PDF(Pubmed)
Abstract：
Migrant patients share the same diseases as natives, but biological or environmental differences may lead to distinct prevalence and manifestations of certain syndromes. Some common conditions in Primary Care stand out, such as fever, diarrhea, anemia, eosinophilia, and chronic cough, where it is important to have a special consideration. Fever may indicate a serious imported illness, and malaria should always be ruled out. Diarrhea is generally of infectious origin, and in most cases, management is outpatient. Anemia may indicate malnutrition or malabsorption, while eosinophilia may indicate a parasitic infection. Lastly, chronic cough may be a sign of tuberculosis, especially in immigrants from endemic areas. Family medicine holds a privileged position for the comprehensive, culturally sensitive, and person-centered approach to these conditions.
摘要：
移民患者和当地人有相同的疾病，但是生物学或环境差异可能导致某些综合征的不同患病率和表现。初级保健中的一些常见情况脱颖而出，比如发烧，腹泻,贫血,嗜酸性粒细胞增多,慢性咳嗽,重要的是要有一个特殊的考虑。发烧可能表明是严重的输入性疾病，疟疾应该被排除在外。腹泻通常是感染性的，在大多数情况下,管理是门诊。贫血可能表明营养不良或吸收不良，而嗜酸性粒细胞增多可能表明寄生虫感染。最后,慢性咳嗽可能是肺结核的征兆,特别是来自流行地区的移民。家庭医学在全面、文化敏感,以人为中心的方法来解决这些问题。
