Tham khảo tài liệu 'how to approach clinical problems - phần 2', y tế - sức khoẻ, y dược phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | SECTION 1 How to Approach Clinical Problems PART 1. Approach to toe Paáeto PART 2. Approach to Clinical Problem Sole tog PART 3. Approach to Reading HOW TO APPROACH CLINICAL PROBLEMS 3 PARI I. APPROACH TO THE PATIENT The transition from textbook and or journal article learning to the application of the information in a specific clinical situation is one of the most challenging asks in medicine. It requires retention of information. organization of the facts and recall of a myriad of data in precise application to the patient rhe purpose of this book is to facilitate this process. The first step is gathering information also known as establishing the database. This includes taking the history performing the physical examination and obtaining selective laboratory examinations or special evaluations such as urodynamic testing and or imaging tests. Of these the historical examination is the most important and useful. Sensitivity and respect should always be exercised during the interview of patients. CLINICAL PEARL The history is usually the single most important tool in obtaining a diagnosis. The art of seeking the information in a nonjudgmental sensitive and thorough manner cannot be overemphasized. History 1. Basic information a. Age must be recorded because some conditions are more common at certain ages for instance pregnant women younger than 17 years or older than 35 years arc at greater risk for preterm labor preeclampsia or miscarriage. b. iravidity Number of pregnancies including current pregnancy includes miscarriages ectopic pregnancies and stillbirths . c. Parity Number of pregnancies that have ended at gestational age s greater than 20 weeks. d. Abortuses Number of pregnancies that have ended at gestational agc s less than 20 weeks includes ectopic 4 s I I Ills. lỉs I I I l I s AND GYNLCOLOGY pregnancies induced abortions and spontaneous abortions . CLINIC AL PEARL Some practitioners use a 4-digit parity system to designate the ff Term deliveries Preterm
