 keep on
Is this person okay now?
Interesting.
It’s ‘hard to swallow’ for me as well. Who in their right mind with proper knowledge of disease condition will evaluate a case like this . Denying proper investigations,treatment and later making it complicated .I don’t see any justification.
It's a shame she had to be seen 4 times for this to be figured out. It was a mistake from the ED to discharge her after her first appearance
ENT consultant here. I would not say it was a mistake to discharge her at her first consultation. Given the information provided by the video I would have done the same. However on the second visit and beyond I agree there is a lack of focus.
why so much stress on mononucleosis in a healthy, non-paediatric patient?
Terrible she had to go to the ER 4 times for a diagnosis