Diagnóstico diferencial: ¿Qué es, cómo se hace, dónde lo enseñan?
Gerardo Álvarez Álvarez, Jesús Isaac de Armas Prado, Otoniel Luna Febles, Norma Hernández García
Resumen
El diagnóstico es la piedra angular de la medicina individual, por tanto, dominarlo y conocerlo es esencial para todo médico al indagar en el estado de salud y patológico de los pacientes. Los profesionales de la salud deben dedicar todos sus esfuerzos a su realización, siempre que disponga de los elementos y medios necesarios, tanto teóricos como prácticos, para la correcta utilización del método clínico, elemento esencial del diagnóstico diferencial. En este artículo se abordan los aspectos más relevantes que intervienen en la realización del diagnóstico de los pacientes; se enfatiza en los pasos necesarios para efectuar un verdadero diagnóstico diferencial que posibilite la decantación de las posibilidades etiológicas del cuadro clínico del enfermo. A través de la correcta aplicación del método clínico es posible la aproximación al diagnóstico clínico definitivo del paciente.
Palabras clave
diagnóstico diferencial; diagnóstico clínico.
Este artículo está licenciado bajo la licencia
Creative Commons Reconocimiento-NoComercial 4.0 Internacional .
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(2), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-normas para autores.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-normas para autores.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-normas para autores.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(2), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(2), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2