scholarly journals Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making

PeerJ ◽  
2015 ◽  
Vol 3 ◽  
pp. e809 ◽  
Author(s):  
Justin G. Peacock ◽  
Joseph P. Grande
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Basic Science ◽  
Clinical Decision Making ◽  
Science Classroom ◽  
Clinical Decision ◽  
Patient Exposure

scholarly journals Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making

2014 ◽  
Author(s):  
Justin G. Peacock ◽  
Joseph P. Grande
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Basic Science ◽  
Clinical Decision Making ◽  
Clinical Presentation ◽  
Science Classroom ◽  
Correct Diagnosis ◽  
Clinical Decision ◽  
Real Patient ◽  
Social And Emotional

Purpose: The authors proposed that introducing real patients into a pathology classroom early in medical education would help integrate fundamental principles and disease pathology with clinical presentation and medical history. Methods: Three patients with different pathologies described their history and presentation without revealing their diagnosis. Students were required to submit a differential diagnosis in writing, and then they were able to ask questions to arrive at the correct diagnosis. Students were surveyed on the efficacy of patient-based learning. Results: Average student scores on the differential diagnosis assignments significantly improved 32% during the course. From the survey, 72% of students felt that patient encounters should be included in the pathology course next year. 74% felt that the differential diagnosis assignments helped them develop clinical decision-making skills. 73% felt that the experience helped them know what questions to ask patients. 86% felt that they obtained a better understanding of patients’ social and emotional challenges. Discussion: Having students work through the process of differential diagnosis formulation when encountering a real patient and their clinical presentation improved clinical decision-making skills and integrated fundamental concepts with disease pathology during a basic science pathology course. o

scholarly journals Patient exposure in the basic science classroom enhances differential diagnosis formation and clinical decision-making

2014 ◽  
Author(s):  
Justin G. Peacock ◽  
Joseph P. Grande
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Basic Science ◽  
Clinical Decision Making ◽  
Clinical Presentation ◽  
Science Classroom ◽  
Correct Diagnosis ◽  
Clinical Decision ◽  
Real Patient ◽  
Social And Emotional

Purpose: The authors proposed that introducing real patients into a pathology classroom early in medical education would help integrate fundamental principles and disease pathology with clinical presentation and medical history. Methods: Three patients with different pathologies described their history and presentation without revealing their diagnosis. Students were required to submit a differential diagnosis in writing, and then they were able to ask questions to arrive at the correct diagnosis. Students were surveyed on the efficacy of patient-based learning. Results: Average student scores on the differential diagnosis assignments significantly improved 32% during the course. From the survey, 72% of students felt that patient encounters should be included in the pathology course next year. 74% felt that the differential diagnosis assignments helped them develop clinical decision-making skills. 73% felt that the experience helped them know what questions to ask patients. 86% felt that they obtained a better understanding of patients’ social and emotional challenges. Discussion: Having students work through the process of differential diagnosis formulation when encountering a real patient and their clinical presentation improved clinical decision-making skills and integrated fundamental concepts with disease pathology during a basic science pathology course. o

Clinical Problem Solving: Decreased Level of Consciousness and Unexplained Hydrocephalus

2022 ◽  
pp. 194187442110567
Author(s):  
Naomi Niznick ◽  
Ronda Lun ◽  
Daniel A. Lelli ◽  
Tadeu A. Fantaneanu
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Clinical Decision Making ◽  
Clinical Problem ◽  
Clinical Decision ◽  
Decision Making Process ◽  
Clinical Problem Solving ◽  
Level Of Consciousness ◽  
History Of

We present a clinical reasoning case of 42-year-old male with a history of type 1 diabetes who presented to hospital with decreased level of consciousness. We review the approach to coma including initial approach to differential diagnosis and investigations. After refining the diagnostic options based on initial investigations, we review the clinical decision-making process with a focus on narrowing the differential diagnosis, further investigations, and treatment.

Pain Emergencies and Complications of Pain Treatments

2019 ◽  
pp. 221-240
Author(s):  
Isaac Tong ◽  
R. Jason Yong ◽  
Beth B. Hogans
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Clinical Assessment ◽  
Associated Factors ◽  
Clinical Decision Making ◽  
Acute Chest Pain ◽  
Clinical Decision ◽  
Common Occurrence ◽  
Pain Characteristics

Chapter 13 reviews some common pain-associated emergencies and also discusses some complications of pain treatments that require immediate attention. Pain is a common occurrence in emergent illness, and some complications of pain treatments require emergent management. Chest pain is an excellent example of clinical decision-making following a process of organized, rapid pain assessment and then diagnostic and treatment reasoning based on the findings and observations of the clinical assessment. Providers assessing patients for acute chest pain elicit basic pain characteristics of region, quality, severity, and timing as well as usually associated factors and then pursue testing and treatment for elements in the differential diagnosis accordingly. The chapter illustrates this same process applied to conditions of acute abdominal, limb, headache, and spine emergencies. In the second part of the chapter, emergencies arising in the context of pain treatments are discussed, including overdose and withdrawal from opioids, benzodiazepines, and other pain-active medications as well as pump and device complications.

Assessing Bilingual Children: Are Their Disfluencies Indicative of Stuttering or the By-product of Navigating Two Languages?

2018 ◽  
Vol 39 (04) ◽  
pp. 324-332
Author(s):  
Courtney Byrd
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Language Learning ◽  
Language Impairment ◽  
Second Language Learning ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
English Speakers ◽  
Decision Making Process ◽  
Speech Behaviors

AbstractClinicians commonly report difficulty determining whether the disfluencies produced by their clients are indicative of stuttering or suggestive of something else, such as cluttering, autism, language impairment, or second language learning. In our clinical decision-making process, we identify features unique to specific speech and/or language disorders. This identification enables differential diagnosis in most cases. But what happens when features appear to overlap and, as a result, compromise our clinical decision making? This article provides information to assist in the differential diagnosis of stuttering, particularly as it pertains to the assessment of children who speak more than one language. It explores similarities in the speech behaviors produced by these speakers, contrasting them with stuttering behaviors in monolingual English speakers.

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