Clinical Decision Making Flashcards
1
Q
Type 1 clinical reasoning
A
- non-analytic reasoning aka “pattern recognition”
2
Q
Minium database
A
- try to use as little as possible
- like “going fishing”
3
Q
Type 2 clinical reasoning
A
- analytical reasoning
- centered on problem based clinical reasoning
4
Q
Pattern recognition clinical reasoning is best for
A
- common diseases w/ typical presentations
- clinical disorders w/ unique patterns
- only few possibilities that can be easily remembered or ruled in or out with tests
5
Q
Advantages of pattern recognition
A
- doesn’t need to be taught
- quick
- cost effective
6
Q
Disadvantages of pattern recognition
A
- limited # of dx options
- not good for uncommon disorders or atypical presentations
- dependent on previous dx and clinical signs
- dependent on experience, memory, and knowledge
- tunnel vision
- no clear alternative dx path
- can be unfocused, time consuming, and expensive
7
Q
LCPS meaning
A
logial clinical problem solving
8
Q
LCPS steps
A
- define problem
- define system & how it could be involved
- define location in the system
- define lesion
9
Q
Reasons why constructing a problem list helps
A
- makes clinical signs explicit
- vague -> more specific
- helps prevent overlooking less obvious but crucial signs
- helps clarify differences in chronology of signs
10
Q
Primary systems
A
- pathology is in that system
- structural
- i.e. inflamm, neoplasia, infection
11
Q
Secondary systems
A
- metabolic
- pathology outside of system but affects function of system. No pathology in said system.
- i.e. hypoxia, electrolyte imbalances, toxins on organ function
12
Q
Vomiting
A
- primary is usually disease of gut (Sx is structural; medical tx is functional)
- secondary disease is usually metabolic (liver disease, renal failure, electrolyte imabalance)
13
Q
Systems can be divided into
A
Local vs systemic
14
Q
Defining the lesion is considered your…
A
Differential list
