The etiological idea of diseases and the methodology of treatment varies among the various systems of medicine. However, the mode of disease diagnosis (Nosological diagnosis) is common for all systems. It's an undeniable fact that the close association between disease diagnosis and remedial diagnosis prevailed in Modern medicine might not be noticed in other holistic systems, however, diagnosis is having its own importance even in other systems. The mode of treatment may be either holistic treatment, specific treatment, symptomatic treatment and general life support to the patient. Modern medicine gives more importance to the precise treatment, whereas, systems like Ayurveda, Homoeopathy, Siddha, Unani, Chinese medicine, Naturopathy etc. give more importance to the holistic concept of treatment, i. e. remedy section by considering the physical, mental and emotional characters and life situation of the sick individual.
However, in these systems also, disease diagnosis is equally important, because, under certain situations, the functioning of the affected organ or the machine of your body needs to be backed up. The individual also may require some specific form of support, for that the organ remedies are to be deployed. Apart from that, disease diagnosis is important for planning the illness control measures, prognosis, special precautions, to know the life span threatening situations, prevention of spreading of disease to others. Diagnosis is very needed for statistics, research and and to fulfill the academic interests. Especially, due to some medico-legal reasons, the physician should know the detailed health status of his patient. Due to all these reasons, disease diagnosis is vital, regardless of the system of treatment fond of the patient.
Disease diagnosis and remedial diagnosis can be viewed as as the 2 sides of exactly the same coin, hence, both are experiencing equal importance. Disease diagnosis is performed by correlating the signs and outward indications of the patients (clinical features) with the information given by the bystanders and the lab investigation reports. On certain situations, there may be some difficulty in building a diagnosis, because, numerous diseases are experiencing almost similar clinical features. Moreover, rarely occurring diseases or a newly emerged disease might not be identified easily, especially by way of a general practitioner. Under such circumstances, a specialist's opinion might be needed. Very rarely, a team of doctors are involved along the way of diagnosis.
It's not possible to mention each and every disease we come across inside our day to day practice. According to the International Classification of Diseases (ICD-10), a distinctive percentage of diseases can't be named. In such cases, a diagnosis is possible notwithstanding having several health related symptoms in the patient. Since the in-patient is suffering, he must be treated symptomatically. Some symptoms or conditions are wrongly understood as diseases by the laymen. Like, clinical manifestations like jaundice, fever, vomiting, headache, malaise etc are not diseases; but clinical manifestations of some diseases. The naming of diseases is performed on several basis. All of the diseases are named after the one who invented that particular disease (Buerger's disease, Alzheimer's disease, Weil's disease), some diseases on the foundation of area where in fact the disease is common or identified for initially (African sleeping sickness, Madhura foot, Japanese encephalitis), on the cornerstone of some peculiarity of the outward symptoms (Chikungunya), or on the basis of the organism in charge of the infection (Falsiparum malaria, Amoebic dysentery, Bacillary dysentery), or on the cornerstone of the affected organ (Myocarditis, Nephritis, Appendicitis), on the cornerstone of cause(Alcoholic hepatitis, Wool-sorter's disease), on the foundation old (Juvenile rheumatoid arthritis, Senile dementia), on the foundation of pathology(Mixed connective tissue disease, Mucopolyscaccharidosis)etc.
If a small grouping of specific signs and symptoms are found in an individual, it is called syndrome (Edward syndrome, Down syndrome, Laurence-moon syndrome). Nowadays, we hardly stumbled upon a patient having an individual disease, whereas nearly all of patients are experiencing a list of diseases such as for example cardiovascular disease, diabetes, idiopathic hypertension, acid peptic disease, senile dementia, degenerative joint disease etc. Many diseases are classified under certain band of disorders. For example: Degenerative joint disorders, Inflammatory bowel disorders, Psychosomatic diseases, Lifestyle disorders etc. Here, each group includes several diseases, but are grouped together due with a common features such as for example pathological or etiological features.
When a person concerns a doctor for the first time, immediate disease diagnosis may possibly not be possible as a result of various reasons. However, taking into consideration the presenting clinical features and history written by the patient, a doctor may come to a provisional disease diagnosis. After doing the laboratory investigations, the final diagnosis is done by correlating the clinical findings with investigation reports. However the treatment isn't kept in pending till the last diagnosis, especially in case there is life threatening diseases such as for instance diphtheria, wherein the therapy must be started immediately once the disease is suspected, because, when we await the lab reports to come, the individual might be critical. Some recent laboratory tests help in early diagnosis, but unavailability of sophisticated labs doing such tests is really a major deficiency faced by many countries.
The development of science and technology has made a revolution in medical science. Now the thought of disease diagnosis done only on the basis of clinical examination is outdated. It's now under the custody of some sophisticated machines and laboratory techniques, several out of these pose more risk to the health. But, the noteworthy point is, under all lab reports, a disclaimer is written as "correlate with clinical findings", which emphasizes the importance of case taking and clinical examination done by the doctor. In this era, wherein doctor-patient relationship is disrupted, we encounter many patients saying that the doctor has abruptly prescribed the medicine or referred for lab test without asking much questions and doing any kind of clinical examination.
The recent studies conducted at Mc Master university on the condition diagnosis is remarkable. They unearthed that the name of the illness creates more panic among the patients. For example, a person having sour eructation might not feel bad when the physician says he has acidity, on the other hand, he may get embarrassed if the doctor tells him he has Gastro-esophageal reflex disease, that is the medical terminology for recurrent burning eructations. The same happens in most of the cancer patients; once the disease is diagnosed as cancer, the patients mental and emotional status starts deteriorating. But, the doctor cant hide the condition from the individual due to many medical and legal issues. The greater alternative is always to secretly tell the diagnosis to the bystanders of the patient.
For an accurate disease diagnosis, the cooperation from the in-patient and his family unit members is quite essential. Each and every problem felt by the in-patient must certanly be told to the doctor. Some silly matter for the in-patient might be a vital point for a diagnosis and treatment. Similarly, apparent symptoms of long duration may be ignored by some patients. Purposeful hiding of symptoms could be dangerous. Some patients do not tell a doctor about the procedure he had taken previously. Frequent change of doctor (doctor shopping) can also cause difficulties. During consultation, patients habits, life situations, characters, food and bowel habits, relationship with others etc should be told. The reports of previous treatment and investigations must certanly be told, which may save enough time necessary for a diagnosis. Hence always look for a discharge summary while getting discharged from any hospitals. While consulting a doctor, always take one individual who knows in regards to the patient. The individual may also put in writing his symptoms before choosing a consultation, so that he will not forget to inform his symptoms completely. In this busy life, there is a pattern that instead of patient going to a doctor, he sends somebody to the physician for a "consultation ".Also there's a growth of men and women preferring over-the-counter purchase of drugs without a prescription.
When a patient dies or becomes serious during the length of treatment, the next thing is always to file a suit against the doctor or by attacking the doctors and hospitals, as a result of an emotional outbreak and a preconceived idea that it was as a result of medical negligence. Nowadays this is a common story in the majority of the news papers. By promoting the doctor-patient relation ship (which is deteriorating nowadays), and also by going back again to the "outdated" family doctor concept, we are able to solve a lot of the health related issues.