Saint's triad

Saint's triad

Saint's triad is a medical eponym used to describe the concurrence of the following:
# Cholelithiasis
# Hiatal Hernia
# Diverticular Disease

History

Saint's triad is named after the South African surgeon C.F.M. Saint who emphasized the importance of considering the possibility of multiple separate diseases in a patient whenever his or her history and the results of the physical examination were atypical of any single condition. [cite book |author=Whitworth, Judith A.; Firkin, Barry G. |title=Dictionary of medical eponyms |publisher=Parthenon Pub |location=New York |edition=2nd ed. |year=1996 |pages=354 |isbn=1-85070-477-5 |oclc= |doi= |accessdate=] There is no pathophysiological basis for the coexistence of these three diseases. Saint emphasized that more than one disease may be responsible for a patient's clinical signs and symptoms, and his Triad provides a counterexample to the commonly used diagnostic principle that "the explanation of any phenomenon should make as few assumptions as possible," also known as Occam's Razor . [cite journal |author=Hilliard AA, Weinberger SE, Tierney LM, Midthun DE, Saint S |title=Clinical problem-solving. Occam's razor versus Saint's Triad |journal=N. Engl. J. Med. |volume=350 |issue=6 |pages=599–603 |year=2004 |month=Feb |pmid=14762188 |doi=10.1056/NEJMcps031794 |url=http://content.nejm.org/cgi/content/short/350/6/599]

References


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