{"id":2149,"date":"2014-03-25T12:23:04","date_gmt":"2014-03-25T11:23:04","guid":{"rendered":"https:\/\/perruchenautomne.eu\/wordpress\/?p=2149"},"modified":"2018-01-03T14:45:53","modified_gmt":"2018-01-03T13:45:53","slug":"au-fil-des-demandes-davis-un-petit-jeu","status":"publish","type":"post","link":"https:\/\/perruchenautomne.eu\/wordpress\/2014\/03\/25\/au-fil-des-demandes-davis-un-petit-jeu\/","title":{"rendered":"Au fil des demandes d&rsquo;avis, un petit jeu"},"content":{"rendered":"<p>Ce matin, demande d&rsquo;avis pour une insuffisance r\u00e9nale aig\u00fce, dossier un peu difficile, mon interne m&rsquo;interroge.<\/p>\n<p>Je regarde les images du patient. J&rsquo;ai l&rsquo;habitude quand c&rsquo;est compliqu\u00e9 de reprendre un peu tout. Je ne m\u2019\u00e9tendrai pas ici sur la cause de l&rsquo;IRA, par contre je soumets \u00e0 votre sagacit\u00e9 quelques photos \u00e9tonnantes de ce patient.<\/p>\n<p>Pour commencer sans injection<\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2150\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images.jpg\" alt=\"images\" width=\"510\" height=\"358\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images.jpg 510w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images-300x210.jpg 300w\" sizes=\"auto, (max-width: 510px) 100vw, 510px\" \/><\/a><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2152\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images2.jpg\" alt=\"images2\" width=\"450\" height=\"367\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images2.jpg 450w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/images2-300x244.jpg 300w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/a>Puis un temps art\u00e9riel, de haut en bas.<\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2155\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea8.jpg\" alt=\"imagea8\" width=\"447\" height=\"357\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea8.jpg 447w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea8-300x239.jpg 300w\" sizes=\"auto, (max-width: 447px) 100vw, 447px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2153\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea6.jpg\" alt=\"imagea6\" width=\"462\" height=\"345\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea6.jpg 462w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea6-300x224.jpg 300w\" sizes=\"auto, (max-width: 462px) 100vw, 462px\" \/><\/a> <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2154\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea7.jpg\" alt=\"imagea7\" width=\"465\" height=\"352\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea7.jpg 465w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagea7-300x227.jpg 300w\" sizes=\"auto, (max-width: 465px) 100vw, 465px\" \/><\/a> Puis un peu de portal, toujours de haut en bas.<\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2157\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep4.jpg\" alt=\"imagep4\" width=\"445\" height=\"363\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep4.jpg 445w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep4-300x244.jpg 300w\" sizes=\"auto, (max-width: 445px) 100vw, 445px\" \/><\/a> <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2156\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep3.jpg\" alt=\"imagep3\" width=\"453\" height=\"361\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep3.jpg 453w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep3-300x239.jpg 300w\" sizes=\"auto, (max-width: 453px) 100vw, 453px\" \/><\/a><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2158\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep5.jpg\" alt=\"imagep5\" width=\"464\" height=\"352\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep5.jpg 464w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imagep5-300x227.jpg 300w\" sizes=\"auto, (max-width: 464px) 100vw, 464px\" \/><\/a>Un temps tardif,<\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2159\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget12.jpg\" alt=\"imaget12\" width=\"476\" height=\"377\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget12.jpg 476w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget12-300x237.jpg 300w\" sizes=\"auto, (max-width: 476px) 100vw, 476px\" \/><\/a><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget13.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2160\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget13.jpg\" alt=\"imaget13\" width=\"487\" height=\"387\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget13.jpg 487w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imaget13-300x238.jpg 300w\" sizes=\"auto, (max-width: 487px) 100vw, 487px\" \/><\/a>Et pour finir, des coupes frontales<\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2161\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image9.jpg\" alt=\"image9\" width=\"363\" height=\"460\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image9.jpg 363w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image9-236x300.jpg 236w\" sizes=\"auto, (max-width: 363px) 100vw, 363px\" \/><\/a> <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2162\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image10.jpg\" alt=\"image10\" width=\"385\" height=\"465\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image10.jpg 385w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image10-248x300.jpg 248w\" sizes=\"auto, (max-width: 385px) 100vw, 385px\" \/><\/a>La question, que pensez vous de ses reins?<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ce matin, demande d&rsquo;avis pour une insuffisance r\u00e9nale aig\u00fce, dossier un peu difficile, mon interne m&rsquo;interroge. Je regarde les images du patient. J&rsquo;ai l&rsquo;habitude quand c&rsquo;est compliqu\u00e9 de reprendre un peu tout. Je ne m\u2019\u00e9tendrai pas ici sur la cause &hellip; <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/2014\/03\/25\/au-fil-des-demandes-davis-un-petit-jeu\/\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[3],"tags":[244,861],"class_list":["post-2149","post","type-post","status-publish","format-standard","hentry","category-histoires-de-patients","tag-jeu","tag-rein-bizarre"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1l1zM-yF","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/2149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/comments?post=2149"}],"version-history":[{"count":3,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/2149\/revisions"}],"predecessor-version":[{"id":5660,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/2149\/revisions\/5660"}],"wp:attachment":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/media?parent=2149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/categories?post=2149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/tags?post=2149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}