Part two of a series. See also part one. Previously I’d discussed how most of the time diagnoses are relatively straightforward. But what do doctors do when a diagnosis isn’t immediately clear to them? Likely one or more of the following: 1. Revert to "novice" thinking. Which, in fact, is completely appropriate. We're taught in medical school that approximately 90% of all diagnoses are made from the history, so if we can't ...

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Part one of a series. The first patient I ever saw as a first year resident came in with a litany of complaints, not one of which I remember today except for one---he had headaches. The reason I remember he had headaches isn't because I spent so much time discussing them but rather the opposite: at the time I knew next to nothing about headaches and somehow managed to end the ...

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