Maramaa S Ia
Ter Arkh. 1989;61(9):128-30.
The methodology of a so-called task force approach to the diagnosis is suggested. It determines the strategy of the physician's diagnostic searches in some problems occurring in the examination of patients afflicted with the given disease. The problems (stages, levels of examination) show how one should reason, i. e. they form concrete bases for clinical thinking. According to this methodology, the symptoms should be classified with separate diagnostic problems--trends or stages of the patient's examination at the stage of a probable diagnosis establishment. The task force approach is a method of analysis which prevents potential gross diagnostic errors by means of deciding the main questions (functional, pathogenetic, etc.). A well-defined wording of the above-indicated problems--concrete regularities of the clinical thinking--are of paramount importance in teaching therapy. Examples are provided of the task force approach to the diagnosis of pyelonephritis, infectious myocarditis, anemia, and some other diseases.
本文提出了一种所谓的“专案组”诊断方法。它确定了医生在诊断患有特定疾病的患者时,针对某些问题进行诊断性检查的策略。这些问题(检查阶段、水平)表明了应该如何进行推理,也就是说,它们构成了临床思维的具体基础。根据这种方法,症状应与单独的诊断问题进行分类——在建立可能诊断阶段患者检查的趋势或阶段。“专案组”方法是一种分析方法,通过确定主要问题(功能、发病机制等)来防止潜在的重大诊断错误。上述问题的明确表述——临床思维的具体规律——在治疗教学中至关重要。文中给出了“专案组”方法用于诊断肾盂肾炎、感染性心肌炎、贫血和其他一些疾病的示例。