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Скачать Medicine Vols 34(4-8) April - August 2006 (Cardiology) бесплатно

Medicine Vols 34(4-8) April - August 2006 (Cardiology) | PDF | 9.4 Mb

Despite the large range of investigations that are now available
for the diagnosis of cardiovascular disease, a good clinical history
remains the clinician’s most valuable diagnostic tool. In many
cases, the diagnosis may be made from the history alone, and
examination and investigations are confirmatory. In other cases,
a useful differential diagnosis list can be made and used to direct
investigations towards the most likely diagnoses.
A key objective of history-taking is to establish a clear description
of the presenting symptom, and to detect any pattern to
episodes of the symptom. This involves asking about precipitating
and relieving factors (e.g. exercise, emotional stress, meals), and
identifying any diurnal or other temporal pattern. When the history
is unclear, it can be helpful to ask patients or their partner to keep
a diary of their symptoms. Although this contribution focuses on
cardiac symptoms, helpful supportive information is often found
by paying attention to the previous medical history, medication
and the social history.


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