Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition

Background: One of the most interesting parts of medical science is using clinical reasoning to solve clinical problems. In today’s world of medicine, with increasing amounts of scientific information and new diagnostic and treatment facilities, physicians’ responsibility in managing the condition o...

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Autores principales:	Mahshad Mousavi, Nazanin Mousavi, Babak Abdolkarimi
Formato:	article
Lenguaje:	EN
Publicado:	Tabriz University of Medical Sciences 2021
Materias:	clinical reasoning problem solving coronavirus pandemia rheumatoid arthritis Education L Special aspects of education LC8-6691
Acceso en línea:	https://doaj.org/article/f94f30cebc134c7fa7d717fdaa6b9113
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spelling	oai:doaj.org-article:f94f30cebc134c7fa7d717fdaa6b91132021-11-09T09:25:45ZProblem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition2322-271910.34172/rdme.2021.022https://doaj.org/article/f94f30cebc134c7fa7d717fdaa6b91132021-10-01T00:00:00Zhttps://rdme.tbzmed.ac.ir/PDF/rdme-10-22.pdfhttps://doaj.org/toc/2322-2719Background: One of the most interesting parts of medical science is using clinical reasoning to solve clinical problems. In today’s world of medicine, with increasing amounts of scientific information and new diagnostic and treatment facilities, physicians’ responsibility in managing the condition of patients becomes weightier. Making the correct decision is an important goal that can be achieved by having adequate information and using it appropriately. At this stage, we should follow the thought process of successful doctors and use information from books and articles to solve clinical problems. The purpose of this article is to improve the skills of physicians in the effective use of knowledge and experience to solve clinical problems to increase our success in fulfilling our responsibility to patients. Methods: Clinical reasoning enhances the quality of learning and increases the ability of medical students in clinical problem-solving. In this article, a patient with rheumatoid arthritis in the COVID-19 pandemic developed respiratory distress, is identified by the clinical reasoning method and is treated, with his treatment then discussed. This article includes the following: prepare a list of differential diagnoses based on the list of signs and symptoms of the patient; modify the initial list to reflect findings from history and examinations; specify additional information to make a correct diagnosis; and, finally, decide when the information is obtained is sufficient to make the proper diagnosis. Results: In recent years, clinical reasoning has received more attention in student Olympiad competitions. Professors in medical sciences should pay special attention to teaching this skill to students. It is necessary to plan for teaching this type of training and to design tests for evaluating students’ clinical reasoning. This article can thus be a useful guide for those who enjoy working on a problem to get an answer. Conclusion: This article shows how insidious and life-threatening a coronavirus infection can be, and how useful clinical reasoning can be when present in all stages of dealing with the patient, from the initial stages of taking the patient history to the end of treatment.Mahshad MousaviNazanin MousaviBabak AbdolkarimiTabriz University of Medical Sciencesarticleclinical reasoningproblem solvingcoronaviruspandemiarheumatoid arthritisEducationLSpecial aspects of educationLC8-6691ENResearch and Development in Medical Education, Vol 10, Iss 1, Pp 22-22 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	clinical reasoning problem solving coronavirus pandemia rheumatoid arthritis Education L Special aspects of education LC8-6691
spellingShingle	clinical reasoning problem solving coronavirus pandemia rheumatoid arthritis Education L Special aspects of education LC8-6691 Mahshad Mousavi Nazanin Mousavi Babak Abdolkarimi Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition
description	Background: One of the most interesting parts of medical science is using clinical reasoning to solve clinical problems. In today’s world of medicine, with increasing amounts of scientific information and new diagnostic and treatment facilities, physicians’ responsibility in managing the condition of patients becomes weightier. Making the correct decision is an important goal that can be achieved by having adequate information and using it appropriately. At this stage, we should follow the thought process of successful doctors and use information from books and articles to solve clinical problems. The purpose of this article is to improve the skills of physicians in the effective use of knowledge and experience to solve clinical problems to increase our success in fulfilling our responsibility to patients. Methods: Clinical reasoning enhances the quality of learning and increases the ability of medical students in clinical problem-solving. In this article, a patient with rheumatoid arthritis in the COVID-19 pandemic developed respiratory distress, is identified by the clinical reasoning method and is treated, with his treatment then discussed. This article includes the following: prepare a list of differential diagnoses based on the list of signs and symptoms of the patient; modify the initial list to reflect findings from history and examinations; specify additional information to make a correct diagnosis; and, finally, decide when the information is obtained is sufficient to make the proper diagnosis. Results: In recent years, clinical reasoning has received more attention in student Olympiad competitions. Professors in medical sciences should pay special attention to teaching this skill to students. It is necessary to plan for teaching this type of training and to design tests for evaluating students’ clinical reasoning. This article can thus be a useful guide for those who enjoy working on a problem to get an answer. Conclusion: This article shows how insidious and life-threatening a coronavirus infection can be, and how useful clinical reasoning can be when present in all stages of dealing with the patient, from the initial stages of taking the patient history to the end of treatment.
format	article
author	Mahshad Mousavi Nazanin Mousavi Babak Abdolkarimi
author_facet	Mahshad Mousavi Nazanin Mousavi Babak Abdolkarimi
author_sort	Mahshad Mousavi
title	Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition
title_short	Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition
title_full	Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition
title_fullStr	Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition
title_full_unstemmed	Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition
title_sort	problem-solving with clinical reasoning: a case report of coronavirus in immunosuppressive condition
publisher	Tabriz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/f94f30cebc134c7fa7d717fdaa6b9113
work_keys_str_mv	AT mahshadmousavi problemsolvingwithclinicalreasoningacasereportofcoronavirusinimmunosuppressivecondition AT nazaninmousavi problemsolvingwithclinicalreasoningacasereportofcoronavirusinimmunosuppressivecondition AT babakabdolkarimi problemsolvingwithclinicalreasoningacasereportofcoronavirusinimmunosuppressivecondition
_version_	1718441259622727680

Problem-solving with clinical reasoning: A case report of coronavirus in immunosuppressive condition

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