Problemoriented Medical Diagnosis — Pdf
In the late 1960s, a physician named Lawrence Weed realized that medical charts were a disorganized mess of chronological notes that made it nearly impossible to see the "big picture" of a patient's health. To fix this, he created the Problem-Oriented Medical Record (POMR) —a system that shifted the focus from wrote the note to problem was being solved.
- History: Detailed character, triggers, and family history.
- Neuro Exam: Check for focal deficits, papilledema (suggests increased ICP).
- Imaging: Non-contrast CT Head (rule out bleed/mass). MRI Brain (better for posterior fossa/tumors).
- Lumbar Puncture: If CT is negative but SAH or Meningitis is suspected (look for xanthochromia).
Problem-oriented medical diagnosis can be applied in various clinical settings, including: problemoriented medical diagnosis pdf
Reviews of this method often highlight its core components, which you will find reflected in the text's guidance: In the late 1960s, a physician named Lawrence