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- Hickams_dictum abstract "Hickam's dictum is a counterargument to the use of Occam's razor in the medical profession. The principle is commonly stated: "Patients can have as many diseases as they damn well please". The principle is attributed to John Hickam, MD. Hickam was a faculty member at Duke University in the 1950s, and was later chairman of medicine at Indiana University.When discussing Occam's razor in contemporary medicine, doctors and philosophers of medicine speak of diagnostic parsimony. Diagnostic parsimony advocates that when diagnosing a given injury, ailment, illness, or disease a doctor should strive to look for the fewest possible causes that will account for all the symptoms. However, this principle has very important limits in medical practice. The actual process that occurs when diagnosing a patient is a continuous flow of hypothesis and testing of that hypothesis, then modifying the hypothesis, and so on. In the context of this method, the principle of Hickam's dictum asserts that at no stage should a particular diagnosis be excluded solely because it doesn't appear to fit the principle of Occam's razor. The principle of Occam's razor, or parsimony, does not demand that the diagnostician necessarily opt for the simplest explanation, but instead guides the medical practitioner to seek explanations, without unnecessary additional assumptions, which are capable of accounting for all relevant evidence.A key reason for using Hickam's dictum as a limiting principle to that of Occam's razor is that it is often statistically more likely that a patient has several common diseases rather than having a single, rarer disease that explains his myriad symptoms. Another key reason is that, independent of statistical likelihood, some patients do in fact turn out to have multiple diseases. In such cases, multiple categories of diagnosis may indeed have independent causes rather than a single source, i.e., may be due to separate events or combinations of events to which the patient may have been subjected or exposed. Thus, Hickam's dictum provides physicians with a counterbalancing principle to the unfettered use of Occam's razor in diagnosis.An example of the utility of Hickam's dictum is Saint's triad of hiatus hernia, gallbladder disease, and diverticulosis. C.F.M. Saint was a British surgeon. His triad has no known pathophysiological relationship, nullifying the usefulness of Occam's razor. Hickam's dictum is similar in principle to Walter Chatton's anti-razor.".
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- Hickams_dictum wikiPageLength "3323".
- Hickams_dictum wikiPageOutDegree "12".
- Hickams_dictum wikiPageRevisionID "636976930".
- Hickams_dictum wikiPageWikiLink Category:Medical_terminology.
- Hickams_dictum wikiPageWikiLink Category:Philosophy_of_medicine.
- Hickams_dictum wikiPageWikiLink Diverticulosis.
- Hickams_dictum wikiPageWikiLink Duke_University.
- Hickams_dictum wikiPageWikiLink Gallbladder.
- Hickams_dictum wikiPageWikiLink Hiatus_hernia.
- Hickams_dictum wikiPageWikiLink Indiana_University.
- Hickams_dictum wikiPageWikiLink Occams_razor.
- Hickams_dictum wikiPageWikiLink Parsimony.
- Hickams_dictum wikiPageWikiLink Saints_triad.
- Hickams_dictum wikiPageWikiLink Walter_Chatton.
- Hickams_dictum wikiPageWikiLink Zebra_(medicine).
- Hickams_dictum wikiPageWikiLinkText "Hickam's dictum".
- Hickams_dictum hasPhotoCollection Hickams_dictum.
- Hickams_dictum subject Category:Medical_terminology.
- Hickams_dictum subject Category:Philosophy_of_medicine.
- Hickams_dictum hypernym Counterargument.
- Hickams_dictum comment "Hickam's dictum is a counterargument to the use of Occam's razor in the medical profession. The principle is commonly stated: "Patients can have as many diseases as they damn well please". The principle is attributed to John Hickam, MD. Hickam was a faculty member at Duke University in the 1950s, and was later chairman of medicine at Indiana University.When discussing Occam's razor in contemporary medicine, doctors and philosophers of medicine speak of diagnostic parsimony.".
- Hickams_dictum label "Hickam's dictum".
- Hickams_dictum sameAs m.0dbsg6.
- Hickams_dictum sameAs Q5751002.
- Hickams_dictum sameAs Q5751002.
- Hickams_dictum wasDerivedFrom Hickams_dictumoldid=636976930.
- Hickams_dictum isPrimaryTopicOf Hickams_dictum.