To the editor:A previously healthy 3-month-old male presented to his pediatrician with an isolated fever for a few days.A complete blood count(CBC)revealed hemoglobin(Hb)81 g/L,mean cell volume(MCV)79 fl,white blood c...To the editor:A previously healthy 3-month-old male presented to his pediatrician with an isolated fever for a few days.A complete blood count(CBC)revealed hemoglobin(Hb)81 g/L,mean cell volume(MCV)79 fl,white blood cell count(WBC)1.9×10^(9)/L,absolute neutrophil count(ANC)3.2×10^(9)/L,and platelet count 260×10^(9)/L.Repeated CBC a few days later showed worsening of the leukopenia and anemia.Upon hospital admission,the patient had a history of fever and lethargy for 11 days.Further history revealed that his father is a farm worker.Initial physical examination showed massive hepatosplenomegaly.展开更多
Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians a...Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world.In‘Ⅶ:family medicine across the lifespan’,authors address the following themes:‘Family medicine maternity care’,‘Seeing children as patients brings joy to work’,‘Family medicine and the care of adolescents’,‘Reproductive healthcare across the lifespan’,‘Men’s health’,‘Care of older adults’,and‘Being with dying’.May readers appreciate the range of family medicine in these essays.展开更多
文摘To the editor:A previously healthy 3-month-old male presented to his pediatrician with an isolated fever for a few days.A complete blood count(CBC)revealed hemoglobin(Hb)81 g/L,mean cell volume(MCV)79 fl,white blood cell count(WBC)1.9×10^(9)/L,absolute neutrophil count(ANC)3.2×10^(9)/L,and platelet count 260×10^(9)/L.Repeated CBC a few days later showed worsening of the leukopenia and anemia.Upon hospital admission,the patient had a history of fever and lethargy for 11 days.Further history revealed that his father is a farm worker.Initial physical examination showed massive hepatosplenomegaly.
文摘Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world.In‘Ⅶ:family medicine across the lifespan’,authors address the following themes:‘Family medicine maternity care’,‘Seeing children as patients brings joy to work’,‘Family medicine and the care of adolescents’,‘Reproductive healthcare across the lifespan’,‘Men’s health’,‘Care of older adults’,and‘Being with dying’.May readers appreciate the range of family medicine in these essays.
