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Abordaje diagnóstico a partir de los datos pivote / Pivotal diagnosis: an approach
Andrade-Castellanos, Carlos A.
  • Andrade-Castellanos, Carlos A; Universidad Guadalajara Lamar. Guadalajara. MX
Med. interna Méx ; 35(1): 144-149, ene.-feb. 2019. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1056720
RESUMEN
Resumen El médico internista utiliza varias estrategias en sus procesos diagnósticos del día a día. Su pensamiento debe ser estructurado, coherente y cimentado en un amplio conocimiento teórico. La información recabada a partir de la historia clínica es el insumo indispensable para tomar decisiones clínicas acertadas; ello precisa una buena dosis de inteligencia -para obtener e interpretar los datos relevantes- a la par de una buena memoria -que permita recordar la información almacenada- para la construcción de un adecuado juicio clínico. A este respecto, los datos pivote actúan como catalizadores del proceso diagnóstico facilitan la construcción a partir de un punto de partida. El objetivo de este artículo es describir un enfoque basado en la obtención de datos pivote. Este método está diseñado para auxiliar en la marcha diagnóstica del médico novel.
ABSTRACT
Abstract The general internist uses various strategies in his/her daily diagnostic process. A structured method is required to provide adequate reasoning with the information gathered. Knowledge, intelligence and memory are of utmost importance for constructing clinical reasoning. The information gathered from the clinical history is indispensable to make right clinical decisions; this requires a good dose of intelligence -to obtain and interpret the relevant data- along with a good memory -to remember the stored information-; both are essential to acquire expert clinical judgment. A pivot diagnostic strategy might provide a guide for clinical reasoning and act as a cognitive aid. We propose here an approach to pivotal diagnosis. This strategy is especially useful for less clinically experienced doctors who are less likely to generate appropriate differential diagnosis.


Full text: Available Index: LILACS (Americas) Type of study: Diagnostic study / Prognostic study Language: Spanish Journal: Med. interna Méx Journal subject: Internal Medicine Year: 2019 Type: Article Affiliation country: Mexico Institution/Affiliation country: Universidad Guadalajara Lamar/MX

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Full text: Available Index: LILACS (Americas) Type of study: Diagnostic study / Prognostic study Language: Spanish Journal: Med. interna Méx Journal subject: Internal Medicine Year: 2019 Type: Article Affiliation country: Mexico Institution/Affiliation country: Universidad Guadalajara Lamar/MX