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对有肌肉骨骼问题主诉的患者进行合理的初始临床评估。

The rational initial clinical evaluation of the patient with musculoskeletal complaints.

作者信息

Phillips A C, Polisson R P

机构信息

Harvard Medical School and The Arthritis Unit of the Medical Service, Massachusetts General Hospital, Boston 02114, USA.

出版信息

Am J Med. 1997 Dec 29;103(6A):7S-11S. doi: 10.1016/s0002-9343(97)90002-4.

DOI:10.1016/s0002-9343(97)90002-4
PMID:9455963
Abstract

The differentiation of articular from nonarticular complaints and inflammatory from noninflammatory disorders can usually be made by clinical evaluation. Laboratory and radiographic studies serve as adjuncts in the evaluation of musculoskeletal complaints; however, before ordering these studies, it is important to consider how the findings will affect diagnosis, prognosis, and treatment. An effective clinical evaluation is frequently sufficient to establish a differential diagnosis, focus further confirmatory testing, and consider appropriate treatment.

摘要

通常可通过临床评估来区分关节性与非关节性主诉,以及炎性与非炎性疾病。实验室检查和影像学检查在肌肉骨骼疾病的评估中起辅助作用;然而,在安排这些检查之前,重要的是要考虑检查结果将如何影响诊断、预后和治疗。有效的临床评估通常足以确立鉴别诊断、确定进一步的确诊检查并考虑适当的治疗方法。

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