Arora Priya, Elliott James M, Pourkazemi Fereshteh, Nasseri Pebdani Roxanna
Northern Sydney (Arabanoo) Precinct Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney Camperdown New South Wales Australia.
Northern Beaches Community Mental Health Services (NBCMHS) Brookvale Community Health Centre Brookvale New South Wales Australia.
Clin Case Rep. 2023 Oct 26;11(11):e8010. doi: 10.1002/ccr3.8010. eCollection 2023 Nov.
Reconceptualising acute Musculoskeletal (MSK) injuries with both stress- and tissue- based factors is required to consider prior influences of mental health disorders on acute persistent MSK pain presentations. This report describes repeated emergency presentations of an individual with acute persistent MSK pain in their twenties living with mental health. Their mental health diagnoses included depression, mood disorders, and anorexia nervosa. This person also had mental health related inpatient admissions that were not captured under the retrospective record review for a large district hospital emergency department using the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) classification system. This case report attempts to demonstrate that improving the understanding of preexisting vulnerabilities and mental health diagnoses may assist with informing healthcare design to develop specialised care pathways for acute injury presentations within triage settings.
为了考虑心理健康障碍对急性持续性肌肉骨骼（MSK）疼痛表现的先前影响，需要从压力和组织因素两方面对急性MSK损伤进行重新概念化。本报告描述了一名二十多岁患有心理健康问题的个体反复出现急性持续性MSK疼痛的急诊情况。他们的心理健康诊断包括抑郁症、情绪障碍和神经性厌食症。该个体还因心理健康问题住院，但在一家大型地区医院急诊科使用医学临床术语系统命名法（SNOMED CT）分类系统进行回顾性记录审查时未被记录。本病例报告试图表明，增进对既往易感性和心理健康诊断的理解，可能有助于为医疗保健设计提供信息，以便在分诊环境中为急性损伤表现制定专门的护理途径。
