MODULE 1 Flashcards
DIAGNOSTIC REASONING TYPES OF HISTORIES H&P
<p>Augenblick diagnosis</p>
<p>"blink of an eye diagnosis"
based on intuition
high failure rate</p>
<p>2 types of decision making</p>
<p>1-Intuitive
| 2-Analytical (more time and effort, less error)</p>
<p>Points to consider</p>
<p>RANGE of explanations
MAINTAIN suspicion
NARROW the differential</p>
<p>HISTORY P Q R S T</p>
<p>Precipitating/palliating factors Quality/ Quantity Region/Radiation Severity/ associated Symptoms Timing/ Temporal descriptors</p>
<p>SENSITIVITY</p>
<p>% positive when condition present (when sick)</p>
<p>SPECIFICITY</p>
<p>% negative when condition absent (when healthy)</p>
<p>PRETEST PROBABILITY</p>
<p>PREVELANCE IN POPULATION</p>
<p>LIKELIHOOD RATIO</p>
<p>HOW RELIABLE?
that a positive test represents an accurate positive result and that a negative test represents an accurate negative result</p>
>1 = ASSOCIATED WITH PRESENCE OF ILLNESS <1 = ASSOCIATED WITH ABCENSE
<p>BAYES THEOREM</p>
<p>standard for basing a clinical decision on available evidence</p>
<p>DIAGNOSTIC CONSIDERATIONS</p>
<p>PROBABILITY + PROGNOSIS
| MOST LIKELY + MOST LIFE THREATENING</p>
<p>types of histories</p>
<p>COMPREHENSIVE VS FOCUSED</p>
<p>COMPREHENSIVE</p>
<p>H & P
| WELL VISIT</p>
<p>FOCUSED</p>
<p>SOAP
| PROBLEM FOCUSED</p>
<p>SUBJECTIVE</p>
<p>SYMPTOMS:
| WHAT THE PATIENT REPORTS</p>
<p>OBJECTIVE</p>
<p>SIGNS:
| WHAT CAN BE MEASURED AND OBSERVED</p>
