Oxford Handbook Of Clinical Diagnosis (1st Edition)
This book explains how to use a history, examination and
preliminary tests to arrive at a diagnosis in a transparent way. The diagnosis
is a title for what we imagine is happening to a patient physically and
socially. It allows us to anticipate what may happen next, how this can be
influenced by intervention and to share with the patient and colleagues in
various disciplines what we are doing.
The book allows the diagnostician to focus on symptoms, physical
signs and initial test results that are likely to lead to a diagnosis. This is
based on the principle that ‘diagnostic leads’ with short differential
diagnoses will be more informative than those features with long lists of
causes.
Each diagnosis on a page resembles an entry from an evidence-based
past medical history. The reader scans down the page to see which of the entries
are compatible with the patient's findings so far. The compatible findings can
then be used as evidence for the diagnosis to be shared with the patient or
other members of the multidisciplinary team. Such information can also be shared
by using computer systems. Readers are encouraged to be critical about the contents of the
book, to make changes in the Oxford Handbook spirit and to let us know of any
significant differences in opinion, or errors.
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