<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662019000100144</article-id>
<article-id pub-id-type="doi">10.24245/mim.v35i1.2317</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje diagnóstico a partir de los datos pivote]]></article-title>
<article-title xml:lang="en"><![CDATA[Pivotal diagnosis: an approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrade-Castellanos]]></surname>
<given-names><![CDATA[Carlos A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Guadalajara Lamar  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>144</fpage>
<lpage>149</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662019000100144&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662019000100144&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662019000100144&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El médico internista utiliza varias estrategias en sus procesos diagnósticos del día a día. Su pensamiento debe ser estructurado, coherente y cimentado en un amplio conocimiento teórico. La información recabada a partir de la historia clínica es el insumo indispensable para tomar decisiones clínicas acertadas; ello precisa una buena dosis de inteligencia -para obtener e interpretar los datos relevantes- a la par de una buena memoria -que permita recordar la información almacenada- para la construcción de un adecuado juicio clínico. A este respecto, los datos pivote actúan como catalizadores del proceso diagnóstico: facilitan la construcción a partir de un punto de partida. El objetivo de este artículo es describir un enfoque basado en la obtención de datos pivote. Este método está diseñado para auxiliar en la marcha diagnóstica del médico novel.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The general internist uses various strategies in his/her daily diagnostic process. A structured method is required to provide adequate reasoning with the information gathered. Knowledge, intelligence and memory are of utmost importance for constructing clinical reasoning. The information gathered from the clinical history is indispensable to make right clinical decisions; this requires a good dose of intelligence -to obtain and interpret the relevant data- along with a good memory -to remember the stored information-; both are essential to acquire expert clinical judgment. A pivot diagnostic strategy might provide a guide for clinical reasoning and act as a cognitive aid. We propose here an approach to pivotal diagnosis. This strategy is especially useful for less clinically experienced doctors who are less likely to generate appropriate differential diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Razonamiento]]></kwd>
<kwd lng="es"><![CDATA[inteligencia]]></kwd>
<kwd lng="es"><![CDATA[memoria]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico diferencial]]></kwd>
<kwd lng="en"><![CDATA[Reasoning]]></kwd>
<kwd lng="en"><![CDATA[Intelligence]]></kwd>
<kwd lng="en"><![CDATA[Memory]]></kwd>
<kwd lng="en"><![CDATA[Differential diagnosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual de medicina interna hospitalaria]]></source>
<year>2015</year>
<edition>1</edition>
<page-range>7-11</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Alfil]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stanovich]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Individual differences in reasoning implications for the rationality debate]]></article-title>
<source><![CDATA[Behav Brain Sci]]></source>
<year>2000</year>
<volume>23</volume>
<page-range>645-726</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laris]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El arte del diagnóstico]]></article-title>
<source><![CDATA[Rev Inst Nal Enf Resp Mex]]></source>
<year>2006</year>
<volume>19</volume>
<page-range>134-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The magical number seven, plus or minus two Some limits on our capacity for processing information]]></article-title>
<source><![CDATA[Psychol Reb]]></source>
<year>1956</year>
<volume>101</volume>
<page-range>343-52</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[WJ]]></given-names>
</name>
<name>
<surname><![CDATA[Husain]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bays]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changing concepts of working memory]]></article-title>
<source><![CDATA[Nat Neurosci]]></source>
<year>2014</year>
<volume>17</volume>
<page-range>347-56</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villasmil]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Navas]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La necesidad de la recertificación como expresión de un internista actualizado]]></article-title>
<source><![CDATA[Med interna (Caracas)]]></source>
<year>2006</year>
<volume>22</volume>
<page-range>1-2</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santana]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Esparza]]></surname>
<given-names><![CDATA[RI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Razonamiento con los signos y los síntomas]]></article-title>
<source><![CDATA[Med Int Méx]]></source>
<year>2014</year>
<volume>30</volume>
<page-range>442-50</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ameratunga]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Broad]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Connor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The GATE frame critical appraisal with pictures]]></article-title>
<source><![CDATA[Evid Based Med]]></source>
<year>2006</year>
<volume>11</volume>
<page-range>35-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
