General

Avoiding Misdiagnosis

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28 Jun 2016 - General
 

Misdiagnosis is one of the medical errors that is commonly commitedand hard as it is, they can be avoided. As emphasized early in med school, History Taking and Physical Examination are the backbone of correct diagnosis. I remember our lecturers repeatedly drill that your initial diagnosis comes from these two major tools, even before you employ basic diagnostic examinations. The "Clinical Eye" as they call it, helps us deliver the best and fastest care we need for patients, only to be confirmed by basic diagnostic tools. With diagnostic errors becoming more and more common, the implementation of proper and efficient History taking and PE is becoming more and more essential. Perhaps this is a call to medical professionals to go back to the basics. 

http://today.mims.com/topic/medical-errors-third-leading-cause-of-death---study?country=Philippines&channel=GN-Policies-Public-Health

I think the title of this article should be changed to “Appreciating the utility of history and clinical examination”. This is because if one reads the JAMA Rational Clinical Examination series(http://jama.jamanetwork.com/collection.aspx?categoryid=6257) and other articles on utility of history and clinical examination carefully. The basic history and clinical examination is one that has a low sensitivity and specificity. It is highly likely to lead to misdiagnosis itself if used without great e...
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