preclinical manifestation of a disease

[GoogleCodeExporter]

Peter Robinson says:
>7) Preclinical Manifestation of a Disease =def. A manifestation of a
>disease that exists prior to its becoming detectable in a clinical
>history taking or physical examination
>==>> This definition is difficult because it depends on the amount
>of time that a person takes to go to an MD after he or she has
>noticed some manifestation and decided it might be good to have it
>checked out. The same manifestation is thus clinical for a
>hypochondriac and preclinical for a stoic (or those who are afraid
>of going to the doctor's).

Original issue reported on code.google.com by albertgo...@gmail.com on 27 Jul 2009 at 3:43

[GoogleCodeExporter]

Detection is on the part of a clinician, not a patient.  The definitions of 
clinical
history taking and physical examination clearly state that it is the clinician
carrying out these actions.  The question is not when the patient presents to 
the
clinician, but simply at what point the manifestation would be detectable had 
the
patient presented at that time.  If the stoic had shown up months earlier, the
manifestation may still have been detectable.  The hypochondriac is a moot 
point:
there is no manifestation present.  Or rather, the manifestation is the claim 
of a
symptom that does not exist.

Perhaps reword the definition to say "...prior to the time at which it would be
detected in a clinical history taking or physical examination, if the patient 
were to
present to a clinician..." or some such.

Original comment by hoga...@gmail.com on 2 Aug 2009 at 11:21

[GoogleCodeExporter]

Preclinical Manifestation will be modified per Bill's suggested revision as of 
OGMSv0.3

Original comment by albertgo...@gmail.com on 1 Dec 2009 at 6:20

• Changed state: Started

[GoogleCodeExporter]

Original comment by albertgo...@gmail.com on 4 Dec 2009 at 5:37

• Changed state: Done