09.04.2025
Taking Medical History (Anamnesis):
Patient’s complaints (What hurts? How long? When did it start?)
Previous illnesses and surgeries
Family health history
Lifestyle (smoking, diet, exercise, stress)
Physical Examination:
Inspection (looking)
Palpation (feeling with hands)
Percussion (tapping to hear sound)
Auscultation (listening, usually with a stethoscope)
Additional Tests and Investigations:
Laboratory tests (blood, urine, etc.)
Imaging (X-ray, Ultrasound, CT, MRI)
Other tools (ECG, biopsy, etc.)
Formulating the Diagnosis:
Analyze all data
Compare possible causes (differential diagnosis)
Eliminate unlikely options
Confirm a final diagnosis
| Type | Description |
|---|---|
| Preliminary (Provisional) | Based on initial findings, not confirmed yet |
| Clinical (Final) | Confirmed after full examination and testing |
| Differential | A list of possible conditions with similar symptoms |
| Misdiagnosis | A wrong diagnosis (error in identifying the illness) |
| Coexisting (Comorbid) | Other conditions present along with the main illness |
| Complicated Diagnosis | Includes both the main disease and its complications |
A patient reports chest pain, shortness of breath, and fatigue. After performing an ECG and a blood test, the doctor makes a diagnosis of acute myocardial infarction (heart attack).
Ensures correct treatment
Prevents complications
Reduces medical errors
Helps patients recover faster
Essential for communicating between healthcare professionals
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