The etiological concept 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 many systems. It is a well known fact that the close association between disease diagnosis and remedial diagnosis prevailed in Modern medicine may not be observed 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 notion of treatment, i. e. remedy section by taking into consideration 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 system of your body needs to be backed up. The in-patient also may require some specific type of support, for that the organ remedies are to be deployed. Apart from that, disease diagnosis is important for planning the condition control measures, prognosis, special precautions, to learn the life span threatening situations, prevention of spreading of disease to others. Diagnosis is extremely essential for statistics, research and and to fulfill the academic interests. Most importantly, due with a medico-legal reasons, the doctor ought to know the detailed health status of his patient. Due to all or any these reasons, disease diagnosis is crucial, aside from the device of treatment given to the patient.
Disease diagnosis and remedial diagnosis can be considered as both sides of exactly the same coin, hence, both are receiving equal importance. Disease diagnosis is completed by correlating the signs and symptoms of the patients (clinical features) with the information written by the bystanders and the lab investigation reports. On certain situations, there could be some difficulty in making a diagnosis, because, numerous diseases are experiencing almost similar clinical features. Moreover, rarely occurring diseases or a recently emerged disease might not be identified easily, especially by way of a general practitioner. Under such circumstances, a specialist's opinion may be needed. Very rarely, a group of doctors are involved in the act of diagnosis.
It is extremely hard to mention each and every disease we run into within our day to day practice. According to the International Classification of Diseases (ICD-10), a distinctive percentage of diseases can't be named. Such cases, a diagnosis is achievable in spite of having several health related symptoms in the patient. Since the patient is suffering, he must be treated symptomatically. Some symptoms or conditions are wrongly understood as diseases by the laymen. For example, clinical manifestations like jaundice, fever, vomiting, headache, malaise etc aren't diseases; but clinical manifestations of some diseases. The naming of diseases is performed on several basis. The majority of the diseases are named after the person who invented that one disease (Buerger's disease, Alzheimer's disease, Weil's disease), some diseases on the cornerstone of area where in actuality the disease is common or identified for the very first time (African sleeping sickness, Madhura foot, Japanese encephalitis), on the foundation of some peculiarity of the symptoms (Chikungunya), or on the cornerstone of the organism in charge of the infection (Falsiparum malaria, Amoebic dysentery, Bacillary dysentery), or on the foundation of the affected organ (Myocarditis, Nephritis, Appendicitis), on the basis of cause(Alcoholic hepatitis, Wool-sorter's disease), on the basis of age (Juvenile rheumatoid arthritis, Senile dementia), on the cornerstone of pathology(Mixed connective tissue disease, Mucopolyscaccharidosis)etc.
If a small grouping of specific signs and symptoms are within someone, it is named syndrome (Edward syndrome, Down syndrome, Laurence-moon syndrome). Nowadays, we hardly stumbled upon a patient having a single disease, whereas most of patients are having a set of diseases such as for instance cardiovascular disease, diabetes, idiopathic hypertension, acid peptic disease, senile dementia, degenerative joint disease etc. Many diseases are classified under certain group of disorders. As an example: Degenerative joint disorders, Inflammatory bowel disorders, Psychosomatic diseases, Life-style disorders etc. Here, each group includes several diseases, but are grouped together due to some common features such as pathological or etiological features.
Each time a person comes to the physician for the very first time, immediate disease diagnosis may possibly not be possible due to various reasons. However, considering the presenting clinical features and history given by the patient, the doctor may come to a provisional disease diagnosis. After doing the laboratory investigations, the last diagnosis is performed by correlating the clinical findings with investigation reports. However the procedure is not kept in pending till the ultimate diagnosis, especially in case of 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 in the future, the in-patient may be critical. Some recent laboratory tests assist in early diagnosis, but unavailability of sophisticated labs doing such tests is a major deficiency faced by many countries.
The development of science and technology has made a revolution in medical science. Now the concept of disease diagnosis done only on the basis of clinical examination is outdated. It is now under the custody of some sophisticated machines and laboratory techniques, a couple of out of them 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 significance of case taking and clinical examination done by the doctor. In this era, wherein doctor-patient relationship is disrupted, we run into many patients saying that the physician has abruptly prescribed the medicine or referred for lab test without asking much questions and doing any type of clinical examination.
The recent studies conducted at Mc Master university on the disease diagnosis is remarkable. They unearthed that the name of the illness creates more panic on the list of patients. For instance, an individual having sour eructation may not feel bad when the doctor says that he has acidity, on another hand, he may get embarrassed if a doctor tells him he has Gastro-esophageal reflex disease, which can be the medical terminology for recurrent burning eructations. The same happens in most of the cancer patients; once the condition is diagnosed as cancer, the patients mental and emotional status starts deteriorating. But, the doctor cant hide the disease from the individual due to many medical and legal issues. The higher alternative is to secretly tell the diagnosis to the bystanders of the patient.
For an accurate disease diagnosis, the cooperation from the patient and his members of the family is very essential. Each and every problem felt by the in-patient should be told to the doctor. Some silly matter for the individual can 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 don't tell the doctor about the therapy 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 must certanly be told. The reports of previous treatment and investigations should be told, that might save enough time needed for a diagnosis. Hence always ask for a discharge summary while getting discharged from any hospitals. While consulting a health care provider, always take anyone who knows concerning the patient. The in-patient can also make a note of his symptoms before choosing a consultation, so he will not forget to share with his symptoms completely. In this busy life, there's a tendency that instead of patient planning to the physician, he sends somebody to the physician for a "consultation ".Also there's an increase of men and women preferring over-the-counter purchase of drugs with out a prescription.
Whenever a patient dies or becomes serious through the course of treatment, the next thing would be to file a suit against the physician or by attacking the doctors and hospitals, as a result of a mental outbreak and a preconceived idea that it was due to medical negligence. Nowadays this can be a common story regarding polissonografia taguatinga in all 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 all the health related issues.