[The importance of occupational history in clinical thinking from the diagnosis and treatment of a case of Tsutsugamushi disease].
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi
; 37(8): 639-641, 2019 Aug 20.
Article
in Zh
| MEDLINE
| ID: mdl-31495126
ABSTRACT
A farm worker in Baodi District of Tianjin was diagnosed with Tsutsugamushi disease due to fever and intermittent cough for more than 3 months.The patient's diagnosis and treatment process was complicated, and the diagnosis was delayed in the early stage of the disease because the clinician neglected the occupational history and lacked knowledge about the prevention and control of tsutsugamushi disease. As an important part of the epidemiological history, occupational history is crucial for the diagnosis of occupational related diseases. Clinical thinking runs through the whole process of clinical diagnosis and disease treatment, and correct clinical thinking can effectively reduce the occurrence of misdiagnosis.Clinicians should ask and record career history in detail to improve the quality of health care.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Scrub Typhus
/
Occupational Exposure
/
Delayed Diagnosis
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
Zh
Journal:
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi
Journal subject:
MEDICINA OCUPACIONAL
Year:
2019
Document type:
Article