El dilema en el razonamiento diagnóstico: la navaja de Ockham o el dictamen de Hickam.
Saved in:
| Title: | El dilema en el razonamiento diagnóstico: la navaja de Ockham o el dictamen de Hickam. |
|---|---|
| Alternate Title: | The dilemma in diagnostic reasoning: Ockham's razor or Hickam's opinion. |
| Authors: | Arriaga Izabal, Diego Yahir1 diego_arriza@outlook.com |
| Source: | Medicina Interna de México. oct2024, Vol. 40 Issue 9, p603-605. 4p. |
| Abstract (English): | The influence of the principle of parsimony (Ockham's razor) in diagnostic reasoning started from the foundation of modern medical education by Sir William Osler and, until today, it is the most widely used heuristic method in the clinical practice. In this context, the principle proposes that the minimum number of causes that explains all the symptoms and not multiple individual diagnoses should be sought. However, it has been the object of multiple criticisms for its absolute authority in clinical judgment; the main one is Hickam's dictum that establishes "a patient can have as many diseases as he wants", emphasizing that more than one disease can be responsible for the signs and symptoms. This paper offers a historical and critical perspective of the dilemma in diagnostic thought that allows it to be used as a tool for reflection in medical action. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La influencia del principio de parsimonia (navaja de Ockham) en el razonamiento diagnóstico comienza desde la confección de la educación médica moderna por Sir William Osler y, hasta la actualidad, es el método heurístico más utilizado en la práctica clínica. En este contexto, el principio propone que debe buscarse la mínima cantidad de causas que expliquen todos los síntomas y no múltiples diagnósticos individuales. No obstante, ha sido objeto de gran cantidad de críticas por su absoluta autoridad en el juicio clínico; la principal es el dictamen de Hickam que establece que "un paciente puede tener tantas enfermedades como desee", con hincapié en que más de una enfermedad puede ser responsable de los signos y síntomas. En este trabajo se ofrece una perspectiva histórica y crítica del dilema en el pensamiento diagnóstico que permita ser utilizada como una herramienta de reflexión en el actuar médico. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: lth DbLabel: MedicLatina An: 180163966 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: El dilema en el razonamiento diagnóstico: la navaja de Ockham o el dictamen de Hickam. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: The dilemma in diagnostic reasoning: Ockham's razor or Hickam's opinion. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Arriaga+Izabal%2C+Diego+Yahir%22">Arriaga Izabal, Diego Yahir</searchLink><relatesTo>1</relatesTo><i> diego_arriza@outlook.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medicina+Interna+de+México%22">Medicina Interna de México</searchLink>. oct2024, Vol. 40 Issue 9, p603-605. 4p. – Name: Abstract Label: Abstract (English) Group: Ab Data: The influence of the principle of parsimony (Ockham's razor) in diagnostic reasoning started from the foundation of modern medical education by Sir William Osler and, until today, it is the most widely used heuristic method in the clinical practice. In this context, the principle proposes that the minimum number of causes that explains all the symptoms and not multiple individual diagnoses should be sought. However, it has been the object of multiple criticisms for its absolute authority in clinical judgment; the main one is Hickam's dictum that establishes "a patient can have as many diseases as he wants", emphasizing that more than one disease can be responsible for the signs and symptoms. This paper offers a historical and critical perspective of the dilemma in diagnostic thought that allows it to be used as a tool for reflection in medical action. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: La influencia del principio de parsimonia (navaja de Ockham) en el razonamiento diagnóstico comienza desde la confección de la educación médica moderna por Sir William Osler y, hasta la actualidad, es el método heurístico más utilizado en la práctica clínica. En este contexto, el principio propone que debe buscarse la mínima cantidad de causas que expliquen todos los síntomas y no múltiples diagnósticos individuales. No obstante, ha sido objeto de gran cantidad de críticas por su absoluta autoridad en el juicio clínico; la principal es el dictamen de Hickam que establece que "un paciente puede tener tantas enfermedades como desee", con hincapié en que más de una enfermedad puede ser responsable de los signos y síntomas. En este trabajo se ofrece una perspectiva histórica y crítica del dilema en el pensamiento diagnóstico que permita ser utilizada como una herramienta de reflexión en el actuar médico. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=180163966 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/mim.v40iOctubre.9120 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 4 StartPage: 603 Titles: – TitleFull: El dilema en el razonamiento diagnóstico: la navaja de Ockham o el dictamen de Hickam. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Arriaga Izabal, Diego Yahir IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: oct2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 01864866 Numbering: – Type: volume Value: 40 – Type: issue Value: 9 Titles: – TitleFull: Medicina Interna de México Type: main |
| ResultId | 1 |
