from the Department of Otorhinolaryngology at Kantonsspital Aarau, Switzerland, and the Department of Otolaryngology at Imperial College Hospitals, England.
NEJM Evid. 2024 Apr;3(4):EVIDmr2300351. doi: 10.1056/EVIDmr2300351. Epub 2024 Mar 26.
AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case.This report examines the case of a 70-year-old woman who sought evaluation for a sensation of something moving in her nose. The sensation began during a trip to South America and persisted after she returned home to Switzerland. Using questions, physical examination, and testing, an illness script for the presentation emerges. As the clinical course progresses, the differential is refined until a diagnosis is made.
摘要
晨间报告是一项历史悠久的传统,住院医师在此向同事和临床专家报告病例,共同检查有趣的患者病情。《晨间报告》部分旨在延续这一传统,呈现患者的主要关注点和病史,邀请读者建立鉴别诊断并与病例作者一起发现诊断。
本报告探讨了一位 70 岁女性的病例,她因感觉有东西在鼻子里移动而寻求评估。这种感觉始于她去南美洲旅行期间,并在她回到瑞士后持续存在。通过提问、体格检查和检查,出现了一个针对该表现的疾病脚本。随着临床病程的进展,鉴别诊断得到了细化,直到做出诊断。