Hickam's Dictum
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Hickam's Dictum
Hickam's dictum is a counterargument to the use of Occam's razor in the medical profession. While Occam's razor suggests that the simplest explanation is the most likely, implying in medicine that diagnosticians should assume a single cause for multiple symptoms, one form of Hickam's dictum states: "A man can have as many diseases as he damn well pleases."Wallace T. Miller"Letter From the Editor: Occam Versus Hickam" ''Seminars in Roentenology'', vol. 33 (3), 1998-07, page 213, attributed to "an apocryphal physician named Hickam" The principle is attributed to an apocryphal physician named Hickam, possibly John Barber Hickam, MD. When he began saying this is uncertain. In 1946 he was a housestaff member in medicine at Grady Memorial Hospital in Atlanta. Hickam was a faculty member at Duke University in the 1950s, and was later chairman of medicine at Indiana University from 1958 to 1970.Journal of Neuro-Ophthalmology: September 2002 - Volume 22 - Issue 3 - pp 240-246) See also *Ze ...
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Occam's Razor
Occam's razor, Ockham's razor, or Ocham's razor ( la, novacula Occami), also known as the principle of parsimony or the law of parsimony ( la, lex parsimoniae), is the problem-solving principle that "entities should not be multiplied beyond necessity". It is generally understood in the sense that with competing theories or explanations, the simpler one, for example a model with fewer parameters, is to be preferred. The idea is frequently attributed to English Franciscan friar William of Ockham (), a scholastic philosopher and theologian, although he never used these exact words. This philosophical razor advocates that when presented with competing hypotheses about the same prediction, one should select the solution with the fewest assumptions, and that this is not meant to be a way of choosing between hypotheses that make different predictions. Similarly, in science, Occam's razor is used as an abductive heuristic in the development of theoretical models rather than as a rigoro ...
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Grady Memorial Hospital
Grady Memorial Hospital, frequently referred to as Grady Hospital or simply Grady, is the public hospital for the city of Atlanta. It is the tenth-largest public hospital in the United States, and one of the busiest Level I trauma centers in the country. Historical segregation of its hospital units meant that it was also called "The Gradys," a name that still surfaces among elderly Atlanta residents, especially African-Americans. It is the flagship of the Grady Health System. History Grady Memorial Hospital was first founded in 1890 and opened in 1892, as an outgrowth of the Atlanta Benevolent Home. It is named for Henry W. Grady, an ''Atlanta Constitution'' journalist and later owner who became a major force in Georgia politics, and advocated for a public city hospital. At the time of opening, the hospital officially had 14 rooms. The original building (at the corner of Jesse Hill Jr Dr SE and Coca-Cola Place) is now on the National Register of Historic Places and is known a ...
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Duke University
Duke University is a private research university in Durham, North Carolina. Founded by Methodists and Quakers in the present-day city of Trinity in 1838, the school moved to Durham in 1892. In 1924, tobacco and electric power industrialist James Buchanan Duke established The Duke Endowment and the institution changed its name to honor his deceased father, Washington Duke. The campus spans over on three contiguous sub-campuses in Durham, and a marine lab in Beaufort. The West Campus—designed largely by architect Julian Abele, an African American architect who graduated first in his class at the University of Pennsylvania School of Design—incorporates Gothic architecture with the Duke Chapel at the campus' center and highest point of elevation, is adjacent to the Medical Center. East Campus, away, home to all first-years, contains Georgian-style architecture. The university administers two concurrent schools in Asia, Duke-NUS Medical School in Singapore (established in ...
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Indiana University
Indiana University (IU) is a system of public universities in the U.S. state of Indiana. Campuses Indiana University has two core campuses, five regional campuses, and two regional centers under the administration of IUPUI. *Indiana University Bloomington (IU Bloomington) is the flagship campus of Indiana University. The Bloomington campus is home to numerous premier Indiana University schools, including the College of Arts and Sciences, the Jacobs School of Music, an extension of the Indiana University School of Medicine, the School of Informatics, Computing, and Engineering, which includes the former School of Library and Information Science (now Department of Library and Information Science), School of Optometry, the O'Neil School of Public and Environmental Affairs, the Maurer School of Law, the School of Education, and the Kelley School of Business. *Indiana University–Purdue University Indianapolis (IUPUI), a partnership between Indiana University and Purdue Universi ...
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Zebra (medicine)
Zebra is the American medical slang for arriving at a surprising, often exotic, medical diagnosis when a more commonplace explanation is more likely. It is shorthand for the aphorism coined in the late 1940s by Theodore Woodward, professor at the University of Maryland School of Medicine, who instructed his medical interns: "When you hear hoofbeats behind you, don't expect to see a zebra." (Since zebras are much rarer than horses in the United States, the sound of hoofbeats would almost certainly be from a horse.) By 1960, the aphorism was widely known in medical circles. Medical novices are predisposed to make rare diagnoses because of (a) the availability heuristic ("events more easily remembered are judged more probable") and (b) the phenomenon first enunciated in ''Rhetorica ad Herennium'' (circa 85 BC), "the striking and the novel stay longer in the mind." Thus, the aphorism is an important caution against these biases when teaching medical students to weigh medical evidence ...
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Medical Terminology
Medical terminology is a language used to precisely describe the human body including all its components, processes, conditions affecting it, and procedures performed upon it. Medical terminology is used in the field of medicine Medical terminology has quite regular morphology, the same prefixes and suffixes are used to add meanings to different roots. The root of a term often refers to an organ, tissue, or condition. For example, in the disorder known as hypertension, the prefix "hyper-" means "high" or "over", and the root word "tension" refers to pressure, so the word "hypertension" refers to abnormally high blood pressure. The roots, prefixes and suffixes are often derived from Greek or Latin, and often quite dissimilar from their English-language variants. This regular morphology means that once a reasonable number of morphemes are learnt it becomes easy to understand very precise terms assembled from these morphemes. Much medical language is anatomical terminology, concern ...
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