向专科医生学习.ppt

Once we’ve established the most common and most serious diagnoses, the specialist should teach the initial treatment or stabilization. For example, when should we do further workup and when should the patient be referred to the specialist? What therapeutic or diagnostic procedures can be performed in the office? How do we interpret the results? What can we do to prevent diseases? For example, what are the guidelines for cholesterol and glucose control, and lifestyle modifications to decrease risk of heart disease? * One role of the GP is to coordinate care. What information does the cardiologist want to know when called for a consultation? This will include both history of the illness and results of tests already performed. The GP will be communicating with the specialist about what test have already been done so they don’t need to be repeated. This is especially important when the diagnosis is unclear and they patient may have seen other specialists already. * Another example: This is Craig, a healthy 42 y/o male who comes in complaining of a mild headache and blurry vision. His blood pressure is elevated and labs show a creatinine of 5.7. This patient has acute renal failure and is referred to a nephrolgist immediately. * What is common in nephrology? And what is Serious? I don’t need to know the details, such as what they look for on a biopsy to diagnose kidney disease. I just need a basic understanding of what I need to watch for that would be signs of kidney disease, and how that disease or it’s treatment will affect other aspects of the patient’s health. * Again, we want to cover the initial diagnosis, treatment, or stabilization of the patient, interpretation of labs, when to refer, and how to communicate with the specialist. * We’ve talked about educational goals within cardiology and nephrology for examples. To define what is common and serious in each specialty, you may refer to public health data available from the World Health Organizatio