Differential diagnostic algorithm for diseases manifested with heart murmurs syndrome.
Diagnostic interpretation at auscultation of heart murmurs is accompanied by frequent errors. It creates serious clinical, pedagogical, organizational and social problems. The standard nosological principle of a clinical information description from the diagnosis (a disease name) to the description of symptoms/signs contradicts to real clinical practice from revealing of symptoms through differential diagnostics to a diagnosis establishment. The differential diagnostic algorithm or diagnostic algorithm developed by the author, is based on the opposite syndromic principle of thinking - from the signs to the diagnosis. It completely corresponds to the practical purposes of reliable diagnostics of 35 illnesses, manifested by heart murmurs at a heart auscultation.
Naumov
Leonid B
LB
Center for Medical Decision Making, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. leonaumov@zahav.net.il
D000465:Algorithms; D001314:Auscultation / Q000379:methods; D002309:Cardiology / Q000193:education*; D002983:Clinical Competence; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004501:Education, Medical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006337:Heart Murmurs / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D013337:Students, Medical / Q000523:psychology; D013663:Teaching; D055815:Young Adult