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- Diagnosis is the science and skill of identifying a disease or disorder.
- It involves distinguishing one condition from another.
- Diagnosis is based on symptoms, signs, medical history, exams, and tests.
- A medical history collects information related to the illness.
- It includes the chief complaint, the main reason for seeking care.
- It also includes the history of present illness.
- Past medical problems are reviewed.
- Family medical history is considered.
- Social history evaluates lifestyle and environment.
- A review of symptoms identifies additional concerns.
- A physical examination evaluates body structure and function.
- It uses inspection, palpation, auscultation, and percussion.
- Vital signs such as temperature, pulse, respiratory rate, and blood pressure are measured.
- Laboratory tests may be used to confirm the diagnosis.
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