每日一题_2023.02.15

A 33-year-old man presents to his physician because of recurrent headaches. Although his symptoms are consistent with tension headaches and are alleviated by ibuprofen, he has been conducting research on the Internet and is concerned that his headaches may be caused by a subarachnoid hemorrhage. He insists on undergoing CT of the head. Which of the following is the most appropriate next step?

一名33岁男性因反复头痛就诊。虽然他的症状与紧张性头痛一致，布洛芬可以缓解，但他一直在互联网上进行研究，担心他的头痛可能是由蛛网膜下腔出血引起的。他坚持要做头部CT检查。下面哪一项是最合适的下一步?

(A)  Address the patient’s concerns about a subarachnoid hemorrhage 解决患者对蛛网膜下腔出血的担忧

(B)  Compromise with the patient and send him for a less costly x-ray of the head 与病人妥协，让他做一次费用较低的头部x光

(C)  Obtain a CT scan to alleviate the patient’s fears 进行CT扫描以减轻患者的恐惧

(D)  Send the patient for a neurology consult 送病人去神经科会诊

(E)  Tell him he does not have a subarachnoid hemorrhage 告诉他他没有蛛网膜下腔出血

(F)  Tell the patient ibuprofen will cure a subarachnoid hemorrhage 告诉病人布洛芬可以治愈蛛网膜下腔出血

答案解析：

讨论病人关心的问题是适当的。解释你的诊断背后的思维过程和对疾病过程的教育可以减轻病人的恐惧，并使他对你提出的行动方案感到更舒服。讨论头部CT的效用和风险可能有助于患者理解您的观点。

我有疑惑这CT还要不要做，实际应该做了然后给他解释吧？？

正确答案：A