Yancey W B, Williams R C
J. Hillis Miller Health Center, Gainesville, FL 32610.
Postgrad Med. 1991 Feb 1;89(2):93-6, 99-100, 103 passim. doi: 10.1080/00325481.1991.11700818.
A carefully taken history and thorough physical examination remain the most crucial aspects of diagnosing rheumatic disorders. Non-rheumatologic conditions also need to be kept in mind. Laboratory tests should be looked on as mostly supportive or confirmatory, because many of the tests are relatively nonspecific and may lack sensitivity. If their limitations are recognized, however, the tests can be invaluable tools when the clinician confronts the task of differentiating an array of rheumatologic disorders.
详细的病史采集和全面的体格检查仍然是诊断风湿性疾病最关键的方面。同时也需要考虑非风湿性疾病。实验室检查主要应视为辅助或确诊手段,因为许多检查相对缺乏特异性,且可能缺乏敏感性。然而,如果认识到其局限性,那么在临床医生面对鉴别一系列风湿性疾病的任务时,这些检查会成为非常宝贵的工具。