The clinical problems encountered in a typical family practice are different from those in the limited specialities. Symptomatic, poorly defined illnesses are encountered in addition to a broad spectrum of clinically recognizable diseases. Cassell has written that disease “is something an organ has; illness is something a man has.”1 The goal of the clinical process in family practice is also frequently different. Much of the time, a diagnosis, defined as the placing of an etiologic label on the patient’s problem, cannot be easily made. Since many patients are seen who have self-limiting disorders, a precise diagnosis is not always necessary, and excluding the possibility of a serious illness is sometimes sufficient.
KeywordsFamily Physician Clinical Reasoning Interpersonal Skill Pneumococcal Pneumonia Streptococcal Pharyngitis
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