Fujimori Taichi, Kijima Tsunetaka, Honda Satoshi, Yamagata Shingo, Makiishi Tetsuya
Internal Medicine, Shimane University, Izumo, JPN.
General Medicine, Shimane University, Izumo, JPN.
Cureus. 2022 Jul 28;14(7):e27386. doi: 10.7759/cureus.27386. eCollection 2022 Jul.
We present the case of a 66-year-old man who presented with acute abdominal pain and bloody stool as his chief complaints and was finally diagnosed with ischemic colitis from colon cancer and acute cerebral infarction. Although several cognitive biases led to physicians missing the presence of acute stroke, a diagnostic team consisting of the patient, his family members, a ward nurse, and the physician worked effectively to reach the correct diagnosis soon after admission. A physician is not the only person involved in the diagnostic process. A patient-centered diagnostic team is necessary.
我们报告了一例66岁男性病例，该患者以急性腹痛和便血为主诉就诊，最终被诊断为结肠癌合并缺血性结肠炎及急性脑梗死。尽管存在一些认知偏差导致医生漏诊了急性中风的存在，但由患者、其家属、病房护士和医生组成的诊断团队在入院后不久有效地开展工作，得出了正确的诊断。参与诊断过程的并非只有医生。以患者为中心的诊断团队是必要的。
