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Taking a History in Neurocritically Ill Patients.
Neurocrit Care ; 32(3): 677-682, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32346841
ABSTRACT
A clinical history leads to an examination, tests and a diagnosis. This time-honored sequence in medicine remains valid in critical illness, but in the heat of the moment there is a quickly appearing inevitable sketchiness. Intensivists should never be too unquestioning, too comfortable with incomplete information, or too unwilling to start over if information is muddled or contradictory. No scale in neurology looks at history. There is no tool or requirement to provide a standard system of communication. I review the essentials of history taking in a neurocritically ill patient. Examples of the value of a good medical history are shown but also the familiar biases when asking questions. There are obstacles, errors of commission and omission, and the importance of recognition of a clinical trajectory.

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Aspecto clínico: Prognóstico Idioma: Inglês Revista: Neurocrit Care Assunto da revista: Neurologia / Terapia Intensiva Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Estados Unidos