clinical reasoning Flashcards
what is the basis of reliable knowledge and understanding of normal structure and function
observation and experiment based on scientific reasoning
what is meant by clinical reasoning towards a diagnosis
selecting a route to travel wich maximises the chances of a correct diagnosis
what would initial information gathering involve
presenting complaint
signalment
history
physical examination
what does investigative testing involve
selection - what tests you want to do
performance - how you go about doing the tests
interpretation -
what is scientific reasoning otherwise known as
backward hypothetico-deductive reasoning
what is meant by non-analyitcal reasoning
pattern recognition type 1 reasoning
what is analytical reasoning
type 2 reasoning
- clinical forward reasoning saying given such evidence most likely explanation
- scientific backward reasoning - start with hypothetical answer and work backwards
what is deductive reasoning
applies general rules to make conclusions about scientific findings
what is inductive reasoning
using specific findings to infer conculations avout general rules
make generalisations by observing patterns and drawing inferences e.g. ellie is a vet, all vets are smart therefore ellie is probably smart
how are deductive arguments evaluated
based on the validity of reasoning and the soundness of their conclusions
valid if the conclusion must be true if the premises are true
- premise is true but reasoning is invalid
sound if the reasoning is valid and premises are true i.e
- christmas is 23rd february - which is today therefore today is christmas - premise is false therefore is unsound
how are inductive arguments evaluated
based on reasoning and cogent/uncogent conclusions
reasoning - if the conclusion is likely to be true if premise is correct
e.g. saying all instead of most in the premise
- cogent if has strong reasoning and true premise but not if one premise is false
3 types of bias
availability heuristic - deoend on information that is readily available
confirmation bias - based on tendancy to confirm rather than deny current hypothesis
predictable-word bias indication to percieve order