Diagnostic idea: Do not hear the hoofs the zebra

Tags:, zebra, Department of Respiratory Medic (View ID:537311)

this afternoon to listen to case discussion will be wide total one month hospital-wide seminar credits brush.

Today

cases of Respiratory Medicine, an allergic pneumonia in young patiENTs, a disseminated histoplasmosis.

disease process do not speak, chaired by the Director of the DepartmENT of Respiratory Medicine concluded worth considering:

1, in the face of difficult cases, the first according to the main clinical features to idENTify the corresponding spectrum of disease.(Why is it that doctors are the older more powerful, to know the spectrum of disease and more ah)

2, diagnosis of the assumptions - the first common rare disease.Do not be a dead end, to hear the hoofs, zebra, unless it is in Africa, is generally not a zebra.

destination to do some checks: the so-called Sutton rule, the Willie Sutton (answer police caught after robbing a bank):"Why (I'm going to the bank)? That place rich ah."Do the same to ask questions of history and physical examination, but also with such a clear purpose in the process of diagnosis of attENTion," I hope to find out what? There may be clues that will help me to confirm the diagnosis?."

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