DIFFFERENTIAL DIAGNOSIS-PEER RESPONSE TO MADELINE
PEER RESPONSE TO MADELINE
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Differential diagnosis is a process in which a list of potential conditions is made based on a patientâ€™s symptoms, medical history, physical assessment and diagnostic tests. To begin creating a differential diagnosis, the provider must discuss the patientâ€™s symptoms, medical history, perform a physical assessment, and order all diagnostic tests deemed appropriate. Once this information is gathered, a list of potential conditions is made. This list serves to consider all possible causes of the presenting symptom(s). Based on data gathered through diagnostic tests and assessments, the list can be narrowed down to one diagnosis that fits the patientâ€™s entire picture. By ruling conditions out, the provider can be sure that there are not any potential conditions missed (Cleveland Clinic, 2022). Typically, conditions are listed from most to least likely.
There are various organizational processes that can be used to develop a differential diagnosis. A systematic approach focuses on the organ system(s) that have potential to be causing the symptom (Center for Academic Achievement, 2006). A patient presenting with abdominal pain would prompt a thorough assessment of each system and potential causes for abdominal pain within each system. This process is helpful in that all systems are considered; however, the list could be very extensive and include unnecessary considerations. Anatomical approach considers the location of the complaint and the surrounding anatomical potential for cause. This approach can be helpful in some straightforward cases, but expansion on this approach is needed for many presentations (Center for Academic Achievement, 2006). Finally, a physiologic mechanism approach considers the underlying pathways that could be causing a symptom. This approach is great when considering biochemical, endocrine, hematologic, and other physiologic pathways and how they can present (Center for Academic Achievement, 2006).
Center for Academic Achievement. (2006). Strategies for generating differential diagnoses.https://www.umassmed.edu/globalassets/clinical-faculty-development-center/nov-2017-w1t1-materials/10e-differential-dx-strategies—online.pdf
Cleveland Clinic. (2022, January 27). Differential diagnosis. https://my.clevelandclinic.org/health/diagnostics/22327-differential-diagnosis