From 9bbf2fc8d27a8b345b3a6d3b04b9e5bd4da3778d Mon Sep 17 00:00:00 2001 From: muqiuhan Date: Wed, 25 Oct 2023 02:01:21 +0000 Subject: deploy: 1f6dc402bd12d79c2da131106d2f81d10702fb10 --- .../index.html | 232 +++++++++++++++++++++ .../index.html" | 226 ++++++++++++++++++++ .../index.html" | 5 + 3 files changed, 463 insertions(+) create mode 100644 2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html create mode 100644 "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" (limited to '2023') 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 new file mode 100644 index 00000000..4f5d9f0c --- /dev/null +++ b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html @@ -0,0 +1,232 @@ + + + + + + + + + + + + + + + + + + + + + +Radiographic Absence of the Left Humeral Head | 暮秋小屋 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
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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
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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.

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这里提到了一种罕见的进展性疾病, 叫Charcot肩, 是一种神经性关节病变，特点是关节迅速被破坏和相关软组织肿胀。患者通常表现为肩部逐渐增大的肿胀，可能伴有疼痛或无痛，肩部无力和活动范围减少。
大约80%的Charcot肩患者有脊髓空洞症, 表现为脊髓中的液体充满腔体

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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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