Top

Published in:

01-07-2017 | Clinical Practice: Exercises in Clinical Reasoning

When the Script Doesn’t Fit: An Exercise in Clinical Reasoning

Authors: Daniel J. Wheeler, MD, Thomas Cascino, MD, Bradley A. Sharpe, MD, Denise M. Connor, MD

Published in: Journal of General Internal Medicine | Issue 7/2017

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 (italics) is integrated throughout the discussion. …

Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355(21):2217–25.CrossRefPubMed

Einstein DJ, Trowbridge RL, Rencic J. A problematic palsy: an exercise in clinical reasoning. J Gen Intern Med. 2015;30(7):1029–33.CrossRefPubMedPubMedCentral

Metlay JP, Fine MJ. Testing strategies in the initial management of patients with community-acquired pneumonia. Ann Intern Med. 2003;138(2):109–118.CrossRefPubMed

Martin M, Sedighi Manesh R, Henderson MC, Critchfield JM. Diagnostic scheming. J Gen Intern Med. 2015;30(12):1874–78.CrossRefPubMedPubMedCentral

Maserejian NN, Lutfey KE, McKinlay JB. Do physicians attend to base rates? Prevalence data and statistical discrimination in the diagnosis of coronary heart disease. Health Serv Res. 2009;44(6):1933–49.CrossRefPubMedPubMedCentral

Miller GA. The magical number seven plus or minus two: some limits on our capacity for processing information. Psychol Rev. 1956;63(2):81–97.CrossRefPubMed

van Merrienboer JJ, Sweller J. Cognitive load theory in health professional education: design principles and strategies. Med Educ. 2010;44(1):85–93.CrossRefPubMed

Botros J, Rencic J, Centor RM, Henderson MC. Anchors away. J Gen Intern Med. 2014;29(10):1414–8.CrossRefPubMedPubMedCentral

McCormick JS. Diagnosis: the need for demystification. Lancet. 1986;2(8521–22):1434–5.CrossRefPubMed

10.

Saubolle MA, McKellar PP, Sussland D. Epidemiologic, clinical, and diagnostic aspects of coccidioidomycosis. J Clin Microbiol. 2007;45(1):26–30.CrossRefPubMed

11.

Schneider E, Hajjeh RA, Spiegel RA, et al. A coccidioidomycosis outbreak following the Northridge, Calif, earthquake. JAMA. 1997;277(11):904–8.CrossRefPubMed

12.

Standaert SM, Schaffner W, Galgiani JN, Pinner RW, Kaufman L, Durry E, et al. Coccidioidomycosis among visitors to a Coccidioides immitis-endemic area: an outbreak in a military reserve unit. J Infect Dis. 1995;171(6):1672–5.CrossRefPubMed

Title: When the Script Doesn’t Fit: An Exercise in Clinical Reasoning
Authors: Daniel J. Wheeler, MD
Thomas Cascino, MD
Bradley A. Sharpe, MD
Denise M. Connor, MD
Publication date: 01-07-2017
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 7/2017
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-017-4018-x

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

When the Script Doesn’t Fit: An Exercise in Clinical Reasoning

Excerpt

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 7/2017

Physician Perspectives on Readmission

Assessing the Culture of Residency Using the C - Change Resident Survey: Validity Evidence in 34 U.S. Residency Programs

Purpura Fulminans in Acute Meningococcemia

The Association of Team-Specific Workload and Staffing with Odds of Burnout Among VA Primary Care Team Members

Capsule Commentary on Patel el al., Using Active Choice Within the Electronic Health Record to Increase Influenza Vaccination Rates

Public Awareness of and Contact With Physicians Who Receive Industry Payments: A National Survey

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page