2011年1月21日金曜日

Collagen diseases for non-expert

Today, I attended a seminar for Young doctors. Today's title was Collagen disease for non-expert.

We can make a diagnosis for 80% of cases only based on history taking & physical exams.
This comment is told by Dr. Lawrence M. Tierney, MD, San Francisco, CA, Internal Medicine.

There is 3 major methods to make a diagnosis;
  1. Snap diagnosis
  2. Aphorism, Typical rule
  3. Analysis
Each method has advantages and disadvantages.
Snap diagnosis is early, but it is impossible for young doctors who don't have the experience to meet same diseases.
Aphorism, Typical rule, is not suitable for untypical cases.
Analysis needs time and enough knowledge to do that.

In the end of medical interview, it is better to say "When you find new symptoms, please come again". It is because some symptoms which needs to make a diagnosis are not clear in first visiting. When the symptoms appears, we can make a proper diagnosis, treat him or her.
We should follow those patients to detect the key to diagnose.