Robinson N J, Dean R S, Cobb M, Brennan M L
Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough LE12 5RD, UK.
Vet Rec. 2015 May 2;176(18):463. doi: 10.1136/vr.102751. Epub 2015 Jan 6.
Understanding more about the clinical presentations encountered in veterinary practice is vital in directing research towards areas relevant to practitioners. The aim of this study was to describe all problems discussed during a convenience sample of consultations using a direct observation method. A data collection tool was used to gather data by direct observation during small animal consultations at eight sentinel practices. Data were recorded for all presenting and non-presenting specific health problems discussed. A total of 1901 patients were presented with 3206 specific health problems discussed. Clinical presentation varied widely between species and between presenting and non-presenting problems. Skin lump, vomiting and inappetence were the most common clinical signs reported by the owner while overweight/obese, dental tartar and skin lump were the most common clinical examination findings. Skin was the most frequently affected body system overall followed by non-specific problems then the gastrointestinal system. Consultations are complex, with a diverse range of different clinical presentations seen. Considering the presenting problem only may give an inaccurate view of the veterinary caseload, as some common problems are rarely the reason for presentation. Understanding the common diagnoses made is the next step and will help to further focus questions for future research.
深入了解兽医临床实践中遇到的各种临床表现，对于引导研究朝着与从业者相关的领域发展至关重要。本研究旨在通过直接观察法描述在便利抽样的会诊中讨论的所有问题。在八家定点诊所的小动物会诊期间，使用数据收集工具通过直接观察来收集数据。记录所有提出的和未提出的具体健康问题。总共1901例患者被提及3206个具体健康问题。不同物种之间以及提出的和未提出的问题之间，临床表现差异很大。主人报告的最常见临床症状是皮肤肿块、呕吐和食欲不振，而超重/肥胖、牙菌斑和皮肤肿块是最常见的临床检查结果。总体而言，皮肤是受影响最频繁的身体系统，其次是非特异性问题，然后是胃肠道系统。会诊很复杂，会出现各种各样不同的临床表现。仅考虑提出的问题可能会对兽医病例量产生不准确的看法，因为一些常见问题很少是就诊的原因。了解常见诊断是下一步，这将有助于进一步聚焦未来研究的问题。
