“Art at its Heart” “The Golden Art of History and Clinical Examination”

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of the Practice of Cardiovascular Sciences Pub Date : 2021-05-01 DOI:10.4103/jpcs.jpcs_38_21
Tammiraju Iragavarapu, Gautham Sunkarapalli, Sushma Vutukuru, A. Kataria
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Abstract

Background: History taking and physical examination have been rendered as the most valuable, cost effective reliable skills taught during medical education which reward the clinicians, the satisfaction of making a diagnosis, while building a natural bond of human touch with the patient. Aims and Objectives: A proper and judicious choice of investigations guided by logical reasoning which was made after integrating the history and physical exam is crucial for timely diagnosis and appropriate management. Materials and Methods: We report a series of 11 cases which were mismanaged in the early stages due to lack of proper history and physical examination. Results: Though these cases appear to be simple, they highlight the proper methodical and systematic way of approach to the patient care which helps in preventing unnecessary investigations and improper management. Conclusions: Excessive worshipping of newer diagnostic modalities will lead to a more “computer oriented” approach rather than a patient centered one.
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“以艺术为中心”“历史与临床检验的黄金艺术”
背景:病史记录和体检已被视为医学教育中教授的最有价值、最具成本效益、最可靠的技能,这些技能奖励临床医生对诊断的满意度,同时建立与患者的自然联系。目的和目的:在整合病史和体检后,在逻辑推理的指导下,正确、明智地选择调查对及时诊断和适当管理至关重要。材料和方法:我们报告了11例由于缺乏适当的病史和体检而在早期处理不当的病例。结果:尽管这些病例看起来很简单,但它们突出了正确、有条理和系统的患者护理方法,有助于防止不必要的调查和不当管理。结论:过度崇拜新的诊断模式将导致更“以计算机为导向”的方法,而不是以患者为中心的方法。
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来源期刊
Journal of the Practice of Cardiovascular Sciences
Journal of the Practice of Cardiovascular Sciences CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
29
审稿时长
11 weeks
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