TITLE

Aile Hekimliğinde Sıklıkla Karşılaşılan Sağlık Sorunlarına Yönelik Laboratuar Rehberleri

AUTHOR(S)
Akdeniz, Melahat; Çakmak, Tuğba; Yaman, Hakan
PUB. DATE
January 2010
SOURCE
GeroFam;Jan2010, Vol. 1 Issue 1, p85
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Except for emergencies, family physicians are the first reference point for patients who usually present with undifferentiated complaints. Providing patient-oriented healthcare services, the most important diagnostic tool for family physicians are a detailed patient history and physical examination findings. Laboratory testing can be crucial for diagnosis, but should be carefully planned. What information each test will provide, how findings should be evaluated, how it will facilitate the diagnostic process, and its cost-effectiveness are all points to consider. The carrying out of each unnecessary test results in the commensurate loss of valuable time and leads to prolonged time to diagnosis. In primary care, another consideration should be patient access. Laboratory testing in primary care is also used as screening during periodical examinations. It's crucial that the choice of tests for screening purposes be evidence-based. Points to consider are the specificity and sensitivity of the screening test, and the evaluation of false positive and negative results. The patient should be informed of test results, potential interventions, and the efficacy of these interventions. The evaluation of laboratory test results should be consistent with the patient's signs and symptoms, and should not create undue anxiety for the patient. The regular calibration of laboratory equipment should be ensured. The following table summarizes common diseases encountered in primary care, and laboratory tests utilized in diagnosis and follow-up. The objective of laboratory testing is to obtain data that will help analyze our hypotheses, evaluate the results of recommended treatment, or monitor disease progression. Together with a detailed patient history and physical examination, laboratory tests have a significant role in diagnosis, differential diagnosis, therapy, and follow-up.
ACCESSION #
62852298

 

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