O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | http://tede2.pucrs.br/tede2/handle/tede/8030 |
Resumo: | Introduction: The medical interview is fundamental for the approximation and recognition of the patient, and the physical examination usually increases the diagnostic possibility in the investigation. Technological development and immense diagnostic possibilities through complementary examinations have led to the idea of lesser importance of anamnesis and physical examination. Objective: To evaluate the undergraduate medical student's ability to perform a correct clinical diagnosis, from the presentation of clinical cases with information only from anamnesis or anamnesis and clinical examination together, without complementary exams. Methodology: A cross-sectional, exploratory study with quantitative data analysis of four clinical cases (two with isolated anamnesis and two with anamnesis and physical examination) answered by the students as a teaching task of the Medical Clinic discipline, with 97 academics from the School of Medicine of PUCRS from 2016 to 2017. Results: The findings showed that the majority of the students who participated in the study were female (54 subjects - 55.7%), predominantly white (94 - 96.9%), on average of 24.1 (+ 2.3) years old, having correctly determined 177 diagnoses (45.62%) in the first hypothesis. There was a significant difference (p <0.001) when compared the number of correct diagnosis in clinical cases with isolated anamnesis 108 (55.6%) to those with anamnesis and physical examination 69 (35.6%). Conclusion: It was verified that, for the undergraduate medical students of the fourth year from the School of Medicine, the correct answers in the first diagnosis were more frequent and with statistical significance, when clinical cases with isolated anamnesis were offered than when it was offered anamnesis and physical examination. |
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Antonello, Ivan Carlos Ferreirahttp://lattes.cnpq.br/3508258252320591http://lattes.cnpq.br/8236295294204695Schaefer, Bárbara Freiberger2018-05-14T12:59:21Z2018-02-26http://tede2.pucrs.br/tede2/handle/tede/8030Introduction: The medical interview is fundamental for the approximation and recognition of the patient, and the physical examination usually increases the diagnostic possibility in the investigation. Technological development and immense diagnostic possibilities through complementary examinations have led to the idea of lesser importance of anamnesis and physical examination. Objective: To evaluate the undergraduate medical student's ability to perform a correct clinical diagnosis, from the presentation of clinical cases with information only from anamnesis or anamnesis and clinical examination together, without complementary exams. Methodology: A cross-sectional, exploratory study with quantitative data analysis of four clinical cases (two with isolated anamnesis and two with anamnesis and physical examination) answered by the students as a teaching task of the Medical Clinic discipline, with 97 academics from the School of Medicine of PUCRS from 2016 to 2017. Results: The findings showed that the majority of the students who participated in the study were female (54 subjects - 55.7%), predominantly white (94 - 96.9%), on average of 24.1 (+ 2.3) years old, having correctly determined 177 diagnoses (45.62%) in the first hypothesis. There was a significant difference (p <0.001) when compared the number of correct diagnosis in clinical cases with isolated anamnesis 108 (55.6%) to those with anamnesis and physical examination 69 (35.6%). Conclusion: It was verified that, for the undergraduate medical students of the fourth year from the School of Medicine, the correct answers in the first diagnosis were more frequent and with statistical significance, when clinical cases with isolated anamnesis were offered than when it was offered anamnesis and physical examination.Introdução: A entrevista médica é fundamental para a aproximação e reconhecimento do paciente, e o exame físico, habitualmente, aumenta a possibilidade diagnóstica na investigação. O desenvolvimento tecnológico e as imensas possibilidades diagnósticas através dos exames complementares têm levado à ideia de menor importância da anamnese e exame físico. Objetivo: Avaliar o número de ocorrências de diagnósticos etiológicos adequados a partir da Anamnese e Exame Físico, sem exames complementares, realizados por acadêmicos do curso de graduação em Medicina. Metodologia: Estudo exploratório, transversal, com análise quantitativa dos dados, a partir de quatro casos clínicos (dois com anamnese isolada e dois com anamnese mais exame físico) preenchidos pelos alunos como tarefa de ensino aprendizagem da disciplina de Clínica Médica, com 97 acadêmicos de medicina da Escola de Medicina da PUCRS, no ano de 2016 e 2017. Resultados: Os achados evidenciaram que a maior parte dos acadêmicos participantes do estudo eram do sexo feminino 54 (55,7%), predominantemente da raça branca 94 (96,9%), tinham em média 24,1 (+ 2,3) anos, e que acertaram 177 diagnósticos (45,62%) na primeira hipótese. Houve diferença significativa (p<0,001) quando comparado o número de acertos no diagnóstico em casos clínicos com anamnese isolada 108 (55,6%) comparado com aqueles com anamnese mais o exame físico 69 (35,6%). Conclusão: Verificou-se que, para alunos de medicina do quarto ano de graduação da escola médica, os acertos com o primeiro diagnóstico foram mais frequentes e com significância estatística quando eram oferecidos casos clínicos com anamnese isoladamente do que quando se oferecia anamnese mais o exame físico.Submitted by PPG Medicina e Ciências da Saúde (medicina-pg@pucrs.br) on 2018-05-04T19:10:28Z No. of bitstreams: 1 BÁRBARA_FREIBERGER_SCHAEFER.pdf: 1176504 bytes, checksum: 78558bd375bc4c7f9afcb46a36c0d9a9 (MD5)Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-05-14T12:54:32Z (GMT) No. of bitstreams: 1 BÁRBARA_FREIBERGER_SCHAEFER.pdf: 1176504 bytes, checksum: 78558bd375bc4c7f9afcb46a36c0d9a9 (MD5)Made available in DSpace on 2018-05-14T12:59:21Z (GMT). No. of bitstreams: 1 BÁRBARA_FREIBERGER_SCHAEFER.pdf: 1176504 bytes, checksum: 78558bd375bc4c7f9afcb46a36c0d9a9 (MD5) Previous issue date: 2018-02-26application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/171951/DIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.jpghttps://tede2.pucrs.br/tede2/retrieve/187554/DIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.jpgporPontifícia Universidade Católica do Rio Grande do SulPrograma de Pós-Graduação em Medicina e Ciências da SaúdePUCRSBrasilEscola de MedicinaHipótese DiagnósticaExame ClínicoHistória MédicaCIENCIAS DA SAUDE::MEDICINAO diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicinainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho será publicado como artigo ou livro60 meses14/05/20237620745074616285884500500500-224747486637135387-969369452308786627info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSORIGINALDIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdfDIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdfapplication/pdf1176504https://tede2.pucrs.br/tede2/bitstream/tede/8030/5/DIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf78558bd375bc4c7f9afcb46a36c0d9a9MD55THUMBNAILDIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.jpgDIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.jpgimage/jpeg4095https://tede2.pucrs.br/tede2/bitstream/tede/8030/4/DIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.jpg5b0380a85afb6e827853661304e452b4MD54DIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.jpgDIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.jpgimage/jpeg5954https://tede2.pucrs.br/tede2/bitstream/tede/8030/7/DIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.jpg20a2dfe51b0868678f622184d6d1a256MD57TEXTDIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.txtDIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.txttext/plain2126https://tede2.pucrs.br/tede2/bitstream/tede/8030/3/DIS_BARBARA_FREIBERGER_SCHAEFER_CONFIDENCIAL.pdf.txt8c6d7dbbb153c9931882e7d321417d1eMD53DIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.txtDIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.txttext/plain83269https://tede2.pucrs.br/tede2/bitstream/tede/8030/6/DIS_BARBARA_FREIBERGER_SCHAEFER_COMPLETO.pdf.txt4dd087d42031f5a0ec28794ba8bf155dMD56LICENSElicense.txtlicense.txttext/plain; charset=utf-8610https://tede2.pucrs.br/tede2/bitstream/tede/8030/1/license.txt5a9d6006225b368ef605ba16b4f6d1beMD51tede/80302023-05-23 12:00:17.048oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2023-05-23T15:00:17Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
title |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
spellingShingle |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina Schaefer, Bárbara Freiberger Hipótese Diagnóstica Exame Clínico História Médica CIENCIAS DA SAUDE::MEDICINA |
title_short |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
title_full |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
title_fullStr |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
title_full_unstemmed |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
title_sort |
O diagnóstico clínico a partir da anamnese e exame físico para acadêmicos da Faculdade de Medicina |
author |
Schaefer, Bárbara Freiberger |
author_facet |
Schaefer, Bárbara Freiberger |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Antonello, Ivan Carlos Ferreira |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3508258252320591 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8236295294204695 |
dc.contributor.author.fl_str_mv |
Schaefer, Bárbara Freiberger |
contributor_str_mv |
Antonello, Ivan Carlos Ferreira |
dc.subject.por.fl_str_mv |
Hipótese Diagnóstica Exame Clínico História Médica |
topic |
Hipótese Diagnóstica Exame Clínico História Médica CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: The medical interview is fundamental for the approximation and recognition of the patient, and the physical examination usually increases the diagnostic possibility in the investigation. Technological development and immense diagnostic possibilities through complementary examinations have led to the idea of lesser importance of anamnesis and physical examination. Objective: To evaluate the undergraduate medical student's ability to perform a correct clinical diagnosis, from the presentation of clinical cases with information only from anamnesis or anamnesis and clinical examination together, without complementary exams. Methodology: A cross-sectional, exploratory study with quantitative data analysis of four clinical cases (two with isolated anamnesis and two with anamnesis and physical examination) answered by the students as a teaching task of the Medical Clinic discipline, with 97 academics from the School of Medicine of PUCRS from 2016 to 2017. Results: The findings showed that the majority of the students who participated in the study were female (54 subjects - 55.7%), predominantly white (94 - 96.9%), on average of 24.1 (+ 2.3) years old, having correctly determined 177 diagnoses (45.62%) in the first hypothesis. There was a significant difference (p <0.001) when compared the number of correct diagnosis in clinical cases with isolated anamnesis 108 (55.6%) to those with anamnesis and physical examination 69 (35.6%). Conclusion: It was verified that, for the undergraduate medical students of the fourth year from the School of Medicine, the correct answers in the first diagnosis were more frequent and with statistical significance, when clinical cases with isolated anamnesis were offered than when it was offered anamnesis and physical examination. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-05-14T12:59:21Z |
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2018-02-26 |
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por |
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por |
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7620745074616285884 |
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500 500 500 |
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Pontifícia Universidade Católica do Rio Grande do Sul |
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Programa de Pós-Graduação em Medicina e Ciências da Saúde |
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PUCRS |
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Brasil |
dc.publisher.department.fl_str_mv |
Escola de Medicina |
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Pontifícia Universidade Católica do Rio Grande do Sul |
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