推用于临床评估手腕病情患者的诊断测试,e-Delphi研究
Patrick Krastman1, Gerald Kraan2, Yara E van Kooij3
1Department of General Practice, Erasmus University Medical Center, Rotterdam, the Netherlands.
概括
这项研究建议进行关键的诊断测试,以评估成年人手腕不分化的投诉. 专家临床医生确定了必要的病史记录和体检步骤,以准确诊断.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 物理疗法物理治疗
- 诊断医学 诊断医学
背景情况:
- 有限的基于证据的实践存在于手腕投诉评估中的病史和体检.
- 在评估手腕疼痛患者时,需要标准化诊断方法.
研究的目的:
- 建立一套基于共识的推诊断测试,用于临床评估不分化的手腕病情.
- 为临床医生评估患有各种手腕疼痛表现的患者提供框架.
主要方法:
- 一项电子Delphi (e-Delphi) 研究与国家多学科专家小组进行.
- 专家评估和排名诊断测试的概率诊断在四个不同的病例情景 (不同的年龄,位置,持续时间).
主要成果:
- 推的诊断测试包括:创伤史,挑问题,投诉局部化,活动范围的运动评估,胀评估 (包括比较),形评估,以及对最大的敏感度的触摸.
- 这些核心诊断步骤在所有呈现的病例场景中都被推.
结论:
- 本研究介绍了第一批专家推的诊断测试,用于无差异的手腕投诉,考虑到患者的年龄,投诉的位置和持续时间.
- 这些发现旨在提高临床手腕评估的一致性和证据基础.
相关概念视频
01:11Assessment of radial pulse
827
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
827
01:25Assessment of apical radial pulse
745
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
745