from the Neurology Training Program at AZ Sint Jan, Brugge, Belgium.
NEJM Evid. 2024 Sep;3(9):EVIDmr2400172. doi: 10.1056/EVIDmr2400172. Epub 2024 Aug 27.
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 36-year-old man who sought evaluation for a persistent headache and numbness on the cheek. 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表现。晨交班部分旨在延续这一传统,介绍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 36 岁男性因持续性头痛和脸颊麻木就诊的病例。通过提问、体格检查和检测,为该表现制定了一个疾病脚本。随着临床病程的进展,鉴别诊断得到了细化,直到做出诊断。