Riba M, Hale M
Department of Psychiatry, University of Connecticut Health Center, Farmington 06443.
Psychosomatics. 1990 Fall;31(4):400-4. doi: 10.1016/S0033-3182(90)72134-2.
Prior medical clearance is an important variable in the psychiatric assessment of the emergency room patient. An analysis of documentation of prior physical examinations on a consecutive series of 137 patients seen in a general hospital emergency room and referred for psychiatric consultation revealed wide variance in physical examinations. The authors discuss the implications of incomplete physical examinations for psychiatry and offer proposals for standardization of this important aspect of patient evaluation.
既往医疗许可在急诊室患者的精神病学评估中是一个重要变量。对一家综合医院急诊室连续就诊并被转诊进行精神科会诊的137例患者的既往体格检查记录进行分析后发现，体格检查存在很大差异。作者讨论了不完整的体格检查对精神病学的影响，并就患者评估这一重要方面的标准化提出了建议。
