Читать книгу Clinical Reasoning in Veterinary Practice - Группа авторов - Страница 45

As a result of reading this chapter we hope that you appreciate that:

Problem‐based inductive clinical reasoning…

 Is much more than just listing problems, then listing differentials for each problem (a common misconception about problem‐based medicine)

 Has ‘rules’ that are easy to remember and can be applied to most clinical problems animals present with

 Has a structured approach to clinical problems centred on four main steps (Figure 2.7) as follows:Define +/‐ refine the problemDefine and refine the systemDefine the location (where appropriate)Define the lesion

 Provides an intellectual and visual framework to hang your knowledge on, allowing you to recognise and retrieve more easily the information you need

 Reduces the need to remember a long list of differentials (see the first point)

 Helps prevent getting trapped by a perceived ‘obvious’ diagnosis – it helps avoid diagnostic bias

 Provides memory triggers to ensure an appropriate history is taken and a thorough clinical examination performed

 Provides a clear rationale for choosing diagnostic tests or treatments that can be communicated to the owner

 Helps turn a terrifying case into a manageable one!