Thursday, April 16, 2020

My approach to any clinical problem at hand


My approach to any clinical problem at hand

There is some overlay and interplay of terminology.

Even after going through the list throughly, only 60% of the problems can be sorted out with impunity (40% already known and another 20% solved leaving behind 40% a mystery).

When I see journalists’ questions and presentations, Dr. Sanjaya Gupta is trying hard to keep abreast but mildly skeptical of political overtures.

I hope this list will give some comfort (40% a mystery)
1. Aetiology
2. Definitions
3. Classification of diseases
4. Epidemiology
Incidence
Prevalence
5. Pathogenesis
6. Pathology (after the fact at postmortem or biopsy)
7. Microbiology
8. Virology (globally neglected including WHO)
9. Immunology
10. Clinical Findings
11. Laboratory Findings (relevant and incidental)
12. Differential diagnosis (my specialty of trying to delineate subtle differences)
13. Treatment modalities including life support
14. Complications (disease as well as treatment itself including ventilator support)
15. Prognosis
16. Prevention
17. Research
18. Outcome
19. Outlook
20. Philosophical Perspective (ability to stay calm in adversity and leave no stone unturned for clarity)

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