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Chapter 1 - Introduction

Understanding Diagnosis and Evidence-Based Diagnosis

Published online by Cambridge University Press:  02 May 2020

Thomas B. Newman
Affiliation:
University of California, San Francisco
Michael A. Kohn
Affiliation:
University of California, San Francisco
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Summary

When we think about diagnosis, most of us think about a sick person going to the health-care provider with a collection of signs and symptoms of illness. The provider, perhaps with the help of some tests, names the disease and tells the patient if and how it can be treated. The cognitive process of diagnosis involves integrating information from history, observation, exam, and testing using a combination of knowledge, experience, pattern recognition, and intuition to refine the possibilities. The key element of diagnosis is assigning a name to the patient’s illness, not necessarily deciding about treatment. Just as we name a recognizably distinct animal, vegetable, or mineral, we name a recognizably distinct disease, so we can talk about it and study it.

Type
Chapter
Information
Evidence-Based Diagnosis
An Introduction to Clinical Epidemiology
, pp. 1 - 7
Publisher: Cambridge University Press
Print publication year: 2020

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References

Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA. 1992;268(17):2420–5.Google Scholar
Eddy, DM. The origins of evidence-based medicine – a personal perspective. Virtual Mentor. 2011;13(1):5560.Google ScholarPubMed
Smith, R and Rennie, D. Evidence based medicine – an oral history. BMJ. 2014;348:g371.CrossRefGoogle ScholarPubMed
Kuhn, TS. The structure of scientific revolutions. Chicago: University of Chicago Press;1962. xv, 172pp.Google Scholar
Isaacs, D and Fitzgerald, D. Seven alternatives to evidence based medicine. BMJ. 1999;319(7225):1618.CrossRefGoogle ScholarPubMed
Kohn, MA, Kerr, K, Malkevich, D, et al. Beta-human chorionic gonadotropin levels and the likelihood of ectopic pregnancy in emergency department patients with abdominal pain or vaginal bleeding. Acad Emerg Med. 2003;10(2):119–26.CrossRefGoogle ScholarPubMed
Sung, V, D’Amico, F, Cabana, MD, et al. Lactobacillus reuteri to treat infant colic: a meta-analysis. Pediatrics. 2018;141(1).CrossRefGoogle ScholarPubMed
Benninga, MA, Faure, C, Hyman, PE, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2016. doi: 10.1053/j.gastro.2016.02.016.CrossRefGoogle Scholar

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  • Introduction
  • Thomas B. Newman, University of California, San Francisco, Michael A. Kohn, University of California, San Francisco
  • Book: Evidence-Based Diagnosis
  • Online publication: 02 May 2020
  • Chapter DOI: https://doi.org/10.1017/9781108500111.002
Available formats
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  • Introduction
  • Thomas B. Newman, University of California, San Francisco, Michael A. Kohn, University of California, San Francisco
  • Book: Evidence-Based Diagnosis
  • Online publication: 02 May 2020
  • Chapter DOI: https://doi.org/10.1017/9781108500111.002
Available formats
×

Send book to Google Drive

To send content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about sending content to Google Drive.

  • Introduction
  • Thomas B. Newman, University of California, San Francisco, Michael A. Kohn, University of California, San Francisco
  • Book: Evidence-Based Diagnosis
  • Online publication: 02 May 2020
  • Chapter DOI: https://doi.org/10.1017/9781108500111.002
Available formats
×