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The Importance of Disease Diagnosis

by OstanJack on Jul 19, 2018 Business 311 Views

The etiological concept of diseases and the methodology of treatment varies among the various systems of medicine. However, the mode of disease diagnosis (Nosological diagnosis) is common for all systems. It is a fact that the close association between disease diagnosis and remedial diagnosis prevailed in Modern medicine might not be seen in other holistic systems, however, diagnosis is having its own importance even yet in other systems. The mode of treatment may be either holistic treatment, specific treatment, symptomatic treatment and general life support to the patient. Modern medicine gives more importance to the specific treatment, whereas, systems like Ayurveda, Homoeopathy, Siddha, Unani, Chinese medicine, Naturopathy etc. give more importance to the holistic idea of treatment, i. e. remedy section by considering the physical, mental and emotional characters and life situation of the sick individual.

However, in these systems also, disease diagnosis is equally important, because, under certain situations, the functioning of the affected organ or the machine of the body needs to be backed up. The patient also may require some specific type of support, for that your organ remedies can be deployed. As well as that, disease diagnosis is very important to planning the illness control measures, prognosis, special precautions, to learn living threatening situations, prevention of spreading of disease to others. Diagnosis is very needed for statistics, research and and also to fulfill the academic interests. Above all, due to some medico-legal reasons, the physician should know the detailed health status of his patient. Due to any or all these reasons, disease diagnosis is a must, regardless of the device of treatment given to the patient.

Disease diagnosis and remedial diagnosis can be viewed as as both sides of the same coin, hence, both are experiencing equal importance. Disease diagnosis is completed by correlating the signs and outward indications of the patients (clinical features) with the info given by the bystanders and the lab investigation reports. On certain situations, there may be some difficulty in making a diagnosis, because, a number of diseases are experiencing almost similar clinical features. Moreover, rarely occurring diseases or a newly emerged disease might not be identified easily, especially with a general practitioner. Under such circumstances, a specialist's opinion may be needed. Very rarely, a team of doctors are involved along the way of diagnosis.

It's difficult to name each and every disease we run into in our daily practice. As per the International Classification of Diseases (ICD-10), a notable percentage of diseases can't be named. In such cases, a diagnosis is achievable notwithstanding having several health related symptoms in the patient. Since the individual is suffering, he has to be treated symptomatically. Some symptoms or conditions are polissonografia brasilia wrongly understood as diseases by the laymen. For example, clinical manifestations like jaundice, fever, vomiting, headache, malaise etc are not diseases; but clinical manifestations of some diseases. The naming of diseases is performed on several basis. All of the diseases are named after the one who invented that particular disease (Buerger's disease, Alzheimer's disease, Weil's disease), some diseases on the basis of area where the disease is common or identified for the first time (African sleeping sickness, Madhura foot, Japanese encephalitis), on the foundation of some peculiarity of the observable symptoms (Chikungunya), or on the cornerstone of the organism accountable for the infection (Falsiparum malaria, Amoebic dysentery, Bacillary dysentery), or on the foundation of the affected organ (Myocarditis, Nephritis, Appendicitis), on the foundation of cause(Alcoholic hepatitis, Wool-sorter's disease), on the basis old (Juvenile rheumatoid arthritis, Senile dementia), on the basis of pathology(Mixed connective tissue disease, Mucopolyscaccharidosis)etc.

If several specific signs and symptoms are found in a person, it is known as syndrome (Edward syndrome, Down syndrome, Laurence-moon syndrome). Nowadays, we hardly locate patient having an individual disease, whereas nearly all of patients are experiencing a listing of diseases such as cardiovascular disease, diabetes, idiopathic hypertension, acid peptic disease, senile dementia, degenerative joint disease etc. Many diseases are classified under certain group of disorders. For example: Degenerative joint disorders, Inflammatory bowel disorders, Psychosomatic diseases, Life-style disorders etc. Here, each group includes several diseases, but are grouped together due to some common features such as for example pathological or etiological features.

Each time a person concerns the doctor for initially, immediate disease diagnosis may not be possible as a result of various reasons. However, thinking about the presenting clinical features and history distributed by the in-patient, the doctor will come to a provisional disease diagnosis. After doing the laboratory investigations, the final diagnosis is done by correlating the clinical findings with investigation reports. However the procedure is not kept in pending till the ultimate diagnosis, especially in case of life threatening diseases such as diphtheria, wherein the treatment has to be started immediately when the disease is suspected, because, if we watch for the lab reports ahead, the individual might be critical. Some recent laboratory tests assist in early diagnosis, but unavailability of sophisticated labs doing such tests is a major deficiency faced by many countries.

The development of science and technology has made a revolution in medical science. Now the concept of disease diagnosis done only on the cornerstone of clinical examination is outdated. It is now under the custody of some sophisticated machines and laboratory techniques, a couple of out of them pose more risk to the health. But, the noteworthy point is, under all lab reports, a disclaimer is written as "correlate with clinical findings", which emphasizes the importance of case taking and clinical examination done by the doctor. In this era, wherein doctor-patient relationship is disrupted, we run into many patients saying that a doctor has abruptly prescribed the medicine or referred for lab test without asking much questions and doing any type of clinical examination.

The recent studies conducted at Mc Master university on the illness diagnosis is remarkable. They found that the name of the illness creates more panic among the patients. For instance, a person having sour eructation may not feel bad when the physician says that he has acidity, on the other hand, he may get embarrassed if the doctor tells him he has Gastro-esophageal reflex disease, that is the medical terminology for recurrent burning eructations. The same thing happens in all the cancer patients; once the disease is diagnosed as cancer, the patients mental and emotional status starts deteriorating. But, the doctor cant hide the condition from the patient due to many medical and legal issues. The greater alternative is to secretly tell the diagnosis to the bystanders of the patient.

For a precise disease diagnosis, the cooperation from the individual and his family unit members is quite essential. Each and every problem felt by the patient should be told to the doctor. Some silly matter for the in-patient might be a vital point for a diagnosis and treatment. Similarly, symptoms of long duration may be ignored by some patients. Purposeful hiding of symptoms could be dangerous. Some patients don't tell a doctor about the procedure he had taken previously. Frequent change of doctor (doctor shopping) may also cause difficulties. During consultation, patients habits, life situations, characters, food and bowel habits, relationship with others etc must be told. The reports of previous treatment and investigations should really be told, which can save enough time necessary for a diagnosis. Hence always look for a discharge summary while getting discharged from any hospitals. While consulting a health care provider, always take one person who knows concerning the patient. The in-patient may also note down his symptoms before going for a consultation, so he will not forget to inform his symptoms completely. In this busy life, there is a development that instead of patient planning to a doctor, he sends somebody to the doctor for a "consultation ".Also there is an increase of men and women preferring over-the-counter purchase of drugs with no prescription.

Whenever a patient dies or becomes serious throughout the length of treatment, the next step would be to file a suit against the doctor or by attacking the doctors and hospitals, consequently of a mental outbreak and a preconceived indisputable fact that it had been because of medical negligence. Nowadays this is a common story in most of the news papers. By promoting the doctor-patient relation ship (which is deteriorating nowadays), and also by going back once again to the "outdated" family doctor concept, we are able to solve the majority of the health related issues.



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