from the Hackensack Meridian School of Medicine.
NEJM Evid. 2024 Aug;3(8):EVIDmr2400040. doi: 10.1056/EVIDmr2400040. Epub 2024 Jul 23.
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 story of a 53-year-old woman with a history of breast cancer who presented with abnormal axillary lymph nodes detected on surveillance imaging. Using history, physical examination, and diagnostic workup, an illness script for her presentation emerges. A differential diagnosis is developed and refined until a final diagnosis is confirmed.
摘要
晨交班是一项历史悠久的传统,住院医师在此向同事和临床专家汇报病例,共同检查有趣的患者病情。晨交班部分旨在通过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,从而延续这一传统。本报告探讨了一位 53 岁女性的病史,她曾患有乳腺癌,在监测影像检查中发现腋窝淋巴结异常。通过病史、体格检查和诊断性检查,形成了她病情的病历。建立并细化了鉴别诊断,直到最终确诊。