The basic model

The use of the diagnostic model requires a disciplined approach to the problem with the medical practitioner quickly answering five selfposed questions. The questions are contained in Table 15.1 .

Table 15.1 The diagnostic model for a presenting problem

1. What is the probability diagnosis?

2. What serious disorders must not be missed?

3. What conditions are often missed (the pitfalls)?

4. Could this patient have one of the 'masquerades' in medical practice?

5. Is this patient trying to tell me something else?

This approach, which is based on considerable experience, requires the learning of a predetermined plan which, naturally, would vary in different parts of the world but would have a certain universal application in the so-called developed world.

Each of the above five questions will be expanded.

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