Geriatric Medicine at a Glance logically presents the core principles of geriatric medicine, including mechanisms of ageing, changes in physiology commonly. Author: Blundell, Adrian, ed · Gordon, Adam, ed. Place: West Sussex UK. Publisher: Wiley Blackwell. Pub Date: Physical Description: ix, 83 p. Format . This fourth edition of Medicine at a Glance, provides an unparalleled overview of the study of medicine, closely following the core medical.
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Physiology 6th Ed. Psychiatry : an Illustrated Colour Text 2nd Ed. It is not easy to explain the thought process that leads to a diagnosis and it will vary between cases from a snap decision to a very carefully considered process. To make a diagnosis you need knowledge, and skills — skills in history taking, examination, and interpretation of diagnostic tests, understanding their strengths and weaknesses.
Clearly, a diagnosis should fit the key facts of the case — the demographics, the symptoms and, if present, the signs and perhaps just as importantly, the absence of signs indicating other diagnoses. The problem is that usually there is not just one possible, or even probable diagnosis, there are a number, there is a differential diagnosis.
You should establish this differential diagnosis for every case. The thoughts that you put into this process is what will make you a doctor.
My advice would be to list the two most likely diagnoses, and then the most likely dangerous diagnosis. This approach will work in many cases, but not all; for these you will need to have more possible diagnoses up your sleeve!
Over time, you will look forward to the less than straightforward challenges.
They can be frustrating, provoke great anxiety on your part, but eventually they are what make you a doctor. I cannot emphasise strongly enough that you must not use these sorts of vague or syndromic diagnoses, you must carefully construct a differential diagnosis for all your patients, for their sake and yours.
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