The symptoms in family medicine are not signs of disease, but "signs of life"; in the consultation "all patient life comes together with him". Every consultation is primarily a biopsicosocial problem: the person perceives a dysfunction or alteration in relation with himself and his context. To do a diagnosis only with physical symptoms, can be a mistake because these do not identify the real problem. The different types of symptoms are "entangled" or chained some in others: the symptoms can be fitted or inevitable; to be expressions of biochemical alterations, symbols for the patient, group context expressions, or kinds of facing the facts; and they depend on the previous psychological patient performance, the severity of the deficit of the psychological function associated with the disease, the residual skills, the adjustment and the confrontation of the functional limitations, the relation doctor-patient, as well as on the influence of the context.

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El concepto de diagnóstico en medicina de familia: ver un paisaje. El diagnóstico en medicina de familia The diagnostic concept in family medicine: A view of the landscape. The diagnosis in family medicine

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yCaminó la ciudad a la hora del crepúsculo y en un día gris, cuando los gatos empiezan a ser pardos, las brujas comienzan a desperezarse y los gallitos de hierro de las altas veletas, muertos de miedo, chirrían como condenados.