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Previous issue date: 2018-02-26 / Introduction: The medical interview is fundamental for the approximation and recognition of the patient, and the physical examination usually increases the diagnostic possibility in the investigation. Technological development and immense diagnostic possibilities through complementary examinations have led to the idea of lesser importance of anamnesis and physical examination. Objective: To evaluate the undergraduate medical student's ability to perform a correct clinical diagnosis, from the presentation of clinical cases with information only from anamnesis or anamnesis and clinical examination together, without complementary exams. Methodology: A cross-sectional, exploratory study with quantitative data analysis of four clinical cases (two with isolated anamnesis and two with anamnesis and physical examination) answered by the students as a teaching task of the Medical Clinic discipline, with 97 academics from the School of Medicine of PUCRS from 2016 to 2017. Results: The findings showed that the majority of the students who participated in the study were female (54 subjects - 55.7%), predominantly white (94 - 96.9%), on average of 24.1 (+ 2.3) years old, having correctly determined 177 diagnoses (45.62%) in the first hypothesis. There was a significant difference (p <0.001) when compared the number of correct diagnosis in clinical cases with isolated anamnesis 108 (55.6%) to those with anamnesis and physical examination 69 (35.6%). Conclusion: It was verified that, for the undergraduate medical students of the fourth year from the School of Medicine, the correct answers in the first diagnosis were more frequent and with statistical significance, when clinical cases with isolated anamnesis were offered than when it was offered anamnesis and physical examination. / Introdu??o: A entrevista m?dica ? fundamental para a aproxima??o e reconhecimento do paciente, e o exame f?sico, habitualmente, aumenta a possibilidade diagn?stica na investiga??o. O desenvolvimento tecnol?gico e as imensas possibilidades diagn?sticas atrav?s dos exames complementares t?m levado ? ideia de menor import?ncia da anamnese e exame f?sico. Objetivo: Avaliar o n?mero de ocorr?ncias de diagn?sticos etiol?gicos adequados a partir da Anamnese e Exame F?sico, sem exames complementares, realizados por acad?micos do curso de gradua??o em Medicina. Metodologia: Estudo explorat?rio, transversal, com an?lise quantitativa dos dados, a partir de quatro casos cl?nicos (dois com anamnese isolada e dois com anamnese mais exame f?sico) preenchidos pelos alunos como tarefa de ensino aprendizagem da disciplina de Cl?nica M?dica, com 97 acad?micos de medicina da Escola de Medicina da PUCRS, no ano de 2016 e 2017. Resultados: Os achados evidenciaram que a maior parte dos acad?micos participantes do estudo eram do sexo feminino 54 (55,7%), predominantemente da ra?a branca 94 (96,9%), tinham em m?dia 24,1 (+ 2,3) anos, e que acertaram 177 diagn?sticos (45,62%) na primeira hip?tese. Houve diferen?a significativa (p<0,001) quando comparado o n?mero de acertos no diagn?stico em casos cl?nicos com anamnese isolada 108 (55,6%) comparado com aqueles com anamnese mais o exame f?sico 69 (35,6%). Conclus?o: Verificou-se que, para alunos de medicina do quarto ano de gradua??o da escola m?dica, os acertos com o primeiro diagn?stico foram mais frequentes e com signific?ncia estat?stica quando eram oferecidos casos cl?nicos com anamnese isoladamente do que quando se oferecia anamnese mais o exame f?sico.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/8030 |
| Date | 26 February 2018 |
| Creators | Schaefer, B?rbara Freiberger |
| Contributors | Antonello, Ivan Carlos Ferreira |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, Brasil, Escola de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 500, 500, -224747486637135387, -969369452308786627 |
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