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What Is Diagnosis?
Published in Pat Croskerry, Karen S. Cosby, Mark L. Graber, Hardeep Singh, Diagnosis, 2017
First-line physicians do not always make a formal diagnosis for all complaints. A patient who presents with chest pain will typically have a clinical evaluation (history and physical examination) and basic tests (electrocardiogram, chest x-ray, troponin, d-dimer). Absent any clear explanation, they may be offered a diagnosis of exclusion, such as nonspecific chest pain, implying a condition likely of no consequence. No true diagnosis may be reached. Both provider and patient may be satisfied to accept the absence of significant disease as an end point itself without reaching a specific diagnosis or explanation for their symptoms. In fact, the willingness to avoid a premature label for a clinical syndrome is desirable, since an inaccurate label may mislead both the patient and other clinicians at future encounters. In cases where there is no clearly established diagnosis, a label of “not yet diagnosed” (NYD) may serve as a marker of need for future testing should the condition persist or worsen.
Healthcare related aversion and care seeking patterns of female aviators in the United States
Published in Archives of Environmental & Occupational Health, 2022
William R. Hoffman, R. Daniel Barbera, James Aden, Matthew Bezzant, Aykut Uren
Nearly half of female pilots admitted to withholding information from a healthcare provider (46.0%, n = 137), with a similar trend between compensated and non-compensated pilots. This is worrisome in that the primary way the health of certain pilot subtypes is screened is through review of system questions and physician interview. Further, many types of diagnostic testing are conducted only if a patient is complaining of a symptom (for example, a cardiac stress test for a patient who endorses chest pain). This delay in diagnostic assessment may delay treatment and worsen outcomes. Clinicians caring for pilots should be aware of this trend when using a history or review of systems to drive care. This issue is further complicated by the medical-legal aspect of healthcare disclosure as it relates to the protection of pilot health confidentiality in the setting of an incident investigation.15 This was the most commonly skipped survey question (answered by 137/154, 88.9%), which suggests this trend may be more common than we report in our study. This point speaks to both the anxiety surrounding medical information withholding and disclosure.
Deep learning-based automated multiclass classification of chest X-rays into Covid-19, normal, bacterial pneumonia and viral pneumonia
Published in Cogent Engineering, 2022
Alok Tiwari, Taresh Sarvesh Sharan, Shiru Sharma, Neeraj Sharma
Novel coronavirus attacks the respiratory system of the human body. It infects the lungs, due to which the patient is unable to breathe correctly and eventually dies due to lack of oxygen to the lungs, which has several symptoms (Cascella et al., 2022) such as fever, cough, and weakness. However, these systems vary from individual to individual based on their immune system response; along with that, loss of taste and smell is also another symptom. With an increasing infection rate of Covid-19, the patient suffers chest pain and loss of breathing. To assist that, patients need urgent medical oxygen supply to restore breathing.