Medizinische Diagnostik -- Grundlagen Und PRAXIS
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"Sie (die Diagnose) ist das Kreuz des Arztes und zugleich der feinste geistige GenuB, welchen die rnedizinische Wissenschaft Z1.1 bieten hat. In jeder Diagnose, welche richtig gestellt wird, versarnrneltsich wie in einern Brennspiegel das Licht vieler Jahrhunderte der Forschung, urn, hie et nunc, das Schicksal eines Menschen... zu durchleuchten und sein Leiden .den Wohltaten zu iiberliefern, welche .die Wissen schaft zu vollbringen verrnag." (PETER BAMM [6]) Seit meiner ersten Kolner Vorlesung iiber Methoden und Probleme der internistischen Diagnostik hat mieh dieses Thema immer wieder angezogen. Weitere Anregungen gaben Gesprache mit Freunden, Mit arbeitern, Fachkollegen, Ferner die Jahrestagungen der Dtsch. Ges. fUr Med. Dokumentation und Statistik sowie vor allem die Klausur Tagung iiber "Probleme der modernen Diagnostik" in Titisee (1966). Diese Monographie soIl keine spezielle Symptomatologie oder Differentialdiagnose innerer Erkrankungen darstellen; wo Krankheiten oder Symptome aufgefiihrt werden, sind sie als Beispiele gedacht. Noch weniger hatte ich einen Exkurs iiber die medizinische Dokumentation oder Statistik im Auge, fiir die ich mich als nicht zustandig erachte. Meine Absieht war vielmehr eine kritisehe Auseinandersetzung mit der Methodenlehre der medizinischen Diagnostik zu einem Zeitpunkt, wo sich 'ein Wandel abzeichnet - wo neue Verfahren entwickelt und mit reichlichen VorschuBlorbeeren bedacht, wo alte Traditionen nieht ohne Sentimentalitat verteidigt werden."
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