The Diagnostic Medical Interview.
| Autor: | Dreicer JJ; Department of Medicine, University of Virginia, Charlottesville, VA, USA. Electronic address: jd3nd@virginia.edu., Parsons AS; Department of Medicine, University of Virginia, Charlottesville, VA, USA., Rencic J; Department of Medicine, Boston University, Boston, MA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Medical clinics of North America [Med Clin North Am] 2022 Jul; Vol. 106 (4), pp. 601-614. Date of Electronic Publication: 2022 May 28. |
| DOI: | 10.1016/j.mcna.2022.01.005 |
| Abstrakt: | The diagnostic medical interview spans from the chief concern to the formation of a differential diagnosis. The patient's unique expression of their symptoms is the central component of this conversation. The interview should begin by eliciting the patient's chief concern with an open-ended question and then move through 3 nonlinear phases: open-ended elicitation, guided elicitation, and hypothesis-driven elicitation. Performing a comprehensive medical interview by obtaining background health information and the review of systems can help to expand or shrink the differential diagnosis. Clinicians should obtain information about specific symptoms and background information with a significant likelihood to narrow the differential diagnosis. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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