Rastogi Vaibhav, Singh Devina, Tekiner Halil, Ye Fan, Mazza Joseph J, Yale Steven H
University of Central Florida College of Medicine, Graduate Medical Education, 6850 Lake Nona Blvd, Orlando, Florida.
University of Florida, Department of Medicine. 2000 SW Archer Rd, Gainesville, Florida.
Clin Med Res. 2019 Dec;17(3-4):115-126. doi: 10.3121/cmr.2019.1420. Epub 2019 Jul 15.
An eponym in clinical medicine is an honorific term ascribed to a person(s) who may have initially discovered or described a device, procedure, anatomical part, treatment, disease, symptom, syndrome, or sign found on physical examination. Signs, although often lacking sufficient sensitivity and specificity, assist in some cases to differentiate and diagnose disease. With the advent of advanced technological tools in radiological imaging and diagnostic testing, the importance of inspection, the initial steps taught during the physical examination, is often overlooked or given only cursory attention. Nevertheless, in the era of evidence-based and cost-effective medicine, it becomes compelling, and we contend that a meticulously performed history and physical examination, applying the basic tenets of inspection, remains paramount prior to obtaining appropriate diagnostic tests.
PubMed, Medline, online Internet word searches and bibliographies from source text and textbooks. PubMed was searched using the Medical Subject Heading (MeSH) of the name of the eponyms and text words associated with the sign.
We describe the historical aspect, clinical application, and performance of medical eponymous signs of inspection found on physical examination during the 18th to 20th centuries.
临床医学中的以人名命名的术语是赋予那些可能最初发现或描述了某种设备、程序、解剖部位、治疗方法、疾病、症状、综合征或体格检查中发现的体征的人的尊称。体征虽然往往缺乏足够的敏感性和特异性,但在某些情况下有助于鉴别和诊断疾病。随着放射成像和诊断测试中先进技术工具的出现,体格检查中最初教授的检查步骤的重要性常常被忽视或仅得到粗略关注。然而,在循证医学和具有成本效益的医学时代,这变得至关重要,并且我们认为,在进行适当的诊断测试之前,精心进行病史采集和体格检查,应用检查的基本原则,仍然至关重要。
PubMed、Medline、在线互联网搜索以及原文和教科书中的参考文献。使用以人名命名的术语名称的医学主题词(MeSH)和与该体征相关的文本词在PubMed上进行搜索。
我们描述了18至20世纪体格检查中发现的以人名命名的医学检查体征的历史背景、临床应用和表现。