Diagnosis, Immunity in VS .NET

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my face does seem to feel rather hot! you say, con rming this clinical nding [Thinking probe: Is the nurse s conclusion that you have a fever based upon a clinical symptom or a clinical sign How about your self-report that your face has been feeling hot Is this a clinical symptom or a clinical sign Why ] When we put all of the above clinical info together (syn-), we get a syndrome The word syndrome comes from the Greek and means a running together A clinical syndrome (SIN-drohm), consequently, is a whole group of clinical symptoms and signs that more or less run together in a particular patient at the same time The doctor making a diagnosis of acute coryza or rhinitis would base this decision upon a cold syndrome Such a syndrome includes a characteristic set of cold symptoms and cold signs running together in a patient Summarizing, we obtain the following handy word-equation:
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CLINICAL SYMPTOMS CLINICAL SIGNS DIAGNOSIS OF A CERTAIN CLINICAL SYNDROME Diagnosis of an acute coryza (rhinitis) syndrome
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+ (observed by health (noticed by the patient) professionals)
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Edema of nasal passages; fever present
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Speci c example: + Runny nose; nasal congestion; feeling hot
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Okay, but how do you know that you re getting a cold before the disease actually happens the careful student may further probe The physician may say you have a particular prodrome (PROH-drohm) literally a running (drome) before (pro-) A prodrome, then, involves the symptoms that occur before a full-blown disease syndrome In our example, there would be a case of the snif es This might also include malaise (mah-LAYZ) a vague feeling of body weakness or discomfort Both snif es and malaise, then, are often part of the PRODROME leading up to a full-blown SYNDROME of acute coryza/rhinitis Remember: Runs before A PRODROME (subtle warning symptoms, like snif es or malaise) A SYNDROME (full-blown disease with clinical signs and symptoms)
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I understand, the motivated learner may now exclaim But can you tell me what happens after a diagnosis of a disease syndrome is made What happens next
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PART 2
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Once a disease is diagnosed, it is only natural for the patient (who is often worried) to ask the caregiver, How is this thing going to work out Speaking medically, the patient is asking the doctor to make a prognosis (prahg-NOH-sis) This word literally means a condition of (-is) knowledge (gnos) before (pro-) Prognosis, then, is a condition of foreknowledge It is a situation in which the knowledgeable caregiver makes a prediction concerning the outcome of a particular disease the patient has, including the chances for full recovery You have 3 months to live! is de nitely not the prognosis any of us would like to hear! Hopefully, we will hear our caregiver make a much more optimistic prediction, such as, Your head cold should disappear in just a few more days But I have prescribed a nasal decongestant [dee-kahn-JES-tant] that will help you breathe easier in the meantime [Thinking probe: From your recent study of the word, congestion, what do you think that the word, decongestant, literally means ] In overview, remember: A DIAGNOSIS (summarizes what you are going through [dia-] during a disease) but A PROGNOSIS (predicts the future outcome of a disease before [ pro-] it actually happens)
IMPORTANT TOOLS AND TECHNIQUES USED IN MAKING DIAGNOSES
We have now discussed various concepts involved in making diagnoses (dieuhg-NOH-seez; statements of present disease conditions) And we have contrasted this with prognoses (predictions about future disease outcomes) It is now appropriate for us to discuss some of the major tools and techniques that are used to make such knowledgeable statements Even as far back as Hippocrates ( 1), healers made diagnoses by palpation (pal-PAY-shun) The earliest physicians palpated (PAL-pay-ted) or touched (palpat) the bodies of their patients in numerous places They used only their sensitive ngertips as diagnostic tools By palpation (a process of touching ) the abdomen, for example, Hippocrates was able to diagnose an enlarged liver right through his patient s skin! Closely related to palpation is another diagnostic skill, percussion (perKUSH-un) a process of (-ion) striking (percuss) Percussion is used in physical examination by tapping (striking) the body surface fairly hard with the
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