Pathophysiologic consideration of an intuitive “sense of alarm” / 日本プライマリ・ケア連合学会誌
An Official Journal of the Japan Primary Care Association
;
: 299-305, 2012.
Article
in Japanese
| WPRIM
| ID: wpr-374963
ABSTRACT
<b><i>Abstract</i></b><br> Sometimes experienced doctors and nurses have an intuitive sense of alarm about an apparently stable patient, a sense which may be expressed as, for instance, ‘He/she seems seriously ill.’ However, this intuitive sense of alarm remains a rule of thumb, even though it is recognized as an important “diagnostic” indicator in clinical decision-making. In this review, we have attempted to clarify the meaning of the phrase by proposing a pathophysiologic/symptomatologic model that suggests that the sense of alarm is a premonitory sign of a homeostatic crisis characterized by acute systemic autonomic symptoms and acute sickness behavior. The model proposed here may help novices to avoid missing potentially critical diseases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Prognostic study
Language:
Japanese
Journal:
An Official Journal of the Japan Primary Care Association
Year:
2012
Type:
Article
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