DE102009005401B3 - Diagnostic aid for determining clinical picture based on color of e.g. urine of patient, has sheets with color imprints in color, where imprints are executed in characteristics of clinical picture with respect to variations of basic color - Google Patents

Abstract

The diagnostic aid has sheets (2), which are rotated around a common axis and are held together and superimposed at a center of a circle. The sheets are folded together to circular or circular segment-like color surfaces (1). The sheets comprise color imprints in a color developed by a clinical picture. The color imprints are executed in different characteristics of the clinical picture corresponding to variations of basic color. The sheets comprise information fields, which comprise therapeutic indications and information about consistency of motion.

Description

The The invention relates to a diagnostic aid for detection of a possible Disease on the basis of the color of an excrement.

The DE 1 218 321 A shows a color gamut with different groups of color sheets, the color leaves of each group are offset by equal amounts to each other and the groups as such auffächerbar and the individual color leaves are each provided with the same edges.

In the DE 1 698 277 U a sample card compilation is published, wherein carriers of the shades and paints are Kartenikartenförmige plywood panels, which are individually detachable and fan-spreadable summarized in each case a basic color corresponding individual packages.

medical Investigations have long ago revealed that the excrement and their origin information about the state of the human body and thus over Can give illnesses.

The TW 36889 B designates a color chart with multiple color areas intended as reference colors for comparison with the colors of a baby's stool samples.

From the DE 101 01 679 A1 For example, a liquid test apparatus can be seen wherein after applying urine to the test substances mounted on the apparatus, the color of the test substances can be compared with color examples on a comparison display and a diagnosis can be made based on an additional explanation on the comparison display.

The most people have two kidneys, the unusable material that is not needed by the body in liquid Eliminate form. This liquid, Called urine or urine, through two tubes, the ureter, to the urinary bladder promoted and collected there. If this urinary bladder is filled, the urine is over the urethra outward derived. The excretion of urine serves to regulate the fluid and electrolyte balance of the body and the elimination of urea, uric acid and other metabolites, which for harmful to the human organism could be.

Of the Urine usually shows a yellow color caused by bilirubin (bile pigment) breakdown products how Sterkobilin and Urobilin are formed. The color intensity depends on concentration in urine. It is lighter in high dilution and intense yellow at high concentration.

Of the Defecation of the human organism typically sets from 75% water, 10% food leftovers, 8% intestinal bacteria and 7% Epithelia, mucus and salts together. Those derived from food Substances are on the one hand indigestible parts of the food and others while intestinal transit undigested fats, starch, connective tissue and muscle fibers. The bile pigments bilirubin and biliverdin are in the colon of bacteria including stercobilin, bilifuscin and mesobilifuscin mined and lent to the feces their characteristic dark brown to yellowish color.

There gastrointestinal or gastrointestinal diseases the emergence of Excrements like the urine and the stool, their components and thus significantly affect the color and / or consistency and, if necessary change, can be concluded from their consideration of a particular disease become.

chair or urine have opposite other body's own Products or body fluids that could be used to diagnose a disease, the decisive advantage of being without intervention on or in the body, the the sick person would not be possible anyway or only to a limited extent, after leaving the Contemplation available stand.

Of the The invention is therefore based on the object, a diagnostic aid specify the said type, in a particularly simple manner in the kind of a first or Apr. Diagnosis the assignment of a disease picture to an excrement color allows.

These The object is achieved according to the invention by the diagnostic tool a plurality of individual, to a circular or circular segment-like Farbfächer fold apart, in superimposition held together in the center of the district and around this as a common Axle rotatable blades wherein each sheet has a plurality of color imprints in each case a color caused by a clinical picture of at least one Excrementes, wherein the color imprints in different manifestations the same disease, corresponding variations of a primary color accomplished are.

advantageous Embodiments of the invention are the subject of the dependent claims.

The invention is based on the consideration that based on an excretory color in a particularly simple and flexible way, an initial or apron diagnosis can be performed by the information required for this purpose on the one hand as full as possible constantly, on the other hand, but also clearly structured and provided easy to handle. In view of a particularly flexible applicability even in changing environmental conditions or in mobile use, this provision of information should take place in particular without recourse to external energy sources or permanently installed infrastructure. This is possible in a particularly compact design by providing and maintaining the color information required for the apron diagnosis in the manner of a so-called color fan.

such Color guides, the in itself for different applications, especially in the industrial sector, are known to have on their sheets color imprints. The colors usually give artificially manufactured colors, z. For example the selection of colors for example for living spaces or automotive coatings again, in the latter case with their help, the color of a Vehicle, for example a partial or partial painting, by comparison with the original paint can be determined.

One other color fans includes individual leaves, on which in individual fields in rows side by side and Overlay color nuances of a given base color be specified after which a potential customer an appropriate Can make preselection.

in the Contrast to such color fans is now provided, the color imprints on the individual sheets not on artificial manufactured product colors, but rather to the diagnostic experience and possibly due to illness to adapt to occurring excrement colors, allowing for the user directly and without resorting to further aids, concordance tables or the like at least a rough and / or provisional assignment to possible Diseases is.

Around in the case of a gastrointestinal or gastrointestinal disease, the possibly to color and / or consistency changes in the chair or urine can, without elaborate procedures such as removal of Blood samples or similar make an assignment to a disease picture and thus a to be able to make the first diagnosis and also a rough and / or non-trained layman provisional Assignment to possible To enable disease pictures is advantageously a consideration of and a color balance made with at least one of the excrements.

Around the sufferer or the doctor and / or treating medically trained Staff without additional Temporal effort, as he by finding suitable literature or by other means that enable diagnosis and support, research measures can arise, additional Information about the recognized, associated with the color field, disease to convey a number of sheets expediently at least one information field.

Around after considering the excrements and the assignment to a clinical picture without time delay to be able to initiate a therapy for the recognized disease at least one of the information fields advantageously a the Disease associated diagnostic and / or therapeutic advice on.

Around the determination of a disease from the exclusively optical examination of the chair as well as the recognition security by the application of the To increase diagnostic tool, advantageously has at least one of the information fields an information about the consistency associated with the clinical picture of the chair and / or its visually recognizable composition.

The particular advantages of the invention are that already before an in-depth investigation, for example, by a lab performed is and increased Time expenditure and thus a delayed Start of treatment means to create a work diagnosis that can with a high probability the actual Disease diagnosed Since, for example, the chair is through certain ingested and digested food and drinks colored vary within the basic color or by the admixture of undigested food remains diverse and -colored structures and the color of the urine among other factors too from concentration, that is from the dilution through drinks, dependent or other, not disease related, factors the color of the excrement can vary the color imprint of the individual sheets advantageously has a number of color patches, of which at least one is the base color and at least one further comprises a variation of this base color.

The particularly advantageous embodiment as subjects for the Recording of the individual leaves works in cooperation with, for example, a screw or another solvable Connection as a central axis that individual leaves, their information content Diseases that no longer occur are removed and / or leaves with Information on new and / or newly diagnosed diseases can be picked up or replaced without replacing the entire compartment to have to.

One embodiment The invention will be explained in more detail with reference to a drawing. Show:

1 a diagnostic tool in plan view,

2 a sheet with color and information fields in plan view, and

3 the back of a sheet with color and information fields in top view.

Same Parts are provided with the same reference numerals in all figures.

The diagnostic tool 1 according to 1 is designed specifically for a simple and flexible preparation of first or apron diagnoses, in which based on the color and / or consistency of excreta such as urine and / or feces at least a rough conclusion on a possibly present disease should be possible. In order to provide the information required in a well-structured and clear manner, even without resorting to technically complex aids, in particular also in varying fields of use and in mobile use, this is the diagnostic aid 1 designed in the manner of a color fan whose color design reflects the disease-related varying colors of the excrement. This includes the diagnostic tool 1 , as shown in the illustration 1 can be seen in a nearly completely unfolded state, a plurality of individual leaves 2 , Each of these leaves 2 indicates at a given position, which at each of the leaves 2 identical, a puncture 4 on. This puncture 4 serves to accommodate a pin or rivet, which is common in superposition axis of rotation of the leaves 2 around the puncture 4 forms. When unfolding the leaves 2 creates a circle or circle-like color fan 1 where the puncture 4 forms the circle center.

The individual leaves 2 consist of a flat, printable material, which can be used depending on the use and required life, for example, paper, cardboard, plastic or metal. In addition, a moisture-resistant and / or washable surface can be of particular advantage if the contact of the leaves with the excrements used for comparison can not be ruled out in principle.

The leaves 2 as the illustration according to 2 in an exemplary embodiment, preferably at the end of the common axis opposite, ie in the radial direction outer end, a color field 6 on, which is printed in a color that corresponds to the one of a certain disease and / or its symptoms associated basic color of an excrement. Furthermore, in addition to the primary color, a variation of this primary color can be printed in the color field, which is possible due to the same disease picture, but different color scheme, in the excrement. The cause of this variation of the base color can be an increased dilution of the concentration of the respective excrement by a particularly high fluid intake or the influence of the primary color by foods and / or drinks taken up before the excretion.

The variations of the base color may alternatively or in addition to the first color field 6 also in a second color field 8th or in each case in a separate color field, not shown in this embodiment, printed.

In addition to the color field 6 or the swatches 6 and 8th can the leaves 2 with an information field 10 be printed, which describes the respective color in understandable words. This information can be used to aid color comparison and, for example, facilitate telephonic and / or other communication between a patient and the medical staff in describing the color and in associating with a disease. This information can also be used to communicate in a coding, in particular an IcD coding (according to guidelines G-DRG), wherein for decoding the coding available for the doctor and / or medical personnel database can be stored at a suitable location.

Another information field 12 may be provided to describe the consistency of the excrement accompanying the color and thus to allow verification of the disease diagnosed in color matching and to increase safety in making a diagnosis.

A similar function, namely the verification of the diagnosis associated with the color matching of a disease, is another field of information 14 which describes the concomitant symptoms or a significant selection of the most characteristic concomitant symptoms typically associated with a disease.

In one version of the color fan 1 whose target audience is not the medical layman, the leaves may have more information. In another information field 16 this may include information about the location of the disease.

Furthermore, another information field 18 Contain information about possible pathogens of the detected or suspected disease. These pathogens may be named and / or graphically represented in order to enable unambiguous recognition and assignment in an examination of the excrement, for example under a microscope.

Another information field 20 may include information on a differential diagnosis, which may include, for example, the causes of the disease. This information, on the one hand, serves to better correlate the disease, but can also be used, for example in cases of salmonella or other food poisoning, to initiate measures to prevent the spread of the disease and / or to take preventative measures.

All Information can be presented to a medical layman, so for example a patient, for a separate diagnosis understandable are and the initiation of immediate action as the beginning of a therapy and a decision-making aid in determining the disease and providing information to trained medical personnel for one Enable initial diagnosis.

To This information may include, for example, that the sufferer the immediate consultation with a doctor or the immediate visit of a doctor Hospital and / or an emergency room is recommended to short-term and possibly life-saving aid measures to be able to initiate.

In another embodiment, the information can be designed specifically for the detection of a disease and the initiation of further action by a physician or alternatively medically trained personnel. These include in particular the information mentioned in the information fields 16 . 18 and 20 as well as therapeutic advice, which in another information field 22 can be listed.

Another information field, also reserved for medically trained staff 24 may provide information for further and / or supplementary diagnostic examinations and thus for diagnosis.

• – Welche Vorerkrankungen liegen/lagen vor?

• – Wie äußern sich eventuelle Begleitsymptome?
• – Seit wann treten die Symptome auf?
• – Wie häufig treten die Symptome auf?

• – Ist die Erkrankung mit Schmerzen verbunden?
• – Wo treten die Schmerzen auf?
• – Seit wann treten die Schmerzen auf?
• – Wie kann das Schmerzgefühl beschrieben werden?
• Dumpf– pochend – stechend – kolikartig?
• – Wie stark sind die Schmerzen?
• – Gibt es etwas, das Linderung verschafft?

• – Wann hat die letzte Nahrungsaufnahme stattgefunden?
• – Wie sind die typischen Essgewohnheiten des Erkrankten?
• – Was und wieviel trinkt der Erkrankte (über den Tag verteilt)?

• – Nimmt der Erkrankte Alkohol, Nikotin und/oder Drogen zu sich?

• – Hat sich der Erkrankte in den letzten 3 Monaten vor der Erkrankung im Ausland aufgehalten?
• – Falls die Antwort JA lautet, wo?

• – Gibt/gab es in der Familie des Erkrankten bereits ähnliche Erkrankungen mit gleichen oder ähnlichen Symptomen?

In addition to the color examination of the excrement by the sufferer or medical staff, consideration of and answer to the questions listed in the following questionnaire may help a physician to be consulted in the event of a disease to diagnose and determine what to do:
What is the color and consistency of the excretion?

• - What previous illnesses were / were present?

• - What are the symptoms of any accompanying symptoms?
• - Since when do the symptoms occur?
• - How often do the symptoms occur?

• - Is the disease associated with pain?
• - Where does the pain occur?
• - Since when does the pain occur?
• - How can the pain sensation be described?
• Dull-throbbing - piercing - colicky?
• - How strong is the pain?
• - Is there something that provides relief?

• - When did the last food intake take place?
• - What are the typical eating habits of the patient?
• - What and how much does the patient drink (distributed throughout the day)?

• - Does the sufferer drink alcohol, nicotine and / or drugs?

• - Did the patient stay abroad in the last 3 months before the illness?
• - If the answer is yes, where?

• - Does the family of the patient already have similar illnesses with the same or similar symptoms?

1

Farbfächer

2

leaves

4

perforation

6 8th

swatches

10 12, 14, 16, 18, 20, 22, 24

information fields

Claims (8)

Diagnostic tool for determining a possible clinical picture based on the color of an excrement with a plurality of individual, to a circular or circular segment-like color fan ( 1 ) unfold, held together in superimposition in the center of the circle and about this as a common axis rotatable leaves ( 2 ), each leaf ( 2 ) has a plurality of color imprints in each one of a disease resulting color of at least one excrement, the color imprints are executed in different manifestations of the same disease corresponding variations of a primary color. Diagnostic aid according to claim 1, wherein it is when the excrement is about stool. Diagnostic aid according to claim 1 or 2, wherein the excrement is urine. Diagnostic tool according to one of Claims 1 to 3, in which a number of blades ( 2 ) each have a number of information fields ( 10 . 12 . 14 . 16 . 18 . 20 . 22 . 24 ) having. Diagnostic tool according to claim 4, wherein at least one information field ( 10 . 12 . 14 . 16 . 18 . 20 . 22 . 24 ) comprises at least one therapeutic advice. Diagnostic tool according to claim 4 or 5, wherein at least one information field ( 10 . 12 . 14 . 16 . 18 . 20 . 22 . 24 ) includes information about the consistency of the chair. Diagnostic aid according to one of claims 4 to 6, wherein at least one information field ( 10 . 12 . 14 . 16 . 18 . 20 . 22 . 24 ) comprises information about the optically recognizable composition of the stool. Diagnostic tool according to one of claims 4 to 7, wherein at least one information field ( 10 . 12 . 14 . 16 . 18 . 20 . 22 . 24 ) includes information about the color of the urine.