Disease
A Disease or Medical Condition
Is an abnormal condition of an organism that impairs
bodily functions, associated with specific symptoms and signs.
It may be caused by external factors, such as infectious disease, or it may
be caused by internal dysfunctions, such as autoimmune diseases. In holistic
medicine and alternative medicine tradition, disease is said to be caused
by energetic imbalances in physical, emotional, spiritual, social and/or
environmental needs.
In humans, "disease" is often used more broadly to refer to any condition that causes pain, dysfunction,
distress, social problems, and/or death to the person afflicted, or similar
problems for those in contact with the person. In this broader sense, it
sometimes includes injuries, disabilities, disorders, syndromes, infections,
isolated symptoms, deviant behaviors, and atypical variations of structure
and function, while in other contexts and for other purposes these may be
considered distinguishable categories. Death due to disease is called death
by natural causes.
Terminology
In many cases, the terms disease, disorder, morbidity and illness
are used interchangeably. In some situations, specific terms are considered
preferable.
Infection
This term broadly refers to any abnormal condition
that impairs normal function. Commonly, this term is used to refer specifically
to infectious diseases, which are clinically evident diseases that result
from the presence of pathogenic microbial agents, including viruses, bacteria,
fungi, protozoa, multicellular parasites, and aberrant proteins known as
prions.
An infection that does not produce clinically evident
impairment of normal functioning is not considered a disease. Non-infectious
diseases are all other diseases, including most forms of cancer, heart disease,
and genetic disease.
Illness
Illness and sickness are generally used as synonyms for disease.
However, this term is occasionally used to refer specifically to the patient's
personal experience of his or her disease.
In this model, it is possible
for a person to be diseased without being ill, (to have an objectively definable,
but asymptomatic, medical condition), and to be ill without being diseased
(such as when a person perceives a normal experience as a medical condition,
or medicalizes a non-disease situation in his or her life).
Illness is often
not due to infection but a collection of evolved responses, sickness behavior,
by the body aids the clearing of infection. Such aspects of illness can include
lethargy, depression, anorexia, sleepiness, hyperalgesia, and inability to
concentrate.
Disorder
In medicine, a disorder is a functional
abnormality or disturbance. Medical disorders can be categorized into mental
disorders, physical disorders, genetic disorders, emotional and behavioral
disorders, and functional disorders. The term disorder is often considered
more value-neutral and less stigmatizing than the terms disease or illness,
and therefore is preferred terminology in some circumstances.
In mental health,
the term mental disorder is used as a way of acknowledging the complex interaction
of biological, social, and psychological factors in psychiatric conditions.
However, the term disorder is also used in many other areas of medicine,
primarily to identify physical disorders that are not caused by infectious
organisms, such as organic brain syndrome.
Medical Condition
A medical condition
is a broad term that includes all diseases and disorders, but can include
injuries and normal health situations, such as pregnancy, that might affect
a person's health, benefit from medical assistance, or have implications
for medical treatments. While the term medical condition generally includes
mental illnesses, in some contexts the term is used specifically to denote
any illness, injury, or disease except for mental illnesses.
The Diagnostic
and Statistical Manual of Mental Disorders (DSM), the widely used psychiatric
manual that defines all mental disorders, uses the term general medical condition
to refer to all diseases, illnesses, and injuries except for mental disorders.
This usage is also commonly seen in the psychiatric literature. Some health
insurance policies also define a medical condition as any illness, injury,
or disease except for psychiatric illnesses.
As it is more value-neutral
than terms like disease, the term medical condition is sometimes preferred
by people with health issues that they do not consider to be deleterious,
such as pregnancy. On the other hand, by emphasizing the medical nature of
the condition, this term is sometimes rejected, such as by proponents of
the autism rights movement.
The term medical condition is used as a synonym
for medical state, where it describes a patient's current state, as seen
from a medical standpoint. This usage is seen in statements that describe
a patient as being "in critical condition", for example.
Morbidity
Morbidity (from Latin morbidus: sick, unhealthy) refers to
a diseased state, disability, or poor health due to any cause. The term
may be used to refer to the existence of any form of disease, or to the degree
that the health condition affects the patient.
Among severely ill patients,
the level of morbidity is often measured by ICU scoring systems. Comorbidity
is the simultaneous presence of two medical conditions, such as a person
with schizophrenia and substance abuse.
In epidemiology and actuarial science,
the term morbidity rate can refer to either the incidence rate, or the prevalence
of a disease or medical condition. This measure of sickness is contrasted
with the mortality rate of a condition, which is the proportion of people
dying during a given time interval.
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