THE DIAGNOSTIC PROCESS PRESENTED BY:- GOUNSIA AMIN
THE DIAGNOSTIC PROCESS Diagnosis has important implications for patient care, research, and policy. Diagnosis has been described as both a process and a classification scheme, or a “pre-existing set of categories agreed upon by the medical profession to designate a specific condition” (Jutel.2009). When a diagnosis is accurate and made in a timely manner, a patient has the best oppurtunity for a positive health outcome because clinical decision making will be tailored to a correct understanding of the patient’s health problem. (HOLMBOE AND DURNING 2014) The diagnostic process is a complex transition that begins with the patient’s individual illness history and ulminates in a result that can be categorized.
Steps in the Diagnostic process Taking an appropriate history of symptoms and collecting relevant data. Physical examination. Generating a provisional and differential diagnosis. Testing (ordering, reviewing, and acting on test results). Reaching a final diagnosis. Consultation(referral to seek clarification if indicated). Providing discharge instructions, mointoring , and follow up. Documenting these steps and the rationale for discussions made.
.
PARTS OF DIAGNOSIS
DIAGNOSIS SEQUENCE Detection and examination of abnormality. History and examination of patient. Re-examination. Classification of abnormality. List of all possible diagnosis. Development of differential diagnosis. Developmental of working diagnosis. Final Diagnosis.
.
. Diagnostic sequence involves:- Statistical way of finding normal. Ethics Normal Anatomy.
Analysis involves six parts:-
.
COMPREHENSIVE DENTAL TREATMENT INVOLVES:- ROUTINE NEW PATIENTS. RECALLED PATIENTS WHO HAS PHYSICAL SIGNIFICANT AND DENTAL STATUS. PATIENTS WHI HAS COMPLEX PROBLEM REFFERED TO CONSULTATION
COMPREHENSIVE DENTAL TREATMENT
.
TREATMENT PLAN AND RECOMMENDATION TO MANAGE PRIORITY PROBLEM. TO CONTROL AND ELIMINATE DISEASES. TO RESTORE FUNCTION AND ESTHETICS. TO REVALUATE THE PREVIOUS CASE HISTORY. TO RECALL THE PATIENT FOR FURTHER REVALUATIONB AND TREATMENT.
SCREENING AND RECALL EVALUATION SCREENING INVOLVES:- FOR EXAMINING LARGE NUMBER OF PATIENTS CONSULTATION STATUS OF PATIENT AFTER THEARPY HAS BEEN COMPLETED. RECALL EVALUATION HAS THREE OBJECTIVES:- TO EVALUATE ANY PROGRESSION OF DISEASES. TO EVALUATE EFFECTIVENESS OF DISEASES. TO HELP IN REASSESMENT OF PROGNOSIS.
EMERGENCY TREATMENT AGGREVATIVE HISTORY. SUPERFICIAL CLINICAL EXAMINATION WITH EMPHASIS ON THE MAJOR AREA OF COMPLAINT. SELECTIVE RADIOGRAPHY. DIAGNOSIS. EMERGENCY TREATMENT REVALUATION.
CLINICAL DENTAL EVALUATION EXTRA ORAL INTRAORAL NEUROLOGICAL.