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Hickam's Dictum
Hickam's dictum is a medical principle that a patient's symptoms could be caused by several diseases. It is a counterargument to misapplying Occam's razor in the medical profession. A common version of Hickam's dictum states: "A man can have as many diseases as he damn well pleases." The principle is attributed to an apocryphal physician named Hickam, possibly John Bamber Hickam, MD. When he began saying this is uncertain. Occam's razor is frequently misinterpreted to mean that the simplest explanation is the most likely. Applying this in health care, it purports that diagnosticians should assume a single cause for multiple symptoms. Hickam's dictum admits multiple causes can produce the result confronting the diagnostician. John Hickam, MD In 1946, John Bamber Hickam was a housestaff member in medicine at Grady Memorial Hospital in Atlanta, Georgia. Later, in the 1950s, he was a faculty member at Duke University in Durham, North Carolina. He subsequently was chairman of medicine ...
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Occam's Razor
In philosophy, Occam's razor (also spelled Ockham's razor or Ocham's razor; ) is the problem-solving principle that recommends searching for explanations constructed with the smallest possible set of elements. It is also known as the principle of parsimony or the law of parsimony (). Attributed to William of Ockham, a 14th-century English philosopher and theologian, it is frequently cited as , which translates as "Entities must not be multiplied beyond necessity", although Occam never used these exact words. Popularly, the principle is sometimes paraphrased as "of two competing theories, the simpler explanation of an entity is to be preferred." This philosophical razor advocates that when presented with competing hypotheses about the same prediction and both hypotheses have equal explanatory power, one should prefer the hypothesis that requires the fewest assumptions, and that this is not meant to be a way of choosing between hypotheses that make different predictions. Similarl ...
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Society Of Hospital Medicine
The Society of Hospital Medicine (SHM) is a membership society for hospitalists, physicians, and other caregivers who practice the specialty of hospital medicine. SHM provides continuing education and industry updates for hospitalists in its monthly newsmagazine, ''The Hospitalist'', and peer-reviewed journal for hospital medicine, the '' Journal of Hospital Medicine''. In addition to its publications, the society conducts surveys, prepares written analyses, and offers discussion forums that aid in the overall development and practice of the specialty of hospital medicine. The society is focused on providing resources, programs, and mentoring for quality improvement programs for reducing readmissions and hospital acquired diseases while optimizing transitions of care, glycemic control, and overall patient care. SHM has been integral in the development of policy and position statements to address the concerns and issues of hospitalists and advocates on behalf of hospitalists bef ...
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British Medical Journal
''The BMJ'' is a fortnightly peer-reviewed medical journal, published by BMJ Publishing Group Ltd, which in turn is wholly-owned by the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Previously called the ''British Medical Journal'', the title was officially shortened to ''BMJ'' in 1988, and then changed to ''The BMJ'' in 2014. The current editor-in-chief of ''The BMJ'' is Kamran Abbasi, who was appointed in January 2022. History The journal began publishing on 3 October 1840 as the ''Provincial Medical and Surgical Journal'' and quickly attracted the attention of physicians around the world through its publication of high-quality original research articles and unique case reports. The ''BMJ''s first editors were P. Hennis Green, lecturer on the diseases of children at the Hunterian School of Medicine, who also was its founder, and Robert Streeten of Worcester, a member of the ...
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Grady Memorial Hospital
Grady Memorial Hospital is the public hospital for the city of Atlanta. The hospital is ranked as the tenth largest public hospital in the United States and is a Level I trauma center. History Grady Memorial Hospital was 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 as ''Georgia Hall'', where the hospital's human resources staff now work. The second Grady Hospital (at ''Butler Hall'') opened in 1912 and was for whites only, with blacks being segregated at the Atlanta Medical College. The third hospital was at ''Hirsch Hall'' and the current location is its fourt ...
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Atlanta
Atlanta ( ) is the List of capitals in the United States, capital and List of municipalities in Georgia (U.S. state), most populous city in the U.S. state of Georgia (U.S. state), Georgia. It is the county seat, seat of Fulton County, Georgia, Fulton County and extends into neighboring DeKalb County, Georgia, DeKalb County. With a population of 520,070 (2024 estimate) living within the city limits, Atlanta is the eighth most populous city in the Southeastern United States, Southeast and List of United States cities by population, 36th most populous city in the United States according to the 2020 United States census, 2020 U.S. census. Atlanta is classified as a Globalization and World Cities Research Network#Beta +, Beta + global city and is the principal city of the much larger Atlanta metropolitan area, the core of which includes Cobb County, Georgia, Cobb, Clayton County, Georgia, Clayton and Gwinnett County, Georgia, Gwinnett counties, in addition to Fulton and DeKalb. ...
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Georgia (U
Georgia most commonly refers to: * Georgia (country), a country in the South Caucasus * Georgia (U.S. state), a state in the southeastern United States Georgia may also refer to: People and fictional characters * Georgia (name), a list of people and fictional characters with the female given name * Georgia (musician) (born 1990), English singer, songwriter, and drummer Georgia Barnes Places Historical polities * Kingdom of Georgia, a medieval kingdom * Kingdom of Eastern Georgia, a late medieval kingdom * Kingdom of Western Georgia, a late medieval kingdom * Georgia Governorate, a subdivision of the Russian Empire * Georgia within the Russian Empire * Democratic Republic of Georgia, a country established after the collapse of the Russian Empire and later conquered by Soviet Russia. * Georgian Soviet Socialist Republic, a republic within the Soviet Union * Republic of Georgia (1990–1992), Republic of Georgia, a republic in the Soviet Union which, after the collapse of the U ...
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Duke University
Duke University is a Private university, private research university in Durham, North Carolina, United States. Founded by Methodists and Quakers in the present-day city of Trinity, North Carolina, 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 Duke University Marine Laboratory, marine lab in Beaufort, North Carolina, Beaufort. The Duke University West Campus, West Campus—designed largely by architect Julian Abele—incorporates Collegiate Gothic in North America, Gothic architecture with the Duke Chapel at the campus' center and highest point of elevation, is adjacent to the Duke University Health System, Medical Center. Duke University East Campus, East Campus, away, home to all first-years, contains Georgian archit ...
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Durham, North Carolina
Durham ( ) is a city in the U.S. state of North Carolina and the county seat of Durham County, North Carolina, Durham County. Small portions of the city limits extend into Orange County, North Carolina, Orange County and Wake County, North Carolina, Wake County. With a population of 283,506 in the 2020 United States census, 2020 census, Durham is the List of municipalities in North Carolina, fourth-most populous city in North Carolina and the List of United States cities by population, 70th-most populous city in the United States. The city is located in the east-central part of the Piedmont (United States), Piedmont region along the Eno River. Durham is the core of the four-county Durham–Chapel Hill, North Carolina, Chapel Hill metropolitan area, which had an estimated population of 608,879 in 2023. The Office of Management and Budget also includes Durham as a part of the Raleigh–Durham–Cary, NC Combined Statistical Area, commonly known as the Research Triangle, which had an ...
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Indiana University
Indiana University (IU) is a state university system, system of Public university, public universities in the U.S. state of Indiana. The system has two core campuses, five regional campuses, and two regional centers under the administration of IU Indianapolis. The flagship campus of Indiana University is Indiana University Bloomington. Campuses Core campuses *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 Hutton Honors College, the Jacobs School of Music, an extension of the Indiana University School of Medicine, the Indiana University School of Informatics, Luddy 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 Indiana University School of Public and Enviro ...
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Bloomington, Indiana
Bloomington is a city in Monroe County, Indiana, United States, and its county seat. The population was 79,168 at the 2020 United States census, 2020 census. It is the List of municipalities in Indiana, seventh-most populous city in Indiana and the fourth-most populous outside the Indianapolis metropolitan area. It is the home of Indiana University Bloomington, the flagship campus of the Indiana University system. Established in 1820, IU Bloomington enrolls over 45,000 students. The city was established in 1818 by a group of settlers from Kentucky, Tennessee, the Carolinas, and Virginia who were so impressed with "a haven of blooms" that they called it Bloomington. It is the principal city of the Bloomington metropolitan area, Indiana, Bloomington metropolitan area in south-central Indiana, which had 161,039 residents in 2020. Bloomington has been designated a Tree City USA since 1984. The city was also the location of the Academy Awards, Academy Award–winning 1979 movie ''Brea ...
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Zebra (medicine)
Zebra is the American medical slang for a surprising, often exotic, medical diagnosis, especially 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." (Alternative phrasing: when you hear hoofbeats, think of horses, not zebras. 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. The saying is a warning against the statistical base rate fallacy where the likelihood of something like a disease among the population is not taken into consideration for an individual. Medical novices are predisposed to make rare diagnoses because of (a) the availability heuristic ("events more easily remembered are judged more proba ...
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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, conc ...
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