IBAN: IT36M0708677020000000008016 - BIC/SWIFT:
ICRAITRRU60 - VALERIO DI STEFANO or
Practice in Using Guides,
Charts, and Record Sheets
21CHAPTER
21-1
GUIDES AND CHARTS
THAT HELP TELL DIFFERENT PROBLEMS APART
Many illnesses look similar and can easily be confused. And sometimes similar-
looking illnesses are called by the same traditional name. Yet they may have different
causes and require very different
treatments. Health workers need
to know what to ask and what to
look for, so they can systematically
consider the different possibilities.
(See Chapter 17 on Solving Problems
Step by Step.)
The process of considering several
possible diseases that may be causing
a person’s problem, and figuring out
which is the most likely, we will call
comparative diagnosis.
A health handbook like Where There
Is No Doctor can be a useful tool for
comparative diagnosis. But to learn to
use it well takes considerable practice.
A problem like back pain
can have many different causes.
This diagram on page 173 of Where There Is No Doctor
shows common causes of pain in different parts of the back.
After finding out exactly where the person feels pain, look up
and read about each possible cause of his problem.
Learning to use diagnostic
guides and charts:
Where There Is No
Doctor contains several
guides and charts that can
help you tell similar health
problems apart. These
charts usually list one
or two important signs
for each problem. If the
person you are examining
has any of these signs,
turn to the page number
shown on the chart
for more information.
Compare the signs
and symptoms of each
problem to determine
which is most likely.
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