Parker Jeffrey, Mathis Douglas
Interservice Physician Assistant Program, Academy of the Health Sciences, ATTN MCCS HE-PA IPAP, Room 1202, 3151 Scott Rd., STE 1229, Fort Sam Houston, TX 78234-6138, USA.
Mil Med. 2009 Nov;174(11):1237-9. doi: 10.7205/milmed-d-00-6309.
Chest pain is a common complaint in the primary care setting. During the evaluation of this complaint, most efforts are directed toward eliminating the most serious causes of chest pain. Despite a complete evaluation, many patients never receive a formal diagnosis for their complaints, which can lead to frustration and continued symptoms, which can in turn affect mission readiness of a unit. We report on a patient who presented to sick call during his deployment with a rather unexpected finding.
胸痛是基层医疗环境中常见的主诉。在对这一主诉进行评估时,大多数努力都旨在排除胸痛最严重的病因。尽管进行了全面评估,但许多患者的主诉从未得到正式诊断,这可能导致沮丧情绪和症状持续存在,进而影响部队的任务准备状态。我们报告一例在部署期间到医务室就诊的患者,其检查结果相当出人意料。