Less life threatening differential diagnoses

Robert Bell rmsbell200 at YAHOO.COM
Sun Aug 2 12:21:17 UTC 2015


Excellent point. How to change things? What to do to get the funding?

Rob Bell

Sent from my iPad

On Aug 1, 2015, at 8:58 PM, Mark H Ebell <ebell at UGA.EDU> wrote:

> As a primary care physician, we often see diseases early in their course, when signs and symptoms overlap with other conditions and biomarkers may be negative (think lupus). Unfortunately, there is no funding in the US to study clinical diagnosis in the primary care setting, at least not as long as NIH is dominated by basic scientists and sub specialists. That would be the only way to identify the truly useful signs and symptoms (or more likely combinations).
> 
> Mark
> 
>> Mark H. Ebell MD, MS
> Professor of Epidemiology
> University of Georgia
> Editor, Essential Evidence
> Deputy Editor, American Family Physician
> ebell at uga.edu
> 
> 
> From: Carmel Crock
> Reply-To: Society to Improve Diagnosis in Medicine, Carmel Crock
> Date: Saturday, August 1, 2015 at 9:55 PM
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG"
> Subject: Re: [IMPROVEDX] Less life threatening differential diagnoses
> 
> Dear Rob
> I thought I would mention that at our Eye and ENT hospital emergency department, shingles is one of our commonest missed or delayed diagnosis, as patients present early with severe eye or ear pain but nothing (or little) to show on clinical examination.
> Regards
> Carmel Crock
> From: robert bell [0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG]
> Sent: Sunday, 2 August 2015 9:08 AM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: [IMPROVEDX] Less life threatening differential diagnoses
> 
> To me it seems that despite frequency patterns medical students are rightly taught at great length to focus on not missing the life threatening diagnosis. Is this done at the expense of missing the diagnosis with less dangerous competing conditions that are on the differential diagnostic list.
> 
> For example, how much do most medical students/residents know about shingles pain and symptoms prior to lesion development, with any lack of knowledge leading to the “diagnosis” of possible acute abdomen?
> 
> I would argue that in training knowing FAR more about the less dangerous differential diagnoses would get us more quickly to an accurate diagnosis, at possibly lesser cost.
> 
> So should there be in training more focus on the less serious competing differential diagnoses? 
> 
> Rob Bell
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> ______________________________________________________________________
> Attention: 
> The information in this e-mail message may be confidential, and may also be subject to legal privilege, public interest or legal professional privilege.
> 
> If you are not the intended recipient, any use, disclosure or copying of this e-mail is unauthorised.
> 
> If you have received this message in error, please contact the sender.
> 
> This footnote also confirms that this email message has been checked for the presence of computer viruses.
> 
> The Royal Victorian Eye and Ear Hospital however does not warrant the message is free of viruses. 
> 
> It is recommended as a prudent business practice the recipient perform a virus scan of any message received.
> ______________________________________________________________________
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


HTML Version:
URL: <../attachments/20150802/334f27fe/attachment.html>


More information about the Test mailing list