Diagnostic reasoning in challenging cases.

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-09-13 DOI:10.1136/pn-2023-003991

Aaron L Berkowitz

引用次数: 0

Abstract

Diagnostic reasoning relies on cognitive heuristics to recognise patterns of symptoms and signs in order to arrive at a diagnosis. These rules of thumb allow us to rapidly diagnose common conditions that present in typical ways. However, they may lead us astray when common conditions present atypically or when a patient has a rare condition or multiple conditions causing their constellation of symptoms, signs, and test results, rather than having a single diagnosis to explain them all. This article describes strategies to help counteract diagnostic pitfalls, to expand diagnostic possibilities and to make diagnostic progress with complex, multielement cases.

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高难度病例的诊断推理。

诊断推理依靠认知启发法来识别症状和体征的模式，从而得出诊断结果。这些经验法则使我们能够快速诊断以典型方式出现的常见疾病。然而，当常见疾病表现不典型，或当病人患有罕见疾病或多种疾病导致其症状、体征和检查结果的组合时，这些经验法则可能会将我们引入歧途，而不是用一个诊断来解释所有这些症状、体征和检查结果。本文介绍了一些策略，以帮助应对诊断陷阱，扩大诊断的可能性，并在复杂的多元素病例中取得诊断进展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.