Five pediatricians made the clinical evaluation of adolescents consistent of an anamnesis recall and narrative of symptom history plus Review of Systems and a physical examination. Even though most participants complained of severe abnormalities, more than half of them None of the presumptive diagnoses were informed nor analyzed except for 50 patients referred for nutrition and mental health complaints.
For physical complaints, the anamnesis was ignored, all weight was placed on the physical examination that was inadequate to reveal the disorders suggested by anamneses. The physical examination was of the cursory type used to detect obvious abnormalities that need immediate attention like those typical of people who attend an emergency room with abnormal vital signs, loss of conscienceness or abnormal behavior, sustained loss or worsening of neurological, cardiovascular, respiratory or musculoskeletal functions, or situations that threaten life.
There were zero 0 referrals to cardiology even though Referrals were only to psychology 20 , psychiatry 10 and nutrition 20 using questionable or erroneous criteria in the majority. None of the relevant laboratory, imaging or specialized testing were carried out to investigate diseases suggested by history, and those performed did not follow a differential diagnosis and thus were inconsequential.
Likewise, tests done were irrelevant for this population with vaccination history and likely autoimmune disease, for which there are excellent international publications and prior population-specific data that facilitated a more focused approach.
Similar to the outbreak study carried out by the Colombian National Institute of Health in , this year follow-up study was designed to broadly implicate irrelevant variables, to fail to make key observations, to be inconclusive, and to leave the impression of mental disorders among victims damaged by Gardasil.
