Your goal whenever you evaluate a patient is to make a diagnosis
When you see a patient, either for the first time as the admitting or consult physician, or during rounds, your goal should be to make a diagnosis. Your history and physical exam should be based on the diagnoses you want to make or rule out. It is only when you make the diagnosis that you can go on to management. If you are not looking for something you’ll likely never find it. Thinking in terms of diagnoses will also help tailor your questions and improve your efficiency when evaluating patients and during rounds.
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