intro to physical diagnosis
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| What is Physical Diagnosis? | The determination of disease by means of physical measures such as inspection, palpation, percussion & auscultation
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| What comprises most of the diagnosis? | Patient History (~90%)
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| 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
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| 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..
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| 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.
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| Describe the use of algorithms. | consistent logical method, does not vary from pt to pt, flow chart of symptoms & procedures
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| 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.
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| Describe decision analysis. | uses the probability of a pt having a disease (sensitivity) vs not having a disease (specificity) based on clinical findings
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| Describe Baye's theorem. | probability of findings being associated with a diagnosis and the prevalence of the diagnosis in the community
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| describe utility | worth or value of outcome measured in $ or subjective (ie value to pt or society)
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| 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
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| 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
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Created by:
mike7
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