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Nejm News Une Mise à Jour The New England Journal of Medicine by Specialties

 


The New England Journal of Medicine: Search Results in Surgery
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Surgery. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.

Severe Mitral Stenosis
31/12/69 - A 47-year-old man presented to the emergency department with a 6-month history of worsening exertional dyspnea. He had recently emigrated from Honduras and had a history of cardiac surgery as a child, but the initial diagnosis and specific procedure that had been performed were not known. The…

Chronic Limb-Threatening Ischemia
31/12/69 - This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author?s clinical recommendations. A 75-year-old man presents with…

Vertebral Hydatidosis
31/12/69 - A 35-year-old woman presented to the emergency department with weakness, a feeling of electric shocks in both legs, and repeated falls. She reported that the symptoms had been progressing, and she noted that she had had difficulty riding her horse for the preceding 3 months. She lived in France,…

Chronic Occlusion of the Superior Vena Cava
31/12/69 - An 89-year-old man presented to the outpatient clinic for evaluation of a right inguinal hernia. He had a history of hypertension and also reported having abdominal-wall varices that had been increasing in size for 20 years. He had no history of central venous catheterization. On physical…

Prophylaxis against Upper Gastrointestinal Bleeding in Hospitalized Patients
31/12/69 - Beginning approximately four decades ago, a series of randomized trials suggested that, in seriously ill hospitalized patients, primary prevention of clinically important upper gastrointestinal bleeding ? stress-ulcer prophylaxis ? significantly reduces the risk of bleeding. In response, practice…

Informed Consent and the Role of the Treating Physician
31/12/69 - In the century since Justice Benjamin N. Cardozo famously declared that "[e]very human being of adult years and sound mind has a right to determine what shall be done with his own body," informed consent has become a central feature of American medical practice. In an increasingly team-based and…

Finding the Right Balance
31/12/69 - When I was a young resident in the 1990s, surgical patients received so much intravenous saline on the day of surgery that they often gained 4 to 6 kg, and by postoperative day 2 or 3, pulmonary congestion and cardiac arrhythmias were commonplace. That was the basis for a 2003 trial of restrictive…

Thumbprinting in Ischemic Colitis
31/12/69 - A 63-year-old man presented to the emergency department with a 3-day history of abdominal pain that had started in the periumbilical area and subsequently shifted to the left lower quadrant. The physical examination revealed tenderness in the left lower quadrant. Initial laboratory tests showed a…

Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery
31/12/69 - Each year, at least 310 million patients undergo major surgery worldwide, procedures that involve the administration of intravenous fluids. Clinicians have traditionally administered generous amounts of intravenous fluids perioperatively to correct for preoperative fasting and other fluid deficits,…

Breast Cancer in Men
31/12/69 - Breast cancer in men is a rare and understudied disease. Few prospective studies focusing on breast cancer in men have been conducted, and clinical trials of breast cancer treatments have routinely excluded men. Most of the published data have been collected from small cohorts of patients treated…

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