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Saturday, August 26, 2017

Secure more marks in Medicine: what's the question ?




They ask the question as write the treatment, management or approach to any disease condition.
The narrowest of the three is treatment where they just want to know how you treat the patient. Here you can write the drug therapy that is being used. But still this does not mean CLASSIFY the drug used in the condition. If any question says classify the drug that’s fair enough. But, treatment is not just giving any drug to patient.

TREATMENT is a holistic thing. The immediate life saving treatment comes under it, similarly managing the condition proper in the hospital setting, in the home setting and preventing complication in the future has also to be included in it. Similarly, the non medical parts or the general measures that you need the patient to know or you should advise such as lifestyle changes, dietary changes, physiotherapy to be provided to the patient should be mentioned in the treatment.

MANAGEMENT should include basic information to the disease like the definition and causes. But the main strategy to writing a management is to include the investigation, how it is done and how it differentiates the condition from the rest. The investigation to identify the risk factors and the investigations to rule out the complication. How the disease can be treated, what can be done to prevent worse outcomes and what general measures have to be adopted.

The broadest of the three is APPROACH where you have to demonstrate how you approach (Basically to a symptom and sometimes disease). So here you have to start with history of the patient and then elaborate how you can rule out its differential diagnoses from the history. Similarly in clinical examination what else favors your condition or presence of what else rules out the being of the condition. Then you start with how you treat the disease. So approach basically includes management and treatment part within itself.




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