Clinical Diagnosis 1

July 22, 2019

General Information
Duration 1 semester
Level Year 3, Semester 1
Unit Weighting Unit Credit Points: 10 credit points
Total Course Credit Points: 320 credit points
Student Workload Number of timetabled hours per week: 4
Number of personal study hours per week: 6
Total workload hours per week :10
Prerequisites HMS205: Pathophysiology & Microbiology
Academic Details
Description This unit introduces students to Western Medicine (WM) Clinical Diagnosis and provides an overview of Clinical Diagnosis as applied in contemporary biomedical settings. The unit supports the students’ acquisition of knowledge and skills for conducting clinical interviews, obtaining and analyse case histories, undertaking a range of physical examinations, and interpreting laboratory results, radiographic imaging and other diagnostic procedures commonly used in clinical practice to establish a biomedical diagnosis.
This unit includes the aims, structure, and logical flow of a diagnostic interview; awareness of ethical, interpersonal and cultural issues; the rationale and procedures of relevant physical examinations; the contemporary application and terminology of various laboratory tests and other diagnosis methods; and procedures for accurate recording of patient information. Issues relating to clinical diagnosis is emphasised through the study including cultural awareness sensitivity, difference and relevance of WM and CM diagnostic methods, effective communication and referral based on an understanding of underlying pathology.
Learning outcomes On successful completion of this unit students will be able to:
a. Describe the fundamental theories, principles, processes, techniques, issues and commonly used terminology and equipment when conducting a clinical diagnosis.
b. Demonstrate competency in the application of techniques for recording a patient’s medical history and conducting a physical examination (including examination of vital signs, cardiovascular, respiratory, abdominal and neurological systems and head-to-toe examination).
c. Interpret the information gathered from a sequenced and problem-focused interview and physical examinations in a professional, ethical and culturally sensitive way to achieve integrated decision-making in diagnosis and differential diagnosis.
d. Analyse the commonly used laboratory tests and specialised procedures (such as ECG and imaging procedures including CT, MRI, ultrasound and nuclear medicine studies) for the diagnosis of various diseases including their purpose, normal and abnormal values, the underlying pathology and the clinical indications.
e. Critically evaluate the differences and similarities of diagnostic skills and tools between Western medicine (WM) and Chinese medicine (CM), and the role of WM diagnosis in CM practice and when referral is required from CM to WM.
Assessment Formative quiz (10%)
Poster Presentation (20%)
Case Study Analysis (30%)
Practical Test (40%)
Prescribed Textbooks/Readings * The prescribed and recommended readings are subject to annual review.

Japp, A. G. & Robertson, C. (2018). Macleod’s Clinical Diagnosis. ELSEVIER.

Macleod, J. (2018). Macleod’s Clinical Examination. ELSEVIER.

Nicoll, D., Lu, C. M. & McPhee, S. J. (2017). Guide to Diagnostic Tests. McGraw Hill Education.

Wilkinson, I. B., Raine, T., Wiles, K., Goodhart, A., & O’Neill, H. (2017). Oxford Handbook of Clinical Medicine. Oxford University Press.