From f01c7a9e147250fd985465a24593ef76b4fae5cb Mon Sep 17 00:00:00 2001 From: muqiuhan Date: Wed, 25 Oct 2023 02:05:13 +0000 Subject: deploy: b1a11f6ae5bb5762187662e15b32f7e17bcdc087 --- 2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html | 2 +- .../index.html" | 2 +- 2 files changed, 2 insertions(+), 2 deletions(-) (limited to '2023/10/25') 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 index 4f5d9f0c..fa15ccc8 100644 --- 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 @@ -160,7 +160,7 @@
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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, stiff-
ness and reduced range of motion, and numbness and paresthesias in his left upper
extremity. Ten years prior to presentation, he underwent surgical decompression for
syringomyelia. 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. 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°). 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. His complete
blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedi-
mentation rate were normal. Results of tests for rheumatoid factor and antinuclear anti-
body were negative. 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 (Figure 1). A chest
radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hos-
pitalized for further evaluation and treatment.

+

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, stiff-
ness and reduced range of motion, and numbness and paresthesias in his left upper
extremity. Ten years prior to presentation, he underwent surgical decompression for
syringomyelia. 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. 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°). 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. His complete
blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedi-
mentation rate were normal. Results of tests for rheumatoid factor and antinuclear anti-
body were negative. 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 (Figure 1). A chest
radiograph taken 2 years prior revealed a normal left shoulder joint. The patient was hos-
pitalized for further evaluation and treatment.

diff --git "a/2023/10/25/\345\204\277\347\253\245\346\226\260\345\236\213\345\206\240\347\212\266\347\227\205\346\257\222Omicron\346\240\252\345\222\214\350\202\272\347\202\216\346\224\257\345\216\237\344\275\223\346\267\267\345\220\210\346\204\237\346\237\223\351\207\215\347\227\207\350\202\272\347\202\2161\344\276\213/index.html" "b/2023/10/25/\345\204\277\347\253\245\346\226\260\345\236\213\345\206\240\347\212\266\347\227\205\346\257\222Omicron\346\240\252\345\222\214\350\202\272\347\202\216\346\224\257\345\216\237\344\275\223\346\267\267\345\220\210\346\204\237\346\237\223\351\207\215\347\227\207\350\202\272\347\202\2161\344\276\213/index.html" index 557453ae..4d246287 100644 --- "a/2023/10/25/\345\204\277\347\253\245\346\226\260\345\236\213\345\206\240\347\212\266\347\227\205\346\257\222Omicron\346\240\252\345\222\214\350\202\272\347\202\216\346\224\257\345\216\237\344\275\223\346\267\267\345\220\210\346\204\237\346\237\223\351\207\215\347\227\207\350\202\272\347\202\2161\344\276\213/index.html" +++ "b/2023/10/25/\345\204\277\347\253\245\346\226\260\345\236\213\345\206\240\347\212\266\347\227\205\346\257\222Omicron\346\240\252\345\222\214\350\202\272\347\202\216\346\224\257\345\216\237\344\275\223\346\267\267\345\220\210\346\204\237\346\237\223\351\207\215\347\227\207\350\202\272\347\202\2161\344\276\213/index.html" @@ -160,7 +160,7 @@
-

患儿 男, 3 岁 10 月龄,因“间歇发热 2 周伴咳嗽、气促”入上海交通大学医学院附属仁济
医院(南部院区)定点医院隔离病房。患儿病初发热,确诊为新型冠状病毒肺炎(简称新冠肺炎),热退
2d 再次持续高热>3d 伴气促、吸气性凹陷,胸部 CT 示右肺下叶片状密度影,诊断“重型新冠肺炎”,行
支气管镜肺泡灌洗,宏基因组病原检测确诊为混合肺炎支原体感染,治疗好转出院。提示临床医生诊
治重型新冠肺炎时需警惕混合感染

+

患儿 男, 3 岁 10 月龄,因“间歇发热 2 周伴咳嗽、气促”入上海交通大学医学院附属仁济医院(南部院区)定点医院隔离病房。
患儿病初发热,确诊为新型冠状病毒肺炎(简称新冠肺炎),热退 2d 再次持续高热>3d 伴气促、吸气性凹陷,胸部 CT 示右肺下叶片状密度影,诊断“重型新冠肺炎”,行支气管镜肺泡灌洗,宏基因组病原检测确诊为混合肺炎支原体感染,治疗好转出院。
提示临床医生诊治重型新冠肺炎时需警惕混合感染

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