Diagnostic process is the method by which health professionals select one disease over another, identifying one as the most likely cause of a person’s symptoms. Symptoms that appear early in the course of a disease are often more vague and undifferentiated than those that arise as the disease progresses, making this the most difficult time to make an accurate diagnosis. Reaching an accurate conclusion depends on the timing and the sequence of the symptoms, past medical history

Traditionally, diagnosis has been defined as the art of identifying a disease from its signs and symptoms. Formerly, few diagnostic tests were available to assist the physician, who depended on medical history, observation, and examination.

Overview of the diagnostic process

The committee concluded that the diagnostic process is a complex, patient-centered, collaborative activity that involves information gathering and clinical reasoning with the goal of determining a patient’s health problem. This process occurs over time, within the context of a larger health care work system that influences the diagnostic process

  • Muscle mass decreases, as does the mass of the liver, brain, and kidneys.
  • The working diagnosis may be either a list of potential diagnoses
  • Pulmonary function decreases because the number of alveoli lessens, expiratory muscles weaken
  • Endocrine changes are noted and can include decreased functioning
  • Throughout the diagnostic process, there is an ongoing assessment

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Physical Exam

The physical exam is a hands-on observational examination of the patient. First, a clinician observes a patient’s demeanor, complexion, posture, level of distress, and other signs that may contribute to an understanding of the health problem


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