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clincal problem solving

الكلية كلية طب حمورابي     القسم الكلية ذات القسم الواحد     المرحلة 1
أستاذ المادة صباح جاسم محمد الربيعي       10/12/2018 18:12:59
CLINCAL PROBLEM SOLVING
Session One

INTRODUCTION

CCURRICULUM: PHASE 1/ SEMISTER 2/CLIN.SOLV. PROB.

LECTURER: Dr. Prof. Sabah AL-Rubiae . MB.Ch.B PhD

Selected references

Clinical Problem Solving 1 Module
Student .Workbook.
HUTCHISON CLINICAL METHODS BY MICHEAL SWASH AND MICHAEL GLYNN 22ND EDITION
Aim
How clinical medicine is learned
Think like a doctoLearning objectives

1-Describe the types of information that may be collected from a patient
2-Define the concept of ‘clinical presentation’ and ‘diagnosis’
3-Describe how to use a ‘concept map’ to link relevant material to a diagnosis.
4-Describe the process of ‘encapsulation’ of basic science in its application to clinical medicine.
Clinical problem solving:

-Merging information collected from a patient,
Ideas and concepts
Diagnosis .
Construction of a management plan in collaboration with the patient

Information collected from a patient is in three categories:
1-Symptoms:
These are things that a patient reports to you, such as a pain in some part of their body, feeling breathless, feeling tired, or changes that they have noticed about themselves.
2-Signs:
This is information you collect by examining a patient.
looking at the patient (inspection)
feeling the patient with your hands (palpation))
listening to some part of the patient, usually with a stethoscope (auscultation)
Tapping a patient to elicit a sound or response (percussion)
3-Investigations:
Image some part of a patient. Examples x-ray, MRI
measure a physiological process (breathing, hearing, heart function),Like pulmonary function test, ECG
measure some biochemical variable in a body fluid .like urine analysis , blood urea
Taking a history .
presenting complaint :(symptoms and signs, starting point in problem solving .example epigastric pain, crushing central chest pain).
Collection of history of the presenting complaint events preceded and followed this clinical event, plus a variety of other information about the patient’s previous medical history, social circumstances
Problem solving: Focus on Relevant questions in the history
examine the patient properly
Order the right investigations.
To structures in your head which enable you to identify what is wrong with the patient to plan treatment.
The following diagram suggests a broad structure for your concept maps:


المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .