Role of diagnostic testing Flashcards

1
Q

Definition of diagnosis

A

identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, lab test results and procedures

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2
Q

Types of diagnostics

A
Clinical 
Differential 
Lab 
Nursing
Physical
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3
Q

Clinical Diagnosis definition

A

made on the basis of medical history and physical examination without the benefit of lab tests, x-rays and other forms of diagnostic testing

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4
Q

Differential Diagnosis definition

A

distinguishing between two or more similar disease with similar symptoms by systematically comparing their signs and symptoms

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5
Q

Lab Diagnosis

A

study secretions, excretions or tissue

Conducted through chemical, microscopic or bacterialogic means

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6
Q

Nursing Diagnosis

A

Clinical judgement about individual, family or community experiences/responses to actual or potential health problems
Identifies problems that result from a disorder

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7
Q

Physical Diagnosis

A

Physical manifestations of health, disease and illness revealed in the physical examination, as guided by the patient’s complete history and supported by various lab tests

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8
Q

Clinical Practise definition

A

sound and consistent info gathered from pt

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9
Q

Clinical thinking definition

A

info interpreted and put into theoretical/knowledge context

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10
Q

pt treatment definition

A

applied on the basis of clinical evidence, guidelines and EBP

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11
Q

Reassessment

A

has the treatment worked, is it appropriate, is the pt presenting with a different condition

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12
Q

Type 1 error

A

false positive (false alarm)

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13
Q

Type II error

A

false negative

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14
Q

Sensitivity

A

If a person has a disease, how often will the test be positive.
If the test is highly sensitive and the test result is negative, you can be nearly certain that they don’t have the disease

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15
Q

Specificity

A

The ability of the test to correctly identify pts without the disease.
If the test result for a highly specific test is positive you can be nearly certain that they actually have the disease

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16
Q

Positive Predictive Value (PPV)

A

How likely is it that the pt has the disease given that the test result is positive?
true positives over true positive + false positives

17
Q

Negative Predictive Value (NPV)

A

How likely is it that the pt has the disease given that the test result is negative?
True negatives over true negatives + false negatives

18
Q

likelihood ratio

A

How much more likely it is that a pt who tests positive has the disease compared with one who tests negative
Sensitivity over 1-specificity