Illness Scriptに関する覚書

Core Components of Illness Script

• Predisposing conditions (Epidemiology)
• Demographics: Age, Gender, Ethnicity
• Risk factors: 
• Exposures: Travel, Occupation, Pet, Activities, Close contact
• Progression (Time course)
• Duration
• hyperacute = hourly
• acute = daily
• subacute = weekly
• chronic = monthly
• Pattern
• Constant
• Episodic
• Presentation
• key feature (discriminating feature, must-have feature)
• differentiating feature (defining feature)
• Pathophysiology (Mechanism)

References

• Mandin, H. Developing a "clinical presentation" curriculum at the University of Calgary Acad Med March 1995 
• Bowen, JL. Educational Strategies to Promote Clinical Diagnostic Reasoning N Engl J Med 2006; 355:2217-2225

Recommended Readings

• CMDT2013
• the Merck Manual
• Up To Date Patient Information, Beyond the Basics
• the Medecins Sans Frontieres Clinical Guidelines：国境なき医師団のマニュアルで、他に仏語、西語版がある。