the diagnostic process Flashcards
0
Q
Describe Gestalt reasoning?
A
- patterns recognition
- starts small and stays small
- improves c expirence
- usually not standardized between providers
- usually used in conjunction c hypothetical deductive reasoning
- pinpoint it
1
Q
Describe hypothetical deductive reasoning?
A
- filter approach
- start c overview and logically reduce possibilities
- often standardized
- based solely on probability
- normally used early in career
- usually used in conjunction c Gestalt reasoning
2
Q
describe the patient interview?
A
questions about positive findings in the screening
- questions about possible risks, exposures, and/or indicents
- questions about signs and symptoms to help rule in and our different Dx
3
Q
Describe formal hypothesis formation?
A
- determine most likely cause
- determines what could prove hypothesis
- determines what could disprove hypothesis
- determines what additional testing is needed
4
Q
Describe physical evaluation
A
- palpation
- Auscultation
- visualization
- neurological
- special tests
- try to verify reported signs and symptoms
- support or disprove hypothesis
5
Q
Describe intake questionnaire
A
- general medical Hx
- family medial Hx
- history of current condition
- current signs and symptoms
- screening questions
- helps to focus on current problem and provides information for ruling in or out different causes
6
Q
Describe basic screening
A
- vital signs
- height and weight
- nurse health screening over intake forms
- helps to find causative and contributory factors as well as lifestyle and risk factors
7
Q
describe clinical laboratory testing
A
- not always needed
- bloodwork
- imaging
- physiological testing (pulmonary, electophysiological, cardiac)
- used to narrow down possibilities
8
Q
describe diagnosis
A
- selected based on most likely diagnosis supported by previous process
- usually follows the same analogy that we used previously “when you hear hoofbeats think horses not zebras”
- correct the vast majority of time if steps we not skipped
- process is constantly evolving because of new research and technology
