Bartlett Kathryn, Kane Kathleen E, Kane Bryan G, Weaver Kevin R, Barr Gavin C
Lehigh Valley Hospital and Health Network, Department of Emergency Medicine, Allentown, Pennsylvania.
University of South Florida Morsani College of Medicine, Department of Emergency Medicine, Tampa, Florida.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):656-659. doi: 10.5811/cpcem.2020.7.47384.
Determination of medical stability for patients presenting with psychiatric complaints is common for emergency clinicians. A thorough history and physical examination is important.
A 53-year-old male presented to the emergency department (ED) with depression, suicidal ideation, and decline in activities of daily living over six months. While his initial neurologic examination was non-focal, subsequent re-evaluations demonstrated significant changes, and he was ultimately diagnosed with Creutzfeldt-Jakob disease.
This case demonstrates how a detailed history of the present illness could have led to a more accurate and timely medical disposition from the ED.
对于有精神科主诉的患者确定医疗稳定性是急诊临床医生的常见工作。全面的病史和体格检查很重要。
一名53岁男性因抑郁、自杀观念及日常生活活动能力下降6个月而就诊于急诊科。其初始神经系统检查无局灶性异常，但随后的复查显示出显著变化，最终他被诊断为克雅氏病。
本病例表明，现病史的详细了解如何能使急诊科做出更准确、及时的医疗处置。
