Think Like a Doctor
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Think Like a Doctor
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I've recently come across the Diagnosis column of the New York Times 'Well' blog. It regularly includes an interesting medical case study where readers are asked to work out the diagnosis and explain
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Think Like a Doctor
posted at 25/8/2012 5:33 PM BST
on bmj.com
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Posts: 26
First: 11/7/2012 Last: 24/5/2013 |
I've recently come across the Diagnosis column of the New York Times 'Well' blog. It regularly includes an interesting medical case study where readers are asked to work out the diagnosis and explain their reasoning. Well written, good discussions and I've learnt a lot. I think doc2doc members will find them very stimulating. Anyone seen any of these diagnoses? http://well.blogs.nytimes.com/category/doctors/think-like-a-doctor-doctors/ |
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Re: Think Like a Doctor
posted at 26/8/2012 9:51 AM BST
on bmj.com
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Posts: 2060
First: 12/3/2010 Last: 24/5/2013 |
Not so sure! I had a go at two, about the eye disease and the heart rhythm. In the first, we presented with a photograph of the patient and expected to see that she has "deep set eyes". I'm sorry, but in a frontal, flash photo,the depth of the eye sockets is invisible. Yes, there were symptoms that fit the diagnosis, but they were both neat and obscure. Then, Lymes Disease! I know this is present in UK, but it's on my list of "American Illnesses". Very clever of the OR doctors; I would have referred her to a cardiologist who would, of course, have got the cause of her heart block. So each that I've tried has swung on a high, rare hook, and we are required to come up with the one question that clinches the case, when most diagnoses come from the integration of vague symptoms, none of which add up to a 'classical presentation' . I'm reminded of Perry Mason (QV for younger readers) the defending counsel who would drag his client back from the jaws of judicial hanging by asking the witness a simple question, or Columbo, who did the same by always asking "just one more thing". Most of all, Sherlock Holmes putting our estimable colleague Dr.Watson through the usual post-case viva, pointing out his own incomparable perspicacity and Watson's degrading stupidity. Elementary, my foot! John |
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