The surgical sieve is a thought process in medicine. It is a typical example of how to organise a structured examination answer for medical students and physicians when they are challenged with a question.[1] It is also a way of constructing answers to questions from patients and their relatives in a logical manner, and structuring articles and reference texts in medicine. Some textbooks put emphasis on using the surgical sieve as a basic structure of diagnosis and management of illnesses.[2][3][4][5][6]
Although there are several versions around the world with slight variations, the surgical sieve usually consist of the following types of process in the human body in any particular order:
The surgical sieve is frequently used by Gregory House, who is a physician in the TV series House[7] in order to diagnose the rare diseases his patients suffer from. In some episodes various forms of the surgical sieve are scribbled on to House's whiteboard while his team struggle to diagnose difficult cases. In the episode 'Paternity' the mnemonic 'MIDNIT' is used to run through the sieve (metabolic, inflammation, degenerative, neoplastic, infection, trauma).
^Oral diagnosis - the clinician's guide, W. Birnbaum, S. M. Dunne
^The New Aird's Companion in Surgical Studies (3rd edn). K. Burnand, A. Young, J. Lucas.
^Surgical Talk: Revision In Surgery, A. Goldberg, G. Stansby
^Medicine and Surgery: a concise textbook, G. Kendall, K.Y. Shiu, S. L. Johnston
^Thinking Medicine: Structure Your Knowledge for Success in Medical Exams, C. Koppel, A. Naparus
^FOX Broadcasting Company: House 2012-05-23 at the Wayback Machine
January 21, 2023
surgical, sieve, surgical, sieve, thought, process, medicine, typical, example, organise, structured, examination, answer, medical, students, physicians, when, they, challenged, with, question, also, constructing, answers, questions, from, patients, their, rel. The surgical sieve is a thought process in medicine It is a typical example of how to organise a structured examination answer for medical students and physicians when they are challenged with a question 1 It is also a way of constructing answers to questions from patients and their relatives in a logical manner and structuring articles and reference texts in medicine Some textbooks put emphasis on using the surgical sieve as a basic structure of diagnosis and management of illnesses 2 3 4 5 6 Contents 1 Overview 2 Examples 3 In popular culture 4 See also 5 ReferencesOverview EditAlthough there are several versions around the world with slight variations the surgical sieve usually consist of the following types of process in the human body in any particular order Congenital Acquired Vascular Infective Traumatic Autoimmune Metabolic Inflammatory Neurological Neoplastic Degenerative Environmental UnknownA more extensive and perhaps more concise mechanism of employing the surgical sieve is using the mnemonicMEDIC HAT PINE Metabolic conditions relating to metabolism biochemistry and the like Endocrinological conditions relating to the various secretory systems within the body Degenerative conditions relating to age related destruction of tissue or stress related destruction of tissue Inflammatory Infective conditions that primarily present in a way that involves the profane activation of the immune system Congenital conditions present at birth Genetic inherited conditions that your family passes on to you Haematological conditions relating to the blood system in one way or another Autoimmune conditions relating to the inappropriate activation of the immune system in one of many ways Traumatic conditions relating to a physical impact between two or more objects Psychological conditions related to a chemical imbalance or a disorder of thought processes Neurological conditions relating to the nervous system in one way or another whether that be the central or peripheral Idiopathic conditions without a known cause Iatrogenic lit Translation doctor caused or resulting from treatment Neoplastic conditions relating to cancers Environmental conditions relating to exposures and dose response relationships thereof Examples EditWhat are the causes of an acute confusional state in a patient Treatment induced Iatrogenic polypharmacy sedatives analgesics steroids drug withdrawal Vascular stroke TIA vascular dementia Inflammatory infection systemic inflammatory response syndrome Traumatic head injury Intracranial hemorrhage shock Autoimmune thyroid disease Metabolic electrolyte imbalance DKA hypoglycaemia SIADH Infective sepsis local infection Neoplastic brain tumour carcinomatosis Degenerative Alzheimer s disease dementiaWhat are the causes of splenomegaly Idiopathic Idiopathic thrombocytopenic purpura Vascular portal vein obstruction Budd Chiari syndrome haemoglobinopathies Sickle cell disease thalassemia Infective AIDS mononucleosis septicaemia tuberculosis brucellosis malaria infective endocarditis Traumatic haematoma rupture Autoimmune rheumatoid arthritis SLE Metabolic Gaucher s disease mucopolysaccharidoses amyloidosis Tangier disease Inflammatory sarcoidosis Neoplastic CML metastases myeloproliferative disordersIn popular culture EditThe surgical sieve is frequently used by Gregory House who is a physician in the TV series House 7 in order to diagnose the rare diseases his patients suffer from In some episodes various forms of the surgical sieve are scribbled on to House s whiteboard while his team struggle to diagnose difficult cases In the episode Paternity the mnemonic MIDNIT is used to run through the sieve metabolic inflammation degenerative neoplastic infection trauma See also EditTrauma surgery Hypnosurgery SurgeryReferences Edit sBMJ Oral diagnosis the clinician s guide W Birnbaum S M Dunne The New Aird s Companion in Surgical Studies 3rd edn K Burnand A Young J Lucas Surgical Talk Revision In Surgery A Goldberg G Stansby Medicine and Surgery a concise textbook G Kendall K Y Shiu S L Johnston Thinking Medicine Structure Your Knowledge for Success in Medical Exams C Koppel A Naparus FOX Broadcasting Company House Archived 2012 05 23 at the Wayback Machine Retrieved from https en wikipedia org w index php title Surgical sieve amp oldid 1038207221, wikipedia, wiki, book, books, library,
