Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Jul;32(7):836-840.
doi: 10.1007/s11606-017-4018-x. Epub 2017 Mar 23.

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

Affiliations
Case Reports

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

Daniel J Wheeler et al. J Gen Intern Med. 2017 Jul.
No abstract available

Keywords: clinical reasoning; coccidioidomycosis; diagnosis; erythema nodosum; infectious disease; pneumonia.

PubMed Disclaimer

Conflict of interest statement

Prior Presentations

This case was presented as a clinical vignette at the Society of General Internal Medicine Annual Meeting in San Diego, CA, on April 24, 2014.

Conflict of Interest

The authors each declare that they do not have a conflict of interest.

Figures

Figure 1
Figure 1
CT pulmonary angiogram showing scattered ground-glass, solid centrilobular nodules in the left lung, consolidation in the lingula, a small left-sided pleural effusion, and left hilar adenopathy.
Figure 2
Figure 2
Examination revealed multiple, painful erythematous nodules on the bilateral shins.

Similar articles

Cited by

References

    1. Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355(21):2217–25. doi: 10.1056/NEJMra054782. - DOI - PubMed
    1. Einstein DJ, Trowbridge RL, Rencic J. A problematic palsy: an exercise in clinical reasoning. J Gen Intern Med. 2015;30(7):1029–33. doi: 10.1007/s11606-014-3160-y. - DOI - PMC - PubMed
    1. Metlay JP, Fine MJ. Testing strategies in the initial management of patients with community-acquired pneumonia. Ann Intern Med. 2003;138(2):109–118. doi: 10.7326/0003-4819-138-2-200301210-00012. - DOI - PubMed
    1. Martin M, Sedighi Manesh R, Henderson MC, Critchfield JM. Diagnostic scheming. J Gen Intern Med. 2015;30(12):1874–78. doi: 10.1007/s11606-015-3478-0. - DOI - PMC - PubMed
    1. 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. doi: 10.1111/j.1475-6773.2009.01022.x. - DOI - PMC - PubMed

Publication types

LinkOut - more resources