CMS100 - Week 2 Illness Scripts

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Last updated 9:07 PM on 2/21/26
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9 Terms

1
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what are disease illness scripts? and what are their components?

  • representation of a condition in the mind of a practitioner

  • vary between practitioners

  • include: epidemiology, time course, clinical presentation (signs & symptoms), and mechanism/pathophysiology


2
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what falls under the epidemiology?

  • demographics such as age, sex, race/ethnicity, socioeconomic status

  • risk factors including pre-existing conditions

  • exposures like travel, occupation, hobbies, sexual activity, drugs, meds, pets, etc.


3
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what falls under time course?

  • duration - hyper acute, acute, subacute, chronic

  • persistence/pattern - constant (stable, progressive), episodic (waxing and waning, intermittent)


4
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what falls under clinical presentation?

  • most important signs and symptoms

  • can use “classic” presentation but note that these can be misleading


5
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what do we see in high quality illness scripts?

  • use medical terms and categories

  • will change overtime with experience and research

  • can compare and contrast multiple illness scripts


<ul><li><p>use medical terms and categories</p></li><li><p>will change overtime with experience and research</p></li><li><p>can compare and contrast multiple illness scripts</p></li></ul><p></p>
6
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what do comparative illness script tables look like? what are they useful for?

  • disease illness scripts in adjacent columns or rows

  • focus on the most relevant info, not every cell needs to be filled

  • typically compare 2/3 diseases

  • useful to focus on what is important


<ul><li><p>disease illness scripts in adjacent columns or rows</p></li><li><p>focus on the most relevant info, not every cell needs to be filled</p></li><li><p>typically compare 2/3 diseases</p></li><li><p>useful to focus on what is important</p></li></ul><p></p>
7
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how do you create problem lists and process lists?

  • create a problem list - include everything that the case study/patient says verbatim

  • then, create a processed problem list - emphasize the most important evidence and de-emphasize les valuable evidence

  • finalize the problem representation in a way that it can be compared with disease illness scripts


8
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what are patient illness scripts, what is included in them?

  • Concise summary of patient’s concern

  • Used to match presentation to illness scripts

  • Includes:

    • Epidemiology

    • Time course

    • Clinical presentation

      • Key signs + symptoms

      • Forms a syndrome statement

      • Excludes irrelevant info

    • Relevant PMH only


<ul><li><p class="p1">Concise summary of patient’s concern</p></li><li><p class="p1">Used to match presentation to <strong><span>illness scripts</span></strong></p></li><li><p class="p3"><strong>Includes:</strong></p><ul><li><p class="p3"><strong><span>Epidemiology</span></strong></p></li><li><p class="p3"><strong><span>Time course</span></strong></p></li><li><p class="p3"><strong>Clinical presentation</strong></p><ul><li><p class="p3">Key signs + symptoms</p></li><li><p class="p3">Forms a syndrome statement</p></li><li><p class="p3">Excludes irrelevant info</p></li></ul></li><li><p class="p3"><strong>Relevant PMH only</strong></p></li></ul></li></ul><p></p>
9
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what is a concise summary statement?

  • Brief, synthesized description of case

  • Created after problem list, processed problem list, illness script

Includes:

  • Key demographics

  • Clinical features (signs + sx)

  • Time course/pattern

  • Severity & impact

  • Only relevant PMH

Purpose:

  • Supports clinical reasoning

  • Aids diagnostic matching


<ul><li><p class="p1">Brief, synthesized description of case</p></li><li><p class="p1">Created after problem list, processed problem list, illness script</p></li></ul><p class="p3"><strong>Includes:</strong></p><ul><li><p class="p1">Key demographics</p></li><li><p class="p1">Clinical features (signs + sx)</p></li><li><p class="p1">Time course/pattern</p></li><li><p class="p1">Severity &amp; impact</p></li><li><p class="p1">Only relevant PMH</p></li></ul><p class="p3"><strong>Purpose:</strong></p><ul><li><p class="p1">Supports clinical reasoning</p></li><li><p class="p1">Aids diagnostic matching</p></li></ul><p></p>