Symptom Diagnosis. A Mathematical Analysis of Epigastric Pain

Abstract

Article1 August 1963Symptom Diagnosis. A Mathematical Analysis of Epigastric PainJOSEPH A. RINALDO JR., M.D., PERRY SCHEINOK, PH.D., C. E. RUPE, M.D. F.A.C.P.JOSEPH A. RINALDO JR., M.D.Search for more papers by this author, PERRY SCHEINOK, PH.D.Search for more papers by this author, C. E. RUPE, M.D. F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-2-145 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe process of choosing a diagnosis from subjective symptoms has not been examined in detail. Previous studies which have concerned themselves with this mechanism have been devoted to checking the accuracy of the clinician against other means of arriving at what is considered the correct diagnosis (1, 2). Hence we felt a need for a careful scrutiny of this diagnostic method.To do this, it was necessary to select a set of symptoms, carefully define them, and design a method of accurately recording the presence or absence of this set of symptoms in patients. A mathematical model had to be...References1. BRODMANVAN WOERHOMERDMANGOLDSTEIN KAAJLS: Interpretation of symptoms with a data-processing machine. Arch. Intern. Med. (Chicago) 103: 776, 1959. CrossrefGoogle Scholar2. GARLAND HL: Studies on the accuracy of diagnostic procedures. Amer. J. Roentgen. 82: 25, 1959. Google Scholar3. LEDLEYLUSTED RSLB: Reasoning foundations of medical diagnosis. Science 130: 9, 1959. CrossrefMedlineGoogle Scholar4. LEDLEYLUSTED RSLB: The role of computers in medical diagnosis. Med. Documen. 5: 70, 1961. Google Scholar5. WARNERTORONTOVEASEYSTEPHENSON HRAFLJR: A mathematical approach to medical diagnosis. Application to congenital heart disease. JAMA 177: 177, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOSEPH A. RINALDOJR., M.D.; PERRY SCHEINOK, PH.D.; C. E. RUPE, M.D. F.A.C.P.Affiliations: Detroit, MichiganFrom the Henry Ford Hospital, Detroit, Michigan.Requests for reprints should be addressed to Joseph A. Rinaldo, M.D., Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan. 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