Nội địa hóa là một bước quan trọng trong việc tạo ra một chẩn đoán phân biệt. Nhận thức được trang web của một tổn thương là bước đầu tiên hướng tới cầm quyền trong một số bệnh và loại trừ những người khác. | 16 3. The Vignette Localization Localization is an essential step in generating a differential diagnosis. Recognizing the site of a lesion is the first step toward ruling in some illnesses and ruling out others. When localization is self-evident it is advisable to state it anyway as a reminder to the examiners that the obvious was not overlooked. First comes a broader localization division that places the lesion in the Central nervous system. Peripheral nervous system. Both. Next comes a narrower localization process. For example in the central nervous system the level could be Supratentorial. Basal ganglia. Brainstem Intrinsic and extrinsic. Cerebellum. Spinal cord. Motor unit Anterior horn cells. Peripheral nerve. Neuromuscular junction. Muscle. Categorization The main categories of neurological disorders are Vascular. Neoplastic. Infectious inflammatory. Toxic metabolic. Degenerative. The lesion can also be divided into Focal. Multifocal spatial and or temporal . Finally the candidate should try to discuss the possible etiology of the case. Differentiation What the examiners are looking for is a well-organized and thought-out presentation on differential diagnosis on the case. A few tips on organizing and presenting data may help 1. Do not rush to an obvious diagnosis it gives the examiner an impression of lack of depth and critical analysis in your clinical judgment and it exposes you to unnecessary risks of further questioning by the examiners. 2. Be comprehensive in your including diagnosis but also pertinent to the case. In other words it does not give a good impression to mention a potential diagnosis for which there is no clear-cut support in the symptoms signs or history. 3. Characterize the probability of your diagnostic classification in a way that is hierarchically clear. For example you might want to say I am considering . in the differential diagnosis because of. However because of . . . this diagnosis would be less likely. 4. Provide all the .
