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Semin Neurol. 1998;18(2):169-76.

Augenblickdiagnose.

Author information

1
Department of Neurology, Medical College of Virginia, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond 23249, USA.

Abstract

The process of making a diagnosis is integral to the practice of medicine, but diagnostic reasoning is rarely taught as a specific point. In most instances, experienced clinicians use a method of generating and testing hypotheses, finally selecting the hypothesis that best explains the clinical picture. Occasionally, especially distinctive physical signs allow augenblickdiagnose, a term that means "diagnosis in the blink of an eye." The process is too rapid to have followed a hypothesis testing method. Similarly, key fragments of history often permit very rapid diagnosis. The ability to make a snap diagnosis based on characteristic physical signs or snippets of clinical information relies on familiarity with certain critical clinical information. The reader is invited to try to augenblickdiagnose several cases.

PMID:
9608614
DOI:
10.1055/s-2008-1040870
[Indexed for MEDLINE]

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