Modern Pre-Operation Education of Surgeons: Principles Forming of Clinical Diagnosis

At the examination of a patient, a doctor evaluates clinical picture of the disease that manifests itself by a great number of various general and local symptoms caused by an etiological factor and pathogenesis changes of the different organs and systems of the organism. A purpose of the surgical patient examination is making of early, correct and precise individual diagnosis, and, based on it, effective and timely rendering of medical care via either pharmacologic nonsurgical methods or surgical intervention. Making a diagnosis is the most important task of the diagnostic and treatment process; solution of this task includes creative analysis of the disease clinical course, formulation of the provisional diagnosis and following determination of the additional examination methods scopes and diagnostic algorithm. From a formal aspect, diagnosis is based on the nosological principle and has to contain the name of a certain disease or injury according to the accepted nomenclature and classification of diseases; it is of importance to medical statistical goals and scientific research. Assessment of the findings of additional methods of examination in the aggregate with clinical signs allows carrying out of differentiation of similar diseases and gives an opportunity to make a clinical (final) diagnosis and define treatment approach. Concomitant diseases do not have etiopathogenetic relation to the underlying disease but able to influence substantially on the character of clinical picture, choice of the extent of other methods of examination and treatment. [For the full proceedings, see ED626585.]