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10.1177/2150132720959860

http://scihub22266oqcxt.onion/10.1177/2150132720959860
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32959714!7513394!32959714
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suck abstract from ncbi


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pmid32959714      J+Prim+Care+Community+Health 2020 ; 11 (ä): 2150132720959860
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  • A Bottom-Up Approach Addressing Patient Care and Differential Diagnosis Amidst the Covid-19 Response #MMPMID32959714
  • Zolnikov T; Zolnikov TR
  • J Prim Care Community Health 2020[Jan]; 11 (ä): 2150132720959860 PMID32959714show ga
  • Patient care often refers to the broad spectrum of care, prevention, and treatment that a provider delivers, while the point of a differential diagnosis is to make a distinction between 2 or more conditions that share similar signs or symptoms. A broad differential should be considered for every single patient who is currently ill (eg, all patients with respiratory illnesses); without it, there will likely be an increase of misdiagnosis, unnecessary patient suffering, and an influx of patients to the emergency department. The COVID-19 response has forced many of these basic medical values aside, like providing differential diagnosis or practicing bedside manner through social interaction, while physicians struggle to continue care for patients. As a result, newly formed hospital and clinical policies may have dangerously traded everyday diagnosis and treatment of patients for the pandemic and quarantine recommendations. This type of assumptive medicine is based on a singular differential that can be detrimental to patients, who are more likely affected with more common illnesses, like bronchitis or pneumonia-or perhaps, even more threatening illnesses, like a pulmonary embolism, COPD exacerbation, congestive heart failure and even lung cancer. Although these new policies and reactions to COVID-19 are proactive, these actions could be at the cost of providing quality patient care for people who have not contracted COVID-19.
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology/prevention & control[MESH]
  • |Diagnosis, Differential[MESH]
  • |Humans[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Patient Care/*methods[MESH]


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