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authormuqiuhan <[email protected]>2024-01-23 12:08:12 +0000
committermuqiuhan <[email protected]>2024-01-23 12:08:12 +0000
commit472a16ba150261cdba1ca068a678d8160c552954 (patch)
treed7d57debf4955959b1de90af2a987e37bacaec8c /2023
parent0936b639df93176f4d0f839d39ca085aa7b028b2 (diff)
downloadblog-472a16ba150261cdba1ca068a678d8160c552954.tar.gz
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-rw-r--r--2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html10
-rw-r--r--2023/11/16/Fever-of-Unknown-Origin/index.html3
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diff --git a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html
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<div class="post-content">
- <p>A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent<br>falls presented to the emergency department with 2 months of left shoulder pain, stiff-<br>ness and reduced range of motion, and numbness and paresthesias in his left upper<br>extremity. Ten years prior to presentation, he underwent surgical decompression for<br>syringomyelia. A magnetic resonance imaging (MRI) scan of his cervical and thoracic<br>spine performed 2 years prior to presentation revealed a recurrent syrinx extending from<br>Cl C1 to T11, which was not resected because it did not cause symptoms at that time. On<br>physical examination, he had mild tenderness to palpation and reduced range of motion<br>of the left shoulder with abduction and flexion limited to 120° (normal range of motion,<br>180°). The left scapular muscles were atrophic, and pain and temperature sensation<br>were reduced in his proximal left arm, and dorsal aspect of his left shoulder. His complete<br>blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedi-<br>mentation rate were normal. Results of tests for rheumatoid factor and antinuclear anti-<br>body were negative. Left shoulder radiograph showed complete absence of the left<br>humeral head and a well-demarcated smooth osseous margin of the proximal humerus<br>with associated soft tissue swelling and periarticular calcification (Figure 1). A chest<br>radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hos-<br>pitalized for further evaluation and treatment.</p>
+ <p>A 67-year-old man with thoracolumbar scoliosis, poor mobility, and history of frequent falls presented to the emergency department with 2 months of left shoulder pain, stiffness and reduced range of motion, and numbness and paresthesias in his left upper extremity.</p>
+<p>Ten years prior to presentation, he underwent surgical decompression for syringomyelia.</p>
+<p>A magnetic resonance imaging (MRI) scan of his cervical and thoracic spine performed 2 years prior to presentation revealed a recurrent syrinx extending from Cl C1 to T11, which was not resected because it did not cause symptoms at that time.</p>
+<p>On physical examination, he had mild tenderness to palpation and reduced range of motion of the left shoulder with abduction and flexion limited to 120° (normal range of motion, 180°).</p>
+<p>The left scapular muscles were atrophic, and pain and temperature sensation were reduced in his proximal left arm, and dorsal aspect of his left shoulder. </p>
+<p>His complete blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedimentation rate were normal.</p>
+<p>Results of tests for rheumatoid factor and antinuclear antibody were negative.</p>
+<p>Left shoulder radiograph showed complete absence of the left humeral head and a well-demarcated smooth osseous margin of the proximal humerus with associated soft tissue swelling and periarticular calcification.</p>
+<p>A chest radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hospitalized for further evaluation and treatment.</p>
<ul>
<li><a href="/papers/Radiographic%20Absence%20of%20the%20Left%20Humeral%20Head.pdf">报告原档</a></li>
</ul>
diff --git a/2023/11/16/Fever-of-Unknown-Origin/index.html b/2023/11/16/Fever-of-Unknown-Origin/index.html
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<div class="post-content">
- <p>Fever of unknown origin (FUO) has been recognized as a disease state for over<br>100 years. The first commonly accepted definition of FUO was published in 1961<br>and included (1) fever greater than 101 F (38.3 C) on multiple occasions (2) at least<br>3 week duration of fever (3) without identifiable cause despite at least a 1 week inpa-<br>tient evaluation.1 Overtime, this definition was considered both too rigid and too ill<br>defined. Given the impracticality of prolonged hospitalizations and advancing technol-<br>ogy for diagnosis, the duration of work up was shortened to 3 days inpatient evaluation<br>and&#x2F;or 3 outpatient clinic visits.2</p>
+ <p>Fever of unknown origin (FUO) has been recognized as a disease state for over100 years.<br>The first commonly accepted definition of FUO was published in 1961 and included fever greater than 101F (38.3C) on multiple occasions at least 3 week duration of fever without identifiable cause despite at least a 1 week inpatient evaluation.</p>
+<p>Overtime, this definition was considered both too rigid and too ill defined.<br>Given the impracticality of prolonged hospitalizations and advancing technology for diagnosis, the duration of work up was shortened to 3 days inpatient evaluation and&#x2F;or 3 outpatient clinic visits.</p>
<ul>
<li><a href="/papers/Fever%20of%20Unknown%20Origin.pdf">Original Document</a></li>
</ul>