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  • 标题:The Unexpected Hand Patient
  • 本地全文:下载
  • 作者:Andrew M. Swiergosz ; Morton L. Kasdan ; Bradon J. Wilhelmi
  • 期刊名称:ePlasty: Open Access Journal of Plastic and Reconstructive Surgery
  • 印刷版ISSN:1937-5719
  • 出版年度:2017
  • 卷号:17
  • 语种:English
  • 出版社:Open Science Co. LLC
  • 摘要:Objective:Physicians should be aware of patients trying to obtain a diagnosis for secondary gain. Malingering is a diagnosis that should be suspected when objective findings do not support the subjective symptoms and there is secondary gain.Methods:A series of 21 cases are presented that support this position. The charts of 21 patients with a diagnosis of reflex sympathetic dystrophy (chronic regional pain syndrome) and nonanatomic findings were evaluated.Results:The patients in this series were found to be malingering based on discrepancies between subjective symptoms and objective findings.Conclusions:The diagnosis of malingering should be based on thorough history, physical examination, electrodiagnostic studies, imaging studies, and evaluation of all medical records.
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