The importance of occupational history in clinical thinking from the diagnosis and treatment of a case of Tsutsugamushi disease
10.3760/cma.j.issn.1001-9391.2019.08.021
- VernacularTitle: 一例恙虫病的诊治谈职业史在临床思维中的重要性
- Author:
Wenju HE
1
;
Dongqiang WANG
1
,
2
;
Pingping ZHANG
1
;
Pengliang FU
1
;
Zhijun LI
1
Author Information
1. 300192 Tianjin First Central Hospital
2. 300070 Tianjin Medical University
- Publication Type:Journal Article
- Keywords:
Tsutsugamushi disease;
Occupational history;
Occupational diseases;
Clinical thinking
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2019;37(8):639-641
- CountryChina
- Language:Chinese
-
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.
