A propósito de cinco casos en donde el proceso diagnóstico se inició en 'la huella que no debería estar allí' o 'signo de Robinson' -como le pasó a Robinson Crusoe que vio una huella humana en la playa de su isla 'desierta': ¿cómo podía encontrarse allí?; era un misterio-, y basándonos en metáforas, revisamos los mecanismos de la operación mental de identificar la enfermedad en medicina de familia. Encuadramos el mecanismo de 'la huella que no debería estar allí' principalmente en la primera fase o intuitiva del razonamiento clínico, pero esta intuición del médico debe mantenerse acompañando a todo el proceso diagnóstico, como el 'bajo continuo' de la música barroca, permitiendo la improvisación y el estilo personal, y de este modo, eventualmente la observación de la huella 'que no tenía que estar allí' puede surgir tanto en la fase analítica como en la de verificación de las hipótesis elaboradas
We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in 'the trace that should not be there' or 'Robinson sign' as happened to Robinson Crusoe when he saw a human footprint on the beach of the 'desert island'. How could it be there?; It was a mystery, and based on metaphors, we framed the mechanism of 'the trace that should not be there' mainly in the first phase of clinical or intuitive reasoning, but this intuition of the doctor should be accompanied by the diagnostic process, like the 'basso continuo' of Baroque music, allowing improvisation and personal style, and in this way, eventually observing the footprint 'that should not have been there' that may arise in the analytical, as well as in the verification phase of the assumptions made
Adult , Female , Humans , Male , Middle Aged , Diagnostic Self Evaluation , Family Practice/instrumentation , Family Practice/methods , Education, Medical/legislation & jurisprudence , Education, Medical/methods , Metaphor , Family Practice/organization & administration , Family Practice/standards , Education, Medical/organization & administration , Education, Medical/standards , 25783/analysis , 25783/methods
We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be there?; It was a mystery, and based on metaphors, we framed the mechanism of "the trace that should not be there" mainly in the first phase of clinical or intuitive reasoning, but this intuition of the doctor should be accompanied by the diagnostic process, like the "basso continuo" of Baroque music, allowing improvisation and personal style, and in this way, eventually observing the footprint "that should not have been there" that may arise in the analytical, as well as in the verification phase of the assumptions made.
Diagnosis , Family Practice/education , Humans
