RESUMEN
In medicine, there are progresses which radically transform practices, change recommendations and win unanimous support in the medical community. There are some which divide, questioning principles that seemed established. There are also small advances, which can answer the questions that internists ask themselves in the daily care of their patients. Here are several articles published in 2017, read and commented for you by hospitalists, selected according to their impact on the medical world.
En médecine, il y a des découvertes qui révolutionnent les pratiques, changent les recommandations et rassemblent toute la communauté médicale. Il y en a qui divisent, en remettant en question des principes qui semblaient établis. Il y a aussi de petites avancées qui permettent de répondre aux questions que se posent les internistes dans la prise en charge quotidienne de leurs patients. Voici quelques articles parus en 2017, lus et commentés pour vous par des internistes hospitaliers et sélectionnés en fonction de leur retentissement dans le monde médical.
Asunto(s)
Medicina Interna , Médicos Hospitalarios , Humanos , Medicina Interna/tendenciasRESUMEN
A 42-year-old man from Bhutan was admitted to the emergency department with a 5-day history of abdominal pain, nausea and vomiting. Enhanced abdominal CT scan was found negative, however laboratory tests showed hemolytic anemia and basophilic stippling which are often seen in lead and heavy metal poisoning. Additional tests revealed a high level of lead in blood and urine. The patient was administered a chelator treatment with rapid improvement of the symptoms. A detailed interview revealed that the patient had been taking daily Bhutanese traditional medicines to treat a Bell's palsy from which he had been suffering for a few months. The analysis of these medicines confirmed the presence of a high level of lead.