W2

Question 1

What is a disease illness script?

Answer 1

Representation of a condition in the mind of a practitioner

Question 2

What are the components of a disease illness script?

Answer 2

• epidemiology
• time course
• clinical ppt ( signs, symptoms; i.e syndrome)
• mechanism/ pathophysiology

Question 3

Components of epidemiology?

Answer 3

• demographics
  
  • age, sex
  • race/ ethnicity
  • socioeconomic status
• risk factors (pre-existing conditions)
• exposure (travel, sexual, hobbies, occupational, drugs, medication, pets, close contact)

Question 4

What are the components of time course?

Answer 4

• duration
  - hyperacute (same day)
  - acute (days)
  - subacute (couple of weeks)
  - chronic (months)
• persistence/pattern
  - constant (stable, progressive)
  - episodic (waxing & waning, intermittent)

Question 5

“Waxing and waning” & “intermittent” means

Answer 5

more gradual, comes and goes respectively

Question 6

How come “classic ppt” is misleading?

Answer 6

• stereotypical
• using representativeness instead of probability
• very rarely- symptoms rarely seen in disease in majority of the patients

Question 7

Disease illness scripts are organized around?

Answer 7

clinical or lab-based syndrome

Question 8

Should we fill in every cell for comparing and contrasting disease illness scripts?

Answer 8

Focus on the most relevant differences, no need to fill in every cell

Question 9

How many disease illness scripts should we compare?

Answer 9

2-3 diseases

Question 10

Good problem representation improves what?

Answer 10

efficiency and precision

Question 11

Process of creating a problem representation?

Answer 11

• create a problem list
• process this list (emphasize on valuable evidence, de-emphasize less valuable evidence)
• finalize the problem representation so it can be compared with disease illness scripts

Question 12

What is a patient illness script?

Answer 12

concise representation of the patient’s concern that allows matching with a disease illness script
(putting patient’s voice in medical terminology)

Question 13

Components of patient illness script?

Answer 13

• epidemiology
• time course
• clinical ppt
• other imp medical history

Question 14

Why we don’t include race/ethnicity, socioeconomic status, physical appearances from the epidemiology (demographics) from the patient illness script?

Answer 14

as these tend to promote bias than helping with diagnosis