DR KENT
Definition:
- Concept of value of symptoms according to Kent: value of a symptom is the degree of certainty of its presence → intensity, duration, aggravation and amelioration, location, and relation to the modalities.
Steps to evaluate a symptom according to Kent:
- Determine the quality of the symptom → whether it is a sensation, a pain, or a feeling.
- Determine the intensity of the symptom → whether it is mild, moderate, or severe.
- Determine the duration of the symptom → whether it is acute or chronic.
- Determine the aggravating and ameliorating factors → what makes it better or worse.
- Determine the location of the symptom → where it is felt in the body.
- Determine the relation to the modalities → how it is affected by rest, motion, weather, and emotions.
Justification of evaluation:
- Evaluation of a symptom is justified based on the degree of certainty of its presence.
- The value of a symptom is considered in the context of the general symptoms of the patient.
- The value of a symptom is considered in the context of the totality of symptoms.
Demonstration of evaluation:
- A symptom is considered more valuable if it is intense, long-lasting, and has a clear aggravating and ameliorating factor.
- A symptom is considered less valuable if it is mild, short-lived, and has no clear aggravating or ameliorating factor.
- The value of a symptom is considered in relation to the general symptoms of the patient.
- The value of a symptom is considered in relation to the totality of symptoms.
Philosophy of Kent:
- Kent's philosophy emphasizes the importance of evaluating each symptom individually.
- Kent's philosophy emphasizes the importance of considering the totality of symptoms.
- Kent's philosophy emphasizes the importance of considering the general symptoms of the patient.
Aphorism:
- Aphorism 106: "The value of a symptom is the degree of certainty of its presence."