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Foundations 607

intro to physical diagnosis

What is Physical Diagnosis? The determination of disease by means of physical measures such as inspection, palpation, percussion & auscultation
What comprises most of the diagnosis? Patient History (~90%)
What are the 4 processes of arriving at a diagnosis? 1. recognizing patterns 2. sampling the universe 3. using algorithms 4. hypothesis generation and testing
Describe the method of recognizing patterns. Method by which the physician rapidly arrives at a diagnosis or limited DDx because clinical picture looks exactly like something seen before. .. looks, sounds and smells like a duck..
Describe sampling the universe. exhaustive method that uses idea that if you keep running enough tests, eventually you will run one that gives correct diagnosis. Usually reserved for unusual/complex cases b/c inefficient, time consuming & expensive.
Describe the use of algorithms. consistent logical method, does not vary from pt to pt, flow chart of symptoms & procedures
Describe hypothesis generation & testing. gather info from history & physical & labs. Then organize and analyze info, then make judgements on data & use our knowledge to create hypothesis.
Describe decision analysis. uses the probability of a pt having a disease (sensitivity) vs not having a disease (specificity) based on clinical findings
Describe Baye's theorem. probability of findings being associated with a diagnosis and the prevalence of the diagnosis in the community
describe utility worth or value of outcome measured in $ or subjective (ie value to pt or society)
what is the importance of pt rapport? what are ways to build rapport a good rapport builds trust with pt. some examples are having a good appearance (tie, white coat, etc), showing: empathy respect concern kindness sincerity confidentiality good communication
what is the importance of appearance, attitude, caring, confidentiality, communication, and preservation of pt dignity & how do they relate to development of rapport these affect the patient's confidence and attitude towards you and lead to the pt trusting you and putting the patients best interest first
Created by: mike7