THE MUSCULOSKELETAL EXAMINATION - A NEGLECTED CLINICAL SKILL

被引:48
|
作者
AHERN, MJ
SODEN, M
SCHULTZ, D
CLARK, M
机构
[1] REPATRIAT GEN HOSP,MED,ADELAIDE,SA,AUSTRALIA
[2] REPATRIAT GEN HOSP,REHABIL STUDIES,ADELAIDE,SA,AUSTRALIA
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE | 1991年 / 21卷 / 03期
关键词
MUSCULOSKELETAL; EXAMINATION; EDUCATION;
D O I
10.1111/j.1445-5994.1991.tb04694.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
One hundred and sixty-six patients admitted to general medical wards of a teaching hospital were examined on the day of discharge to determine whether they had been assessed for musculoskeletal disorders during their admission. Of these patients, 54.8% had musculo-skeletal symptoms with 17.5% having a significant rheumatological disorder which had been ignored. A history of musculo-skeletal symptoms was recorded in 40.4% of all patients and the examination in only 14.5%. This contrasted with the documentation of the cardiovascular (99.4%), respiratory (100%), gastrointestinal (97.6%) and central nervous (53%) systems' examination. Eighty per cent of symptomatic patients received either no treatment for their rheumatic disorder, or treatment that we regarded as suboptimal or inappropriate. Musculo-skeletal symptoms are common in patients admitted to medical wards, but are being inadequately assessed or at worst ignored. The omission of the musculo-skeletal system examination, in contrast to the almost universal inclusion of other systems' examination, demands correction. Undergraduate and postgraduate training programmes require re-evaluation. The implications of these findings are discussed.
引用
收藏
页码:303 / 306
页数:4
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