South London and Maudsley NHS Foundation Trust (SLaM), London, UK
King's College London, London, UK and South London and Maudsley NHS Foundation Trust (SLaM), London, UK.
Clin Med (Lond). 2021 Jan;21(1):13-18. doi: 10.7861/clinmed.2020-0947.
Medically unexplained symptoms or persistent physical symptoms are common, real and are associated with significant distress, loss of functioning and high healthcare costs. History, examination and appropriate investigations are essential to make a diagnosis. Once the diagnosis has been made, exploring the impact of the symptoms helps us to tailor our advice to patients. This paper sets out a practical approach to taking a history, assessment and stepwise management principles.
医学无法解释的症状或持续的身体症状很常见，是真实存在的，并且会给患者带来显著的痛苦、丧失功能和高额的医疗费用。病史、体检和适当的检查对于做出诊断至关重要。一旦做出诊断，探索症状的影响有助于我们根据患者的情况提供个性化的建议。本文提出了一种实用的方法来采集病史、进行评估和逐步管理原则。
