Article Text

PDF
Diagnostic test for dementias
  1. Toshi A Furukawa
  1. Departments of Health Promotion and Human Behavior and of Clinical Epidemiology, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto 606-8501, Japan
  1. Correspondence to Professor Toshi A Furukawa, Departments of Health Promotion and Human Behavior and of Clinical Epidemiology, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto 606-8501, Japan; furukawa{at}kuhp.kyoto-u.ac.jp

Statistics from Altmetric.com

Introduction

This is the second of a series of evidence-based case conferences. The main aim of this new series of papers is help clinicians learn and apply the evidence-based approach in their own clinical practices. The clinical question that we seek to solve in each of this series emanates from a real clinical case. I have completely anonymised the scenario but I still hope it remains as real as it was. The presentation in this series may appear too brief and rushed, but this is how EBM can be practiced by busy clinicians once you are familiar with the process. This issue's clinical question is about diagnosis. The case conference below illustrates how to critically appraise and apply an article about a diagnostic test. We anticipate that the third of the series will deal with a clinical question of prognosis.

Clinical case

Patient: 77-year-old woman

Present illness: The patient is a mother of four children who have all gotten married and left home. After her husband passed away with lung cancer several years earlier, she had been living alone, occasionally attending the elderly people's gatherings but generally leading a quiet life. Two of her daughters live in the neighbourhood and come by several times a month for a chat.

It has been almost a year that the patient talked to her family about ‘children visiting her in her room’ and that she saw them hiding in the tree outside the window of her house too. At first, the patient's daughters did not take it seriously, but the patient described them very vividly with no apparent doubt as to their veracity. The patient seems to have had repeated falls in the house but, on questioning by her daughters, could not recall the details. She has become forgetful and sometimes cannot even recall the family's phone calls …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.