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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 6/2019

01-06-2019 | Ehlers-Danlos Syndrome | Clinical Practice: Exercises in Clinical Reasoning

Keeping a Flexible Differential Diagnosis: an Exercise in Clinical Reasoning

Authors: Paul A. Bergl, M.D., Reza Manesh, M.D., Donald Basel, M.D., Andrew P. J. Olson, M.D.

Published in: Journal of General Internal Medicine | Issue 6/2019

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Excerpt

In this series a clinician extemporaneously discusses the diagnostic approach (regular text) to sequentially presented clinical information (bold). Additional commentary on the diagnostic reasoning process (italic) is interspersed throughout the discussion. …
Literature
1.
Ionescu T. Exploring the nature of cognitive flexibility. New Ideas Psychol. 2012;30:190–200.CrossRef
2.
Bordage G, Grant J, Marsden P. Quantitative assessment of diagnostic ability. Med Educ. 1990; 24(5): 413–25.CrossRefPubMed
3.
4.
Ark TK, Brooks LR, Eva KW. The benefits of flexibility: the pedagogical value of instructions to adopt multifaceted diagnostic reasoning strategies. Med Educ. 2007;41(3):281–7.CrossRefPubMed
5.
Scott, WA. Cognitive complexity and cognitive flexibility. Sociometry. 1962;25(4):405–414.
6.
7.
Custers EJ. Thirty years of illness scripts: Theoretical origins and practical applications. Med Teach. 2015;37(5):457–62.CrossRefPubMed
8.
Malfait F, Francomano C, Byers P, et al. The 2017 international classification of the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017;175(1):8–26.
9.
Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355(21):2217–25.CrossRefPubMed
10.
Norman G. Research in clinical reasoning: past history and current trends. Med Educ. 2005;39(4):418–27.CrossRefPubMed
11.
Fitzgerald FS. The crack-up. Esquire (magazine). 1936: 41–46.
12.
13.
Kumar B, Lenert P. Joint hypermobility syndrome: recognizing a commonly overlooked cause of chronic pain. Am J Med. 2017; 130:640–7.CrossRefPubMed
14.
Sendur OF, Gurer G, Bozbas GT. The frequency of hypermobility and its relationship with clinical findings of fibromyalgia patients. Clin Rheumatol. 2007;26(4):485–7.CrossRefPubMed
15.
Ofluoglu D, Gunduz OH, Kul-Panza E, Guven Z. Hypermobility in women with fibromyalgia syndrome. Clin Rheumatol. 2006;25(3):291–3.CrossRefPubMed
16.
Terry RH, Palmer ST, Rimes KA, et al. Living with joint hypermobility syndrome: patient experiences of diagnosis, referral and self-care. Fam Pract. 2015;32(3):354–8.CrossRefPubMedPubMedCentral
17.
Oderich GS, Panneton JM, Bower TC, et al. The spectrum, management and clinical outcome of Ehlers-Danlos syndrome type IV: a 30-year experience. J Vasc Surg. 2005; 42(1): 98–106.CrossRefPubMed
18.
Metadata
Title
Keeping a Flexible Differential Diagnosis: an Exercise in Clinical Reasoning
Authors
Paul A. Bergl, M.D.
Reza Manesh, M.D.
Donald Basel, M.D.
Andrew P. J. Olson, M.D.
Publication date
01-06-2019
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 6/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-019-04867-1

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