Clinical problem-solving. Empirically incorrect.
Clinical problem-solving. Empirically incorrect.
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临床问题解决。
DOI：
10.1056/nejmcps051762
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Moseley,RichardH
中科院分区：
文献类型：
--
作者：
Schmitt,Amy;Gilden,DanielJ;Saint,Sanjay;Moseley,RichardH
一名46岁的墨西哥移民出现上腹痛和呕吐咖啡渣。他报告在前两个月内出现疲劳、不适、黄疸和体重减轻20磅（9.1公斤）。他也有大便发黑、头晕目眩和轻度呼吸急促，但没有发热、寒战或盗汗。
A 46-year-old Mexican immigrant presented with epigastric pain and vomiting of coffee-grounds material. He reported fatigue, malaise, jaundice, and a weight loss of 20 lb (9.1 kg) during the previous two months. He had also had dark stools, light-headedness, and mild shortness of breath, but no fever, chills, or night sweats.