Midterm: Clinical Reasoning Flashcards
The process of arriving at methods to determine accurate diagnosis and appropriate treatment and management within the constructs of informed medical decision making.
Clinical reasoning
Which form of clinical reasoning uses past experiences, basic knowledge, and pattern recognition to make a diagnosis?
Non-analytical
-faster, implicit, shortcuts
Which form of clinical reasoning involves processes of hypothesis testing to derive a diagnosis and follows evidence based guidelines?
Analytical
-slower, deliberate, careful
Which system (analytical or non) is best?
A combined approach
What are two things that play a role in clinical reasoning?
- Problem representation
- a summary sentence of highlights of the case
- -situational factors, specific differences - Diagnostic Justification
- hypothesis generation based on facts
- evidence
- uses problem representation to formulate diagnostic processes to justify
Which part of a patient interaction is the initial DDx to provide questions and tests for the rest of the interview?
CC
Which part of the patient interaction involves asking the patient questions to allow you to use pertinent positives and negatives to both rule in and rule out differentials?
History
Which part of patient interaction can help confirm or deny hypothesis, can provide further positives and negatives, and allows more hands on approach at furthering your DDx?
Physical
Which part of the patient interaction can help rule in leading diagnosis and rule out remaining diagnosis?
Labs
What is the proportion of patients with the disease finding, or positive result?
Sensitivity
Sensitivity when negative rules ____ diseases
Out
SnOUT
What is the proportion of patients without the disease finding, or a negative result?
Specificity
When specificity is positive, it rules the disease ___
In
SpIN
when using a likelihood ratio box, a+c=?
n1
when using a likelihood ratio box, b+d=?
n2
