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KMID : 0376419790030000273
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Chonbuk University Medical Journal
1979 Volume.3 No. 0 p.273 ~ p.277
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Evaluation and diagnostic accuracy of medical ward patients in department of internal medicine
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Abstract
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"The Diagnosis is an art" Hippocrates said. For correct diagnosis, sufficient medical know-ledge, medical jugement, alertness and throughtfulness of physicians as well as diagnostic facilities are required.
In the present study, an analysis of 1772 patientsadioitted to medical ward for 20 months from Jan. From 1977 to Aug. 1978 at Jeonbug national university hospital was done.
The datas were obtained from a review of operative findings together wish tissue biopsy of surgical specimen as compared to clinical diagnosis.
The "results were as follows
1. Among 1772 patients, 60 cases (3.5%) was transfered to surgical department.
2. Misdiagnosis was noted in 10 cases out of 60 transfered patients, with diagnostic error of 16.7%.
3. Favorable results in transfered patients was obtained in 61%.
4. Malignant disese in transfered patients was 16.6%.
5. Total numbers of medical ward patients during 20 months were 1722 and also sex ratio of male female was 3 : 2.
6. The Season were concentrated somewhat in early spring (March and April), hot summer (July, August, & September), and Winter (December).
7. The kinds of patients showed gastrointestinal disease(26%), infectious disease(22%), drug intoxication including pharmaceutial drug (16 %), cerebrovascular disease (10 %) , cardiovascular disease(9 % ), respiratory disease(- %), nephrologic disease(4 % ), hematcl ogic disease (3%), and endocrinologic disease(3%).
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