Prognosis: clinical analysis

The value of individual body reactivity requires careful clinical analysis; for example, persons suffering from neurosis may suffer greatly in case of a non-dangerous disease, and seriously ill patients sometimes do not complain at all. Each individual symptom can receive prognostic value only when it allows to judge the functional abilities of the organ and the general condition of the body. Only an orientation towards the nature of the disease determines the prognostic value of the symptom; for example, with the first pains due to coronary insufficiency, sudden death is possible.

Accounting for heredity is necessary because there is a hereditary predisposition to the occurrence of certain diseases, such as hypertension, obesity, etc. Information about the diseases of parents and close relatives and the reasons for their death are sometimes of considerable value for judging the possibility or likelihood of developing a particular disease and the nature of its course. In particular, finding out the length of life of parents is sometimes essential for the prognosis of healthy people.

Appearance, body structure, and physical condition (i.e., constitution) are important for prediction. It should, however, be noted that a fragile physique, even a frail appearance does not exclude the possibility of longevity, and the subjects of a “blooming” species may become a victim of an acute infectious disease or brain apoplexy, apparently more often than asteniki. Increased fatness and especially the tendency to obesity are an aggravating factor.

The postponed diseases change, often very significantly, the state of the organism. After acute infectious diseases, especially those accompanied by a rash (measles, scarlet fever, smallpox, etc.), persistent immunity remains. Other diseases, such as lobar pneumonia, often recur, just as with rheumatism, peptic ulcer disease, relapses are often observed.

The study of a practically healthy person to predict his health should be no less complete than the study of patients, since disease prevention is the cornerstone of Soviet health care. In this regard, in our country clinical examination of the population is being conducted more and more extensively. It is known that during a regular check-up of healthy people with full visible well-being, sometimes radiography reveals lung cancer or when urine is first diagnosed with chronic nephritis or diabetes mellitus, etc. However, significantly more healthy people tend to develop certain chronic diseases or preclinical onset of the disease, for example, hypercholesterolemia as a sign of impaired lipid metabolism, often preceding the development of atherosclerosis, or moderate alimentary hyperglycemia as a sign of pre-diabetic carbohydrate metabolism. The same value has a tendency to a significant increase in blood pressure with emotions in the sense of the possibility (albeit optional) of the development of hypertension in the future. Identifying in the past signs of an allergic reaction of the body, such as urticaria, etc., suggests the likelihood of similar reactions in the future and partly imagine the nature of the course of other diseases and reactions to their treatment.

And this is even more interesting:

  1. Prognosis: chronic diseases
  2. Prognosis: type of nervous activity
  3. Prognosis of the disease
  4. Forecast: logical basis
  5. Forecast

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