| Diagnosis Made Simple For Parents | |
| "Have you ever wondered how physicians make a diagnosis? And decide when to treat or not? Or what laboratory test to request?" A book that could save you lots of money and maybe even your child's life.
This is the first book that teaches Parents how to make reasonable Diagnosis. The main goal of this this book is to help reduce medical errors. One study has shown that some physicians can make up to 20% error in diagnosis.
This Book will
show you what questions a Physician should ask you to make the best diagnosis.
Here is an example: If your Child has a
Chronic Cough, print and answer these questions and bring it with you and
give it to your Clinician.
1.
How long has the been the cough going on? (Chronic vs acute,
elicit seasonality for allergy. If no fever and associated with activity,
think of asthma.)
2.
Is the coughing worse at night? (Acid Reflux [GERD], Post-nasal
drip, in sinusitis the cough is before sleeping and upon awakening).
3.
Coughing wakes child in the middle of the night? (Asthma,
especially after midnight.)
4.
Any fever with the cough? (Pneumonia, viral infection, sinusitis)
5.
Any headache, ear pain, or runny nose? (Sinusitis, in infants
pulling at the ear, suddenly with poor appetite or don’t want to take
solids.)
6.
Cough after running, laughing, or crying? (Asthma until proven
otherwise)
7.
Any sore throat? (Strep throat, allergy, GERD, viral triggered
asthma)
8.
Coughing after meals, bad breath, metallic taste? (GERD, sinusitis)
9.
Any chest pain? (GERD, pneumonia, asthma, pneumothorax,
costo-chondritis)
10.
Frequent previous pneumonia, infections? (Cystic Fibrosis, foreign
body, immune deficiency problem, malignancy)
11.
Are the stools bulky, white, and difficult to flush? (Cystic
fibrosis)
12.
Is there diarrhea, poor weight gain? (Cystic fibrosis)
13.
Are the eyes itchy or watery? (Allergies)
14.
Is the cough debilitating, severe, spasmodic? (Pertussis)
15.
Any one in the family with asthma, allergy, or eczema? (Asthma)
16.
Are there pets in the house, baby sitter? (Allergies, asthma)
17.
Are there smokers in the house? (Allergies, asthma)
18.
Any hobby like painting? (Allergy, asthma)
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When your Child has a Fever Questions you should answer before the office visit 1. How high was the fever? How was the temperature measured? 2. 2. Since when was the fever? (Document duration of fever) 3. What is the pattern of the fever? ( persistent, progressively increasing, intermittent, etc.) 4. Are there other symptoms accompanying the fever? ( coughs, chills, runny nose etc.) 5. Was there ear ache, ear pulling, abdominal pain, diarrhea, joint pains, other systemic complaints? 6. Is there headache, neck rigidity, or behavioral changes? 7. Was the immunization complete? 8. Is the child taking any medications? 9. Has the child been exposed to someone sick in the family, in school, exposure to pets, ticks, travel outside? 10. Does the child have any other known illnesses? These questions will help your clinician figure out the diagnosis of your child with less office visits. Most Clinicians who do not use a computer with a "Structured" Present Illness, will have difficulty in asking these 18 questions in the initial visit. If some of these questions are missed, there is a good chance of missing the diagnosis.
In this Book are many reports that illustrate common serious problems in children. A two and a half year old girl was admitted in a hospital because of belly pain, with vomiting, constipation, and poor appetite. The abdominal examination was normal. The ESR (erythrocyte sedimentation rate) was 34 mm/hour (normal 0-20). Her X-ray of the abdomen showed dilated loops of bowel. Two days later, she refused to sit up. There was tenderness at the lumbar spine area. Straight leg raising and spinal movements were limited. X-ray of the lumbar spine was normal. However, bone scan of the spine showed increased uptake at L4-5 disk space. She was diagnosed to have diskitis. The treatment given was: fusidic acid, erythromycin, and a spinal jacket for 6 weeks. She made a good recovery. Reference: Year Book of Pediatrics 1986, page 434 Comment: Diskitis is not a common cause of belly pain in children. This case is unusual, however, any child with high ESR should be suspected of having something wrong physically. Diskitis is believed to be cause by Staphylococcus bacteria infecting the space between two vertebral bodies. Some children will have no belly pain, just pain at the back or difficulty on walking.
This Book as listings of important serious diseases in children with its top differential diagnosis.
Table of Contents of Differential Diagnosis Belly Pain
Air Leaks From Lungs
Acute Crying
Back Pain
Bed Wetting
Big Lymph Node
Big Spleen
Blood in Urine
Chronic Diarrhea
Chest Pain
Cough
Coughing Up Blood
Constipation
Droopy Eye
Enlarged Glands
Eye Swelling
Excessive Thrist
Facial Paralysis
Fainting Spell
Feeding Problem
GI Bleeding
Headache
Head Tilt
Hives
High ESR
Hoarseness
Joint Pain
Limp
Leg Pain
Muscle Weakness
Noisy Breathing
Nose Bleeding
Nose Obstruction
Pyuria
Recurrent Infection
Red Green Urine
Ringing in the Ears
Scrotal Swelling
Seizures
Stiff Neck
Swelling of the Parotic Gland
Toe Walking
Toeing In
Toeing Out
Unequal Pupils
Vomiting
Wheezing This book will help you figure out the most likely problem of your child and at the same time reduce medical errors. Want to receive Free Randomized Controlled Trial reports in Pediatrics and other latest information? I review and scan Medical Journals that the average Pediatrician is not subscribing to. Please fill up the form below and click "Get More Info!"
Cognitive and habit error of clinicians Clinicians, like any other professionals, are liable to commit mistakes we call human errors. None is exempted. Cognitive and habit errors occur every hour in clinics, emergency rooms, and hospitals. A common problem is the prescription of many clinicians. It is very difficult to read and many injuries had occurred because patients are given the wrong medication or the wrong dose. This is a habit error, a bad habit of writing. Case in Point: A cardiologist wrote his patient a prescription for Isordil. The pharmacist read the cardiologists handwriting as Plendil and filled the prescription with Plendil. The patient took the Plendil and died. The patients family sued both the cardiologist and the pharmacist for malpractice--negligence. A jury found the cardiologist and pharmacist equally responsible for patients death. Each had to pay $225,000 in damages to the patients family. To reduce prescription errors, clinicians should print or use a computer in writing their prescription. At our office since we started using an EMR (electronic medical record) we have dramatically reduced the number of prescription errors. It also reduced the number of pharmacist's telephone call to verify the brand name and dose of medication. You can help reduce prescription error you should read it before leaving the office. If you can read the prescription, request for a printed or legible prescription. Explain to the nurse or clinician that you want to reduce the chance of medication error. Example of Diagnostic Error False Positive Biopsy Prescription Error Systems Errors Flying Infusion Pump Printed Prescription Medical Errors a National Problem Compunding Medication Error Pediatric Surgery Errors
Act Now so you can get the Benefits from Diagnosis Made Simple for Parents. Send your e mail and check of $18 ($21 US from outside USA and Canada) to: Writer's Global Group, 698 Kenkusdeag Ave. Bangor, ME 04401 USA
Ten Principles in Reducing Medical Errors 1. Use "continuous healing relationships" whether over the Internet, by telephone, or through some other means in order to supplement face-to-face visits. 2. Customize care on the basis of patients' needs and values. The system should enable clinicians to meet the most common types of needs yet respond to an individual patient's choices and preferences. 3. Give patients control over their care. Patients should receive the information necessary for making decision and have the opportunity to exercise as much control as they want over a decision that affects them. 4. Share clinical knowledge and medical information with patients. 5. Make clinical decisions on the basis of the best scientific evidence. 6. Make the system as safe as possible for patients. This rule reiterates the message of "To Err Is Human." 7. Make information available to patients so that they can make informed decisions when selecting a health plan, hospital, clinical practice, or treatment. 8. Anticipate patients' needs rather than react to them. 9. Do not waste resources or patient time. 10. Cooperate more so that clinicians appropriately exchange information and coordinate care. IOM Committee on Quality of Health Care in America
Want to receive Free Randomized Controlled Trial reports in Pediatrics and other latest information? I review and scan Medical Journals that the average Pediatrician is not subscribing to. Please fill up the form below and click "Get More Info!"
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