未分化疾病全科诊疗思维: 消瘦1例

姚丁烨; 罗桂平; 孙俊生; 马方晖; 任菁菁

doi:10.16766/j.cnki.issn.1674-4152.003944

未分化疾病全科诊疗思维: 消瘦1例

doi: 10.16766/j.cnki.issn.1674-4152.003944

姚丁烨^{1, 2},
罗桂平³,
孙俊生^{1, 2, ,},
马方晖⁴,
任菁菁⁴

1.
汕头大学医学院附属龙岗中心医院全科医学科，广东深圳 518116
2.
广州中医药大学深圳临床医学院全科医学科，广东深圳 518116
3.
深圳市龙岗区人民医院中央悦城社区健康服务中心，广东深圳 518116
4.
浙江大学医学院附属第一医院全科医学科，浙江杭州 311103

基金项目:

国家自然科学基金项目 72274169

广东省本科高校教学质量与教学改革工程项目粤教高函〔2023〕4号

广东省深圳市龙岗区医学学科建设经费资助项目

汕头大学医学院本科教学改革与研究项目 24JXGG05

详细信息

通讯作者:
孙俊生，E-mail：junshengsun@126.com

中图分类号: R499 R589.2 R749.4
计量
- 文章访问数: 9
- HTML全文浏览量: 3
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2024-04-21
- 网络出版日期: 2025-05-14

Diagnosis and treatment of MUPS: a general practice perspective on involuntary weight loss

YAO Dingye^{1, 2},
LUO Guiping³,
SUN Junsheng^{1, 2
, ,},
MA Fanghui⁴,
REN Jingjing⁴

1.
Department of General Practice, Longgang Central Hospital, Shantou University Medical College, Shenzhen, Guangdong 518116, China

摘要

摘要: 消瘦是全科医学门诊常见的未分化疾病之一，病因复杂，各系统疾病均可导致消瘦的发生。患者常辗转多个科室就诊未得到诊断及管理，浪费大量医疗资源的同时也给患者身心造成困扰。本文通过分析1例就诊多个科室未明确诊断，全科门诊通过莫塔安全策略、RICE问诊等全科诊疗工具，最终确诊为微笑型抑郁症的患者，旨在提高全科医生对消瘦的认识，门诊接诊患者时善用全科特有的诊疗工具进行分析判断。
- 消瘦 /
- 抑郁症 /
- 莫塔安全策略 /
- 全科医学
Abstract: Involuntary weight loss is one of the common medically unexplained physical symptoms (MUPS) in general practice clinic, and it ' s aetiology is complex, with various system diseases leading to involuntary weight loss. Patients are often referred to many departments without diagnosis and management, which not only wastes a lot of medical resources, but also causes physical and mental distress to patients. This article analyses the case of a patient who was not diagnosed and treated in several departments, but was finally diagnosed with smile-type depression in general practice clinic: using general practice diagnostic tools such as John Murtagh ' s safe diagnostic strategy and RICE inquiring. The aim of this article is to raise general practitioners ' understanding of involuntary weight loss and to make good use of the unique diagnostic tools of general practice in analysing and assessing patients in general practice clinic.
- Involuntary weight loss /
- Depressive disorder /
- John Murtagh ' s safe diagnostic strategy /
- General practice

HTML全文

图 1 消瘦鉴别诊断思维导图

Figure 1. Mind map of differential diagnosis of wasting

下载: 全尺寸图片幻灯片

图 2 消瘦莫塔安全诊断策略思维导图

Figure 2. Mind map of Emaciation Mota safety diagnostic strategy

下载: 全尺寸图片幻灯片

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