MCQS in PEDIATRICS Review of Nelson’s Textbook of Pediatrics 20th Edition Ebook PDF
MCQS in PEDIATRICS Review of Nelson’s Textbook of Pediatrics 20th Edition Ebook PDF Working in the environment of the emergency department, we experienced a plethora of clinical pathology that enhanced and finely tuned our visual diagnosis skills. Armed with a dig-ital camera and a consent form, we were able to build a library of educational material in the form of clinical pictures, radiographic images, and fascinating stories. With these assets we
prepared the first edition of the Atlas of Pediatric Emergency Medicine and have been humbled and pleased at the enthusiastic response of our audience. Based upon that response we
Ñhave prepared this second edition.
The pressures of clinical practice continue to increase with
ÑÑ demand of increasing productivity, decreasing reimbursement, and increasing numbers of patients, all leading to the potential to spend more time ordering tests than observing and examining patients.
Thus, the art of visual diagnosis remains an endangered species. Where the bedside experience was once the highlight of our clinical day, the “art” has been replaced by mechanics. Our trainees are being schooled in processing flow and survival mode ideation.Sir William Osler once wrote: “Avoid the common and fatal facility of reaching conclusions from superficial observations and being constantly misled by the ease with which our minds fall into the ruts of one or two experiences.” The more patients one sees and examines, the better one becomes at forming a concise differential diagnosis prior to ordering an expensive, time-consuming, and often invasive work-up.
The student of visual diagnosis is not only more likely to make the right diagnosis, but is also more likely to avoid the costly error. We urge our fellow physicians to hold on to this art. By perfecting the tools we were born with and supplementing them with those that we developed, we will
continue to have pride in what we do, love our patients, and enjoy our careers.
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