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The art of medicine in patient evaluation: multisystemic approach to symptom

Yıl 2020, Cilt: 1 Sayı: 1, 1 - 4, 31.03.2020

Öz

Medicine is an art, which requires to evaluate various symptoms by utilizing different disciplines. Symptoms of the human body that given against particular situations, might also show up in the different system apart from the system that involves the pathology. Physicians can detect the underlying pathology by having detailed patient history and a good physical examination. In this review, some of the symptoms that are not specific to a particular disease but arise in the initial period of many diseases and which may sometimes be clues for diagnosis with further examinations are mentioned.

Kaynakça

  • 1. Singer M, Deutschman CS, Seymour CW, et al. The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 2016; 315: 801-10.
  • 2. Helle L, Faurschou M, Baslund B. Vaskulit. Reumatologi. FADL's Forlag 2018: 252-71.
  • 3. Kasper DL, Fauci AS. (eds). Harrison Principles of Internal Medicine 19/E, Vol 1, 2. 2015.
  • 4. Sorgun MH, Işıkay CT, Cotur H, et al. Etiologic subtypes of acute multiple infarcts in more than one vascular territories. J Neurol Sci (Turkish) 2016; 33: 38-44.
  • 5. Kisely SR, Campbell LA, Yelland MJ, Paydar A. Psychological interventions for symptomatic management of non‐specific chest pain in patients with normal coronary anatomy. Cochrane Database of Systematic Reviews 6, (2015).
  • 6. Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician 2008; 77: 7.
  • 7. Forbes H, Watt E. Jarvis's physical examination and health assessment. Elsevier Health Sciences. (2015).
  • 8. Muncie HL, Sirmans SM, James E. Dizziness: approach to evaluation and management. Am Fam Physician 2017;95(3):154.
  • 9. Newman-Toker DE. Emergency neuro-otology: diagnosis and management of acute dizziness and vertigo, an issue of neurologic clinics, e-book, vol. 33. Philadelphia: Elsevier Health Sciences; 2015.
  • 10. Wipperman J. Dizziness and vertigo. Prim Care 2014; 41(1): 115-31.
  • 11. Dix MR, Hallpike CS. The Pathology, Symptomatology and Diagnosis of Certain Common Disorders of the Vestibular System. Proceedings of the Royal Society of Medicine 1952;45(6):341-54.
  • 12. Kattah JC, Talkad AV, Wang DZ, et al. HINTS to diagnose stroke in the acute vestibular syndrome. Stroke 2009;40(11):3504–10.
  • 13. DeVos E, Jacobson L. Approach to Adult Patients with Acute Dyspnea. Emerg Med Clin North Am. 2016; 34: 129-49.
  • 14. Beithon J, Gallenberg M, Johnson K, et al. Diagnosis and treatment of headache, 11th ed. Institute for Clinical Systems Improvement. January 2013. https://www.icsi.org/_asset/qwrznq/Headache.pdf. Accessed March 17, 2013.
  • 15. Stovner LJ, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide.Cephalalgia. 2007;27(3):193-210.
  • 16. Leroux E, Ducros A. Cluster headache. Orphanet J Rare Dis. 2008;3:20.
  • 17. Pascual J, González-Mandly A, Martín R, Oterino A. Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study. J Headache Pain. 2008;9(5):259-266.
  • 18. Christopher J. Wong. Involuntary Weight Loss. Med Clin of North Am. 2014; 3: 625-643.
  • 19. Am Fam Physician. 2014;89(9):718-722
  • 20. Gerber GS, Brendler CB. Evaluation of the urologic patient: history, physical examination, and urinalysis. In: Wein AJ, et al.; eds. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Elsevier Saunders; 2012:75-76.
  • 21. Bremnor JD, Sadovsky R. Evaluation of dysuria in adults. Am Fam Physician. 2002;65(8):1589-1596.
  • 22. Bent S, et al. Does this woman have an acute uncomplicated urinary tract infection? JAMA. 2002;287(20):2701-2710.
  • 23. Am Fam Physician. 2015;92(9):778-786.
  • 24. Grady D. Clinical practice. Management of menopausal symptoms.N Engl J Med. 2006;355(22):2338-2347.
  • 25. Sarma AV, Wei JT. Clinical practice. Benign prostatic hyperplasia and lower urinary tract symptoms [published correction appears in N Engl J Med. 2012;367(7):681]. N Engl J Med. 2012;367(3):248-257.

Hasta değerlendirmede hekimlik sanatı: semptoma multisistemik yaklaşım

Yıl 2020, Cilt: 1 Sayı: 1, 1 - 4, 31.03.2020

Öz

Tıp, çeşitli semptomların farklı disiplinlerden yararlanarak bir arada değerlendirilmesini gerektiren bir sanattır. İnsan vücudunun belirli durumlara karşı verdiği semptomlar, patolojinin bulunduğu organ sisteminin dışında başka sistemlerde de kendini gösterebilir. Hekimler, detaylı bir öykü ve iyi bir fizik muayene ile pek çok semptomun altında yatan patolojiyi saptayabilirler. Bu derlememizde belirli bir hastalığa özgün olmayıp, birçok hastalığın başlangıç döneminde ortaya çıkan ve bazen ileri incelemelerle tanı için ipucu olabilecek bazı semptomlardan bahsedilmiştir.

Kaynakça

  • 1. Singer M, Deutschman CS, Seymour CW, et al. The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 2016; 315: 801-10.
  • 2. Helle L, Faurschou M, Baslund B. Vaskulit. Reumatologi. FADL's Forlag 2018: 252-71.
  • 3. Kasper DL, Fauci AS. (eds). Harrison Principles of Internal Medicine 19/E, Vol 1, 2. 2015.
  • 4. Sorgun MH, Işıkay CT, Cotur H, et al. Etiologic subtypes of acute multiple infarcts in more than one vascular territories. J Neurol Sci (Turkish) 2016; 33: 38-44.
  • 5. Kisely SR, Campbell LA, Yelland MJ, Paydar A. Psychological interventions for symptomatic management of non‐specific chest pain in patients with normal coronary anatomy. Cochrane Database of Systematic Reviews 6, (2015).
  • 6. Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician 2008; 77: 7.
  • 7. Forbes H, Watt E. Jarvis's physical examination and health assessment. Elsevier Health Sciences. (2015).
  • 8. Muncie HL, Sirmans SM, James E. Dizziness: approach to evaluation and management. Am Fam Physician 2017;95(3):154.
  • 9. Newman-Toker DE. Emergency neuro-otology: diagnosis and management of acute dizziness and vertigo, an issue of neurologic clinics, e-book, vol. 33. Philadelphia: Elsevier Health Sciences; 2015.
  • 10. Wipperman J. Dizziness and vertigo. Prim Care 2014; 41(1): 115-31.
  • 11. Dix MR, Hallpike CS. The Pathology, Symptomatology and Diagnosis of Certain Common Disorders of the Vestibular System. Proceedings of the Royal Society of Medicine 1952;45(6):341-54.
  • 12. Kattah JC, Talkad AV, Wang DZ, et al. HINTS to diagnose stroke in the acute vestibular syndrome. Stroke 2009;40(11):3504–10.
  • 13. DeVos E, Jacobson L. Approach to Adult Patients with Acute Dyspnea. Emerg Med Clin North Am. 2016; 34: 129-49.
  • 14. Beithon J, Gallenberg M, Johnson K, et al. Diagnosis and treatment of headache, 11th ed. Institute for Clinical Systems Improvement. January 2013. https://www.icsi.org/_asset/qwrznq/Headache.pdf. Accessed March 17, 2013.
  • 15. Stovner LJ, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide.Cephalalgia. 2007;27(3):193-210.
  • 16. Leroux E, Ducros A. Cluster headache. Orphanet J Rare Dis. 2008;3:20.
  • 17. Pascual J, González-Mandly A, Martín R, Oterino A. Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study. J Headache Pain. 2008;9(5):259-266.
  • 18. Christopher J. Wong. Involuntary Weight Loss. Med Clin of North Am. 2014; 3: 625-643.
  • 19. Am Fam Physician. 2014;89(9):718-722
  • 20. Gerber GS, Brendler CB. Evaluation of the urologic patient: history, physical examination, and urinalysis. In: Wein AJ, et al.; eds. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Elsevier Saunders; 2012:75-76.
  • 21. Bremnor JD, Sadovsky R. Evaluation of dysuria in adults. Am Fam Physician. 2002;65(8):1589-1596.
  • 22. Bent S, et al. Does this woman have an acute uncomplicated urinary tract infection? JAMA. 2002;287(20):2701-2710.
  • 23. Am Fam Physician. 2015;92(9):778-786.
  • 24. Grady D. Clinical practice. Management of menopausal symptoms.N Engl J Med. 2006;355(22):2338-2347.
  • 25. Sarma AV, Wei JT. Clinical practice. Benign prostatic hyperplasia and lower urinary tract symptoms [published correction appears in N Engl J Med. 2012;367(7):681]. N Engl J Med. 2012;367(3):248-257.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Review [en] Derleme [tr]
Yazarlar

Aydın Çifci 0000-0001-8449-2687

Ömer Özcömert Bu kişi benim 0000-0003-4305-0836

Yayımlanma Tarihi 31 Mart 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 1 Sayı: 1

Kaynak Göster

AMA Çifci A, Özcömert Ö. Hasta değerlendirmede hekimlik sanatı: semptoma multisistemik yaklaşım. J Med Palliat Care / JOMPAC / Jompac. Mart 2020;1(1):1-4.

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