Objective: To use the etiology list of abdominal pain to help identify acute abdominal pain. Methods: to design a list of causes of acute abdominal pain as per the concept of system thinking, determine the five differ...Objective: To use the etiology list of abdominal pain to help identify acute abdominal pain. Methods: to design a list of causes of acute abdominal pain as per the concept of system thinking, determine the five differential diagnosis directions of “local organ disease, adjacent organ disease, systemic disease, psychogenic disease, and female reproductive system disease”, and elaborate the application effect of the checklist in the diagnosis of acute abdominal pain by virtue of the analysis of one case of acute abdominal pain. Results: according to the list of causes of abdominal pain, the causes of acute abdominal pain were screened, and patients suffering from acute renal infarction (ARI) who presented with simple abdominal pain were diagnosed and treated timely. Conclusion: the etiology list is helpful to guide the diagnosis direction of acute abdominal pain, and make a rapid clinical diagnosis, so as to form a systematic thinking mode.展开更多
It is challenging for general practitioners to make a more correct diagnosis with the least instrument examination. How to make an effective diagnosis has always been an issue. In order to achieve this goal, a clinica...It is challenging for general practitioners to make a more correct diagnosis with the least instrument examination. How to make an effective diagnosis has always been an issue. In order to achieve this goal, a clinical symptom-oriented modular diagnosis scheme based on the concept of the process thinking and Murtaghs General Practice was developed for general practitioners. Five key steps according to the workflow of real reception patients by a general practitioner were promulgated in this design of a modular scheme, which is in line with the actual clinical setting. This thinking concept of diagnosis should help prevent missed and erroneous diagnoses and meet the actual needs of general practitioners.展开更多
With the aging in whole world, it has become a great challenge to explore the relationship between the cognitive and behavioral performance of senile dementia and the underlying pathology of the brain. Alzheimer’s di...With the aging in whole world, it has become a great challenge to explore the relationship between the cognitive and behavioral performance of senile dementia and the underlying pathology of the brain. Alzheimer’s disease (AD) is a common age-related and progressive neurodegenerative disease characterized and one of the main causes of senile dementia. The pathogenesis and treatment mechanism of AD are not completely clear. In recent years, it has been found that the Gut microbiota (GM) disorder is related to nervous system diseases. The objective of this review is to summarize the etiology and pathogenyon the role of GM in the development of AD, metabolites of GM and the occurrence of AD, and GM, diabetes and occurrence of AD. Understanding the relationship between GM and AD will help provide possible interventions to improve the structure of GM and prevent AD through different treatments, and it may provide clinicians with a new and more effective way for early diagnosis, prevention and treatment of AD.展开更多
General Practice is a comprehensive subject with a wide spectrum of diseases. It is challenging to make a more correct diagnosis timely and reasonable treatment with the least instrument examination for the diagnosis ...General Practice is a comprehensive subject with a wide spectrum of diseases. It is challenging to make a more correct diagnosis timely and reasonable treatment with the least instrument examination for the diagnosis of medically unexplained physical symptoms (MUPS). This article reviews the case report of a patient who presented to a community hospital with a one-month history of constant diffuse abdominal pain and underwent eight weeks of examinations, finally experienced deterioration of their condition. Based on this case, this article discusses the problems in the diagnosis of abdominal pain in a community hospital, and according to the clinical thinking mode and checklist of abdominal pain, the diagnostic process of abdominal pain can be improved, and the diagnosis of non-differentiated diseases can be done better, the harm caused by delayed diagnosis may be reduced.展开更多
文摘Objective: To use the etiology list of abdominal pain to help identify acute abdominal pain. Methods: to design a list of causes of acute abdominal pain as per the concept of system thinking, determine the five differential diagnosis directions of “local organ disease, adjacent organ disease, systemic disease, psychogenic disease, and female reproductive system disease”, and elaborate the application effect of the checklist in the diagnosis of acute abdominal pain by virtue of the analysis of one case of acute abdominal pain. Results: according to the list of causes of abdominal pain, the causes of acute abdominal pain were screened, and patients suffering from acute renal infarction (ARI) who presented with simple abdominal pain were diagnosed and treated timely. Conclusion: the etiology list is helpful to guide the diagnosis direction of acute abdominal pain, and make a rapid clinical diagnosis, so as to form a systematic thinking mode.
文摘It is challenging for general practitioners to make a more correct diagnosis with the least instrument examination. How to make an effective diagnosis has always been an issue. In order to achieve this goal, a clinical symptom-oriented modular diagnosis scheme based on the concept of the process thinking and Murtaghs General Practice was developed for general practitioners. Five key steps according to the workflow of real reception patients by a general practitioner were promulgated in this design of a modular scheme, which is in line with the actual clinical setting. This thinking concept of diagnosis should help prevent missed and erroneous diagnoses and meet the actual needs of general practitioners.
文摘With the aging in whole world, it has become a great challenge to explore the relationship between the cognitive and behavioral performance of senile dementia and the underlying pathology of the brain. Alzheimer’s disease (AD) is a common age-related and progressive neurodegenerative disease characterized and one of the main causes of senile dementia. The pathogenesis and treatment mechanism of AD are not completely clear. In recent years, it has been found that the Gut microbiota (GM) disorder is related to nervous system diseases. The objective of this review is to summarize the etiology and pathogenyon the role of GM in the development of AD, metabolites of GM and the occurrence of AD, and GM, diabetes and occurrence of AD. Understanding the relationship between GM and AD will help provide possible interventions to improve the structure of GM and prevent AD through different treatments, and it may provide clinicians with a new and more effective way for early diagnosis, prevention and treatment of AD.
文摘General Practice is a comprehensive subject with a wide spectrum of diseases. It is challenging to make a more correct diagnosis timely and reasonable treatment with the least instrument examination for the diagnosis of medically unexplained physical symptoms (MUPS). This article reviews the case report of a patient who presented to a community hospital with a one-month history of constant diffuse abdominal pain and underwent eight weeks of examinations, finally experienced deterioration of their condition. Based on this case, this article discusses the problems in the diagnosis of abdominal pain in a community hospital, and according to the clinical thinking mode and checklist of abdominal pain, the diagnostic process of abdominal pain can be improved, and the diagnosis of non-differentiated diseases can be done better, the harm caused by delayed diagnosis may be reduced.
