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1. Evidence base of clinical diagnosis
This article reviews our current understanding of the cognitive processes involved in diagnostic reasoning in clinical medicine. It describes and analyses the psychological processes employed in identifying and solving diagnostic problems and reviews errors and pitfalls in diagnostic reasoning in the light of two particularly influential approaches: problem solving1-3 and decision making.4-8 Problem solving research was initially aimed at describing reasoning by expert physicians, to improve instruction of medical students and house officers. Psychological decision research has been influenced from the start by statistical models of reasoning under uncertainty, and has concentrated on identifying departures from these standards.
2. Learn about the major clinical presentaions.
3. The Role of Race in the Clinical Presentation
What role, if any, should race play in clinical presentations? While race is widely used as a way of identifying patients, this practice has been challenged as conceptually flawed, potentially misleading, and possibly prejudicial to the patient. There are, however, important reasons for not excluding information about race.
4. Drug use in old age - features and risks
Older people have increased therapeutic risks, compared with younger people.
5. Prevention of the preventable diseases of old age is increasingly important
Improved survival means that a larger proportion of life is now spent in old age. This has socio-economic consequences and it is important for society as well as for the older person that as many of these years as possible are spent in relatively good health. Prevention of the preventable diseases of old age is therefore increasingly important.
6. An unusual clinical presentation resembling superior vena cava syndrome post heart surgery
After reviewing all clinical data and despite the inconclusive nature of test results; the retrospective examination of transesophageal echocardiographic findings proved to be most useful in identifying the best course of action. We postulate that in our case, resolution of the suspected pulmonary embolism with anticoagulation and reestablishment of a normal right ventricular geometry with tricuspid valve repair worked in unison in restoring normal hemodynamics and resolving both dyspnea and venous dilatation.
7. Heart Disease: Diseases That Affect the Heart and Cardiovascular System
When you think of heart disease, usually people think of coronary artery disease (narrowing of the arteries leading to the heart), but coronary artery disease is just one type of cardiovascular disease.