Author/Editor		Pospihalj, Boris; Rainer, Sašo
Title		Vrednost predoperativne klinično-radiološko-patološke obravnave
Translated title		Value of preoperative clinical-radiological-pathological evaluation
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 71, št. 1
Publication year		2002
Volume		str. 3-6
Language		slo
Abstract		Background. Proper communication between clinician, pathologist and radiologist may improve both the desired patient outcome and physicians job satisfaction. It is common practice for physicians to communicate via written findings and requisition forms without discussing patient's findings in person as a team. In some circumstances such an approach may retain important diagnostic and therapeutic problems and, finally, serious deterioration of expected patient's outcome may emerge. It is reasonable to believe that many diagnostic and therapeutic problems will be elucidated during consultation process owing to the fact that patient's medical history, symptoms, and findings are shared between physicians of different specialities. In order to avoid possible errors in diagnostic procedure this communication should be carried out before implementing the treatment plan. Conclusions. Three instructive cases are presented: in two of them such communication might have been beneficial, resulting in correct diagnosis and proper treatment; in the third case, however, preoperative consultation fruitfully yielded accurate diagnosis.
Summary		Izhodišča. Ustrezna komunikacija klinika, patologa in radiologa lahko pri bolniku izboljša pričakovan izid bolezni in pozitivno vpliva na delovno motivacijo zdravnika. Pogosto se dogaja, da zdravniki komunicirajo le z napotnicami, brez neposredne skupinske obravnave najdb. Diagnostično-terapevtski problemi lahko tako ostajajo zakriti, kar lahko pripelje do resnega poslabšanja pričakovanega izida bolezni pri bolniku. Multidisciplinarna obravnava bolnikovih anamnestičnih podatkov, simptomov, znakov in izvidov lahko razkrije mnoge diagnostične in terapevtske probleme. Možne napake v diagnostično-terapevtskem procesu lahko preprečimo z medsebojno komunikacijo pred odločanjem o terapiji. Zaključki. Avtorja predstavljata tri primere. Pri dveh bi lahko predoperativna komunikacija pripeljala do pravilne diagnoze in zdravljenja, pri tretjem pa je bila z ustrezno predoperativno skupinsko obravnavo postavljena pravilna diagnoza.
Descriptors		PATIENT CARE TEAM PATIENT CARE PLANNING KIDNEY NEOPLASMS MIDDLE AGE NEPHRECTOMY ECHINOCOCCOSIS DIAGNOSIS, DIFFERENTIAL