RENE LAENNEC'S SYNDROME-BASED CLINICAL REASONING

• 영문명: RENE LAENNEC'S SYNDROME-BASED CLINICAL REASONING
• 발행기관: 셀메드 세포교정의약학회
• 저자명: Berezutskyi Volodymyr
• 간행물 정보: 『셀메드』Volume 14 Issue 2, 1~4쪽, 전체 4쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2024.02.29

국문 초록

The development of clinical reasoning, which is the basis of medical education, is of great importance inmedical universities. One of the founders of modern structural clinical reasoning, based on the knowledgeof pathological physiology, is the inventor of the stethoscope Rene Laennec (1781-1826). He described thepioneering experience of clinical reasoning in the pages of his treatise A Treatise on the Diseases of theChest and on Mediate Auscultation, which is of lasting value, since every rookie physicians in hisprofessional development goes through the path of Laennec. Laennec's practice is of great importance fornovice physicians since Laennec’s treatise contains a diagnostic analysis of the most common clinical cases. Each such analysis demonstrates the algorithm of clinical reasoning. The purpose of this study was toanalyze the approaches of clinical reasoning by René Laennec, which made it possible to identify two basicprinciples. Laennec's diagnostic reasoning involved two principles: pathogenetic analysis of clinicalmanifestations and a syndrome-based approach to differential diagnosis. These principles help distinguishbetween diseases with similar symptoms and physical findings are used to demonstrate the practicalapplication of syndrome-based differential diagnosis. These principles can be easily mastered byunderstanding the pathogenesis of clinical manifestations. Thanks to the pathogenetic basis, the principlesof clinical reasoning of Rene Laennec are universal and applicable to the analysis of any signs of the disease:not only physical but also laboratory and instrumental.

목차

INTRODUCTION

Relevance

Diagnostic reasoning before the days of Rene Laennec

Principles of clinical reasoning by Rene Laennec

Principle No 1. Understanding the morphological and pathophysiological backgrounds of clinical manifestations.

Principle No 2. Syndrome-based approach

The lung consolidation syndrome

Conclusion

ACKNOWLEDGEMENT

CONFLICT OF INTEREST

REFERENCES

키워드

Rene Laennec physical diagnostics clinical reasoning differential diagnostics