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IMF-071-01-0001-en	Why is the scientific unit of primary care a person rather than a single disease episode?	Primary care treats a person embedded in family, work, community and a changing risk environment, and observing them over time alters diagnostic probability, reveals treatment effects and permits prevention.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0002-en	What distinguishes relational, informational and management continuity?	Relational continuity is repeated care by one clinician or small team; informational continuity keeps an accurate story across records and settings; management continuity aligns plans among professionals and over time.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0003-en	How does continuity help detect a subtle decline in gait, cognition, weight or self-care?	It creates a personal baseline, so a change that looks unremarkable in isolation becomes apparent relative to prior visits, and serial values are read as trajectories rather than single results.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0004-en	Why can continuity of care also become a diagnostic hazard?	Previous diagnoses can anchor later reasoning, familiar symptoms may be normalised, and social closeness can weaken professional boundaries.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0005-en	What questions does a periodic diagnostic reset ask, and what does it protect against?	Whether the original label still explains the course, whether new red flags exist, and whether treatment response supports the presumed mechanism; it counters anchoring on old diagnoses.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0006-en	Why does an integrated model of symptoms not divide them into real and psychological?	Symptoms arise from tissue signals, central processing, expectation, emotion, culture and context, so every experienced symptom involves integrated brain and body mechanisms.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0007-en	Through what routes do racism, disability exclusion and migration policy produce physiological consequences?	They act through chronic stress, material deprivation and differential care, shaping both exposure to harm and capacity to respond.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0008-en	Given the inverse care law, why must treatment design include cost, storage, transport and caregiving?	Access is often least available where need is greatest, and a technically ideal plan that cannot be afforded, stored, understood or reached is not clinically effective.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0009-en	What distinguishes multimorbidity from a list of independent diagnoses?	Multimorbidity assumes no index disease; coexisting long-term conditions interact through shared causes, physiological tradeoffs, treatment burden and competing risks, forming a network.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0010-en	Why can simply adding single-disease guidelines together fail a person with multimorbidity?	Treatments can be antagonistic, so a drug benefiting one condition may worsen another and dietary advice may conflict, producing an impossible regimen.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0011-en	Why may a preventive drug be less valuable for someone with limited life expectancy, and why is this not age-based denial?	Its benefit is delayed while symptom control or fall prevention matters now; priority is individualised by danger, goals, feasibility and time to benefit, not by age.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0012-en	Why should an apparent flare of chronic illness not be assumed to be the patient's usual disease?	Exacerbations can reflect natural fluctuation, infection, medication non-adherence, environmental exposure, psychosocial stress or a new diagnosis, so alternatives must be tested.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0013-en	Why should difficulty with self-management not be framed as non-compliance?	Capacity varies with cognition, health literacy, mental health, pain, poverty, caregiving and treatment complexity, so support should reduce workload and build capability.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0014-en	How can adaptation to slow decline mislead functional enquiry, and how is this avoided?	A person may restrict activity and deny breathlessness because they no longer climb stairs; asking about concrete tasks and comparing with prior ability reveals the decline.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0015-en	How does primordial prevention differ from primary prevention?	Primordial prevention changes the conditions that create risk, whereas primary prevention reduces disease onset through measures such as vaccination, tobacco control, nutrition and activity.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0016-en	Why does the same relative risk reduction give more absolute benefit at high baseline risk, and what can offset this?	Absolute benefit scales with baseline risk, but high-risk people may also have greater treatment harm or competing mortality.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0017-en	Why is broad untargeted testing a poor strategy for fatigue?	Fatigue has many possible causes and untargeted panels frequently produce incidental abnormalities; history, examination, duration, function and red flags should guide a staged strategy.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0018-en	What does a positive formulation achieve for persistent unexplained symptoms, and why avoid repeated investigation?	It validates the symptom, names plausible mechanisms, identifies reversible disease and sets rehabilitation goals; repeat tests without a changing question increase fear and iatrogenic harm.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0019-en	Why is a red flag not itself a diagnosis?	Many red flags have low specificity, so they must be interpreted in combination, against prevalence, and with arranged follow-up.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0020-en	How do depression and chronic physical disease affect each other?	Depression worsens self-care, inflammation, pain and prognosis, while chronic disease increases depression risk, so neither should be ignored or psychologised.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0021-en	Household members shape risk, so how should family be involved without compromising the patient?	They influence diet, infection, medication storage, caregiving and safety, but confidentiality and autonomy are preserved; family meetings need the patient's consent and clear roles.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0022-en	Why does knowledge alone often fail to change exposure to tobacco, alcohol or ultra-processed food?	Commercial determinants such as product design, pricing, availability, advertising, lobbying and targeting shape exposure, so prevention also needs regulation, taxation and safer defaults.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0023-en	Why is health literacy described as relational, and what follows for communication?	Difficulty arises from the interaction between information demands and a person's resources, so plain language, teach-back, interpreters and simplified plans improve safety.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending
IMF-071-01-0024-en	What distinguishes watchful waiting from neglect, and when is it unsafe?	It is active management with a working diagnosis, expected course, relief, warning signs and planned review; it is unsafe if deterioration may be rapid, return is impossible or uncertainty is hidden.	Integrated Medical Foundations; chapter 71, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7bdee99a0101d0538971ce16f966cf561864a5359836f6c5f9fe1de9d794b3a; editorial review pending	imf lang::en chapter::071 module::071-01 review::pending