RESUMO
Se hace una reseña histórica acerca de la vida de Karel Wenckebach, médico holandés que desarrolló una amplísima obra en el campo de las arritmias cardiacas. Entre otras contribuciones, señaló algunos aspectos sobre el bloqueo cardiaco y dió inicio a la terapia antiarrítmica específica al usar exitosamente la quinina en la fibrilación auricular. Su descripción del bloqueo cardiaco por pausas periódicas ha quedado como un clásico de la medicina. Como un complemento al tema se revisa algunos conceptos sobre el automatismo cardiaco y cómo fue estudiado en el curso de los años. Karel Frederik Wenckebach falleció en Viena el 11 de Noviembre de 1940
Assuntos
Humanos , História do Século XVIII , História do Século XIX , História do Século XX , Arritmias Cardíacas/fisiopatologia , Peru , Diagnóstico/históriaAssuntos
Diagnóstico/história , Urina , Urologia/história , História do Século XV , Itália , Ilustração MédicaAssuntos
Diagnóstico/história , Faculdades de Medicina/história , Urina , História Medieval , Humanos , ItáliaRESUMO
Having patterned the character of Sherlock Holmes after one of his professors, Sir Arthur Conan Doyle, himself a physician, incorporated many of the didactic qualities of the 19th century medical diagnostician into the character of Holmes. In this paper I explore Holmes's techniques of deductive reasoning and their basis in 19th and 20th century medical diagnostics.
Assuntos
Diagnóstico/história , História do Século XIX , História do Século XX , LógicaRESUMO
In the diagnostic process the first goal of the clinician is to obtain as clear a view as possible of the patient and the associated problems. The second is to conceptualize the patient's problems as disease categories, thereby making the diagnosis. Today we can perceive our patients and their problems in ways that physicians of the past never dreamed of. Major advances are being made with three noninvasive imaging techniques: nuclear medicine, computerized axial tomography and ultrasonics. Motion and change are the essence of the physiological approach to medical diagnosis, and medical images should be viewed as symbolic representations of the patterns and changes in the spatial and temporal distribution of the physical and chemical substances that make up our bodies.
