Comms1: Clinical reasoning Flashcards
What is clinical reasoning?
A clinicians ability to make decisions about a patients care based on all the information available to them in clinical practise, including treatment plans, diagnosis and test result interpretation.
How might clinical reasoning present before, during and after taking a patient history?
Before - reading history, thinking about risk factors and current problems to devolve areas of concern
During - guide progression of questions and decide is examinations are needed
After - reflect on information, discuss with others, interprut tests and knowledge to decide on future action
What are red flag symptoms?
A symptom or combination of symptoms that can indicate serious pathology in a patient, should always be ruled in or out during a systems review.
What are the key questions to hypothesise during clinical reasoning?
What body system is involved?
What organ may be involved?
What pathological process(es) may be going on?
What are the likely diagnosis from what we know?
What is meant by the disease model in clinical reasoning?
Being able to link the disease - pure biological, symptoms and tests results, pathology and diagnosis to the illness - patientes interpreted experience, what they are worried about or struggling with.
What are the two different pathology sieves?
VITAMIN CDEF
TEN HIDING I
What does VITAMIN CDEF stand for?
Vascular
Infective
Traumatic
Autoimmune
Metabolic
Iatrogenic
Neurological
Congenital
Degenerative
Endocrine
Functional
What does TEN HIDING I stand for?
Trauma
Environmental
Nutritional
Haemodynamic
Immune disorders
Inflammation and reapir
Degenerative
Infectious
Neoplastic
Genetic disorders
Iatrogenic
What is meant by differential diagnosis?
A list of different conditions which are likely and may include significant conditions which need to be ruled out.
List is refined as further information is found out
What is meant by the working diagnosis?
The most likely diagnosis based on the information available
