A general hospital diagnostic database on jaundice
Several authors have compiled diagnostic data bases on jaundice (1–4). The frequencies of the diseases varies considerably between these reports depending on the specialty of the authors. The objective of the Galway database was to provide a diagnostic aid to the admitting doctor in a general hospital on clinical evidence available at the time, improve the doctor’s case-taking skills by requiring him to use a proforma, and by providing him immediately with a percentage accuracy-labelled diagnosis to compare with his own, and, by displaying percentage-wise the accuracy of the diagnosis base on his findings, to give confidence in the use of special tests, or even in some cases to dispense with them. It was collected over 7 1/2 years from medical and surgical admissions to the Regional University Hospital, Galway (5). The intern on admissions completed a proforma of symptoms, signs and ward tests on cases presenting that week.
KeywordsHepatitis Lymphoma Cholangiocarcinoma Urobilinogen
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