Department of Surgery, Northampton General Hospital, Northampton NN1 5BD, UK.
QJM. 2013 Jul;106(7):617-21. doi: 10.1093/qjmed/hct076. Epub 2013 Mar 23.
Patients often quote diseases or illnesses that either do not exist per se or are hard to prove that they exist. Often symptoms are vague and, therefore, difficult for patients to qualify in a language clinicians can understand, interpret and act upon. Physicians often perpetuate this by giving 'diagnoses of exclusion', or using poor explanations, oversimplifications, conflicting diagnostic criteria or vague historical terms that have now evolved into something else. However, the history taker must be able to interpret the subtle language barrier that exists between doctor and patient. In this short review of the literature, some commonly quoted conditions are examined more closely to try and understand further the terminology used by both patients and clinicians alike.
患者常引用一些本身并不存在或难以证明其存在的疾病或病症。通常，症状较为模糊，因此患者难以用临床医生能够理解、解释和采取行动的语言来描述这些症状。医生通常会通过“排除性诊断”或使用不佳的解释、过度简化、相互冲突的诊断标准或已经演变成其他含义的模糊历史术语来延续这种情况。然而，采集病史者必须能够解释医生和患者之间存在的微妙语言障碍。在对文献的简要回顾中，我们更仔细地检查了一些常被引用的病症，试图进一步理解患者和临床医生使用的术语。
