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为何病史和体格检查仍然重要。

Why the history and physical examination still matter.

作者信息

Schultz Michele A, Doty Maggie

机构信息

Michele A. Schultz is an academic specialist and clinical coordinator of the PA program at Indiana University's Indianapolis campus. Maggie Doty was a student in the PA program at Indiana University when this article was written. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2016 Mar;29(3):41-5. doi: 10.1097/01.JAA.0000480568.62755.72.

Abstract

The history and physical examination (H/PE) have been the foundation of medical diagnosis for centuries. However, as laboratory tests and diagnostic imaging has expanded, physical examination skills have been deemphasized in medical education, and clinicians have become more reliant on tests and imaging. This article describes the historical contributions of the H/PE and its resurgence in a refined form to improve diagnosis.

摘要

几个世纪以来,病史和体格检查(H/PE)一直是医学诊断的基础。然而,随着实验室检查和诊断成像技术的发展,体格检查技能在医学教育中受到的重视程度有所下降,临床医生越来越依赖检查和成像技术。本文介绍了病史和体格检查的历史贡献及其以改进诊断为目的的复兴形式。

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