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By Richard F LeBlond; Richard L DeGowin; Donald D Brown

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Extra resources for DeGowin's diagnostic examination

Example text

Always go back to the original information to be sure that diagnoses carried by the patient have been appropriately confirmed. Some statements of uncertainty are preliminary diagnosis, diagnostic impression, tentative diagnosis, working diagnosis, provisional diagnosis, and probable diagnosis. Defer Diagnosis Carefully explain the situation to secure the patient's confidence so that a return examination may be made when new symptoms or signs have appeared or time has given more perspective to the case.

DeGowin's Diagnostic Examination is intended to assist the student and clinician in making reasonable diagnostic hypotheses from the history and physical examination. Part I, Chapters 1 to 3, discuss the diagnostic framework in detail. Chapter 1 discusses the importance of diagnosis and the process of forming a differential diagnosis specific to each patient. Chapter 2 discusses the process of history taking and documentation of your findings in the medical record. Chapter 3 presents an outline of the screening physical examination.

Most clinicians believe that composite pictures of disease, although comprising many signs, strike them at a glance. The Germans recognize this concept when they refer to Augenblick diagnoses (literally, "a blink of the eye"). Pattern recognition is the current English term describing this concept. Among the many clinical reasoning strategies, branching, matching and probability estimates are the most commonly used conscious processes when pattern recognition has not already occurred. Branching hypotheses.

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