illness scripts. Flashcards

1
Q

What does a disease illness script represent to a practitioner?

A
  • representation of a condition in the mind of a practitioner.
  • they vary between practitioners.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What components does an illness script include?

A
  1. epidemiology.
  2. time course.
  3. clinical presentation (signs and symptoms i.e. syndrome)
  4. mechanism/pathophysiology.
  5. some resources may recommend additional components.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does epidemiology include?

A
  • demographics (age, sex race, ethnicity, SES).
  • Risk Factors (including pre-existing conditions).
  • exposures (including travel, occupational, hobbies, sexual, drugs, medications, pets, and close contacts).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

why is ethnicity included in epidemiology?

A
  • it has been traditionally described this way in the literature, but categorizations may be misleading.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the time course include?

A
  • Duration (hyperacute, subacute, chronic).
  • persistence/ pattern- is it constant (stable and progressive) or is it episodic (waxing and waning/intermittent).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the clinical presentation?

A
  • A summary of most signs and symptoms.
  • can use classical presentation but note that these can be misleading.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is comparing and contrasting?

A
  • it is organized around a clinical or lab-based syndrome.
  • we have disease illness scripts next to each other in adjacent columns or rows.
  • we focus on the most relevant differences.
  • typically includes 2-3 diseases.
  • useful to guide readings; allows you to focus on what is important, i.e. what can be used in the illness script.
  • useful for studying diseases.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the processing of patient illness scripts?

A
  • emphasizing the most valuable evidence and emphasizing the less valuable evidence
  • abstracting the patient’s concerns into medical language.
  • finalizing the problem list in a way that can be compared with disease illness scripts.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why do we process the patient illness script?

A
  • the diagnostic process is improved (efficiency and precision) with good problem representation.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a patient illness script?

A
  • a concise representation of the patient’s concerns that allows matching with a disease illness script.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what components are included in a disease illness script?

A

epidemiology
time course
clinical presentation (syndrome statement).
other medical histories.
- this provides a strong foundation for good medical record keeping.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does epidemiology include in the patient illness script?

A

-demographics ( age, sex, race/ethnicity, socioeconomic status and physical characteristics (obesity)).
- risk factors and other relevant items from past medical history.
- exposures: includes other people, occupational, hobbies, drugs and medications.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does the time course include in the patient illness script?

A

Duration: hyperacute, acute, subacute, chronic.
persistence/pattern; constant (stable/progressive) episodic (waxing, waning, intermittent).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the clinical presentation of a patient illness script?

A
  • Focus on the most important signs and symptoms.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what does the clinical presentation exclude in the patient illness script?

A
  • elements already mentioned in previous sections.
  • findings with little relevance.
  • the past medical history that is unconnected to the chief complaint.
  • previous diagnosis (unless they were clearly correct).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What 4 components do disease illness scripts at least have?

A
  1. epidemiology.
  2. timing.
  3. clinical presentation.
  4. mechanism.
17
Q

what 4 components do illness scripts at least have?

A
  1. epidemiology.
  2. time course.
  3. clinical presentation.
  4. other histories.
18
Q

what are patient concerns translated into and why?

A

Medical terminology for accurate problem representation.

19
Q

Why is comparing and contrasting illness scripts useful?

A
  • it helps guide reading and helps with studying.