诊断急性阑尾炎:病例研究。

Janice Mooney, Jonathan Hodgkinson
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摘要

高级临床执业医师 (ACP) 是受过硕士学位教育的经验丰富的保健专业人员。他们负责对个人进行评估、诊断和治疗,并负责做出复杂的决定。本文介绍的案例研究对一名六十多岁的男性患者的会诊情况进行了批判性分析,该患者有两天的腹痛病史,由全科医生转诊至外科评估科。分析采用卡尔加里-剑桥模式进行。文章讨论了病史采集、腹部检查和鉴别诊断,并介绍了见习 ACP 如何得出阑尾炎诊断的过程。
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Diagnosing acute appendicitis: a case study.

Advanced clinical practitioners (ACPs) are experienced health professionals educated to master's level. They are accountable for the assessment, diagnosis and treatment of individuals, and are responsible for making complex decisions. The case study presented in this article critically analyses the consultation involving a male patient in his sixties with a 2-day history of abdominal pain, who was referred by his GP to a surgical assessment unit. Analysis was carried out using the Calgary-Cambridge Model. The article discusses history-taking, abdominal examination and differential diagnoses, and presents the process of how the trainee ACP arrived at the diagnosis of appendicitis.

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