咨询的时间和部门会影响肝炎的诊断
Yangbo Hu1, Yijiao Mou1, Maoxin Lei1
1Department of Infectious Diseases, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Medicina
|November 28, 2025
概括
由于非特异性症状,发烧性肝的诊断往往会延迟,导致患者去找错误的专家. 早期识别需要仔细的临床评估和适当的诊断方法,以便及时治疗.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 诊断医学 诊断医学
背景情况:
- 发烧性肝 (PLA) 的诊断经常被推迟.
- 症状可能是非特异性的,模仿其他条件.
- 患者通常最初咨询非专业部门.
研究的目的:
- 为了分析发烧性肝的诊断时间.
- 为了确定影响延迟诊断的因素.
- 改进对PLA的早期检测策略.
主要方法:
- 对191名PLA患者 (2013-2023) 的医疗记录的回顾性审查.
- 分析症状发作,咨询和诊断时间表.
- 确定与延迟相关的临床和人口因素.
主要成果:
- 从症状出现到诊断的中位时间为7天.
- 16%的患者最初访问了不合适的专业门诊部门.
- 影响延迟的因素包括高烧,瘦身,恶心,低白蛋白和血小板狭窄.
结论:
- 无特异性PLA症状导致错误诊断和延迟治疗.
- 不适当的初始咨询导致诊断延迟.
- 临床医生需要进行彻底的评估,并利用有效的诊断工具进行早期PLA诊断.
相关概念视频
Acute Pyelonephritis II: Diagnostic Studies and Management
289
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
289
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
169
In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
169
Acute Pyelonephritis I: Introduction
443
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
443
Appendicitis-II: Diagnostic Studies and Management
465
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
465
Sputum Studies II: Culture and Sensitivity
1.1K
Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
1.1K
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
507
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
507

