My approach to any clinical problem at hand (POMR- Problem Oriented Medical Records)

My approach to any clinical problem at hand (POMR- Problem Oriented Medical Records)

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 having a torrid time and trying hard to keep abreast but mildly skeptical of political overtures.

I hope this list will give some comfort (40% a mystery)1

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 nevertheless for ABSOLUTE clarity)