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Case Reports
. 2018 Nov;33(11):2010-2014.
doi: 10.1007/s11606-018-4599-z. Epub 2018 Jul 31.

Putting Schemas to the Test: An Exercise in Clinical Reasoning

Daniel J Minter  1 , Reza Manesh  2 , Patricia Cornett  3 , Rabih M Geha  4   5
Affiliations
Case Reports

Putting Schemas to the Test: An Exercise in Clinical Reasoning

Daniel J Minter et al. J Gen Intern Med. 2018 Nov.
No abstract available

Keywords: clinical reasoning; medical education.

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Conflict of interest statement

Dr. Minter, Dr. Cornett, and Dr. Geha do not have any disclosures.

Dr. Manesh is supported by the Jeremiah A. Barondess Fellowship in the Clinical Transaction of the New York Academy of Medicine, in collaboration with the Accreditation Council for Graduate Medical Education (ACGME).

Figures

Figure 1
Figure 1
The clinician provides his individual schemas for bone marrow failure and splenomegaly. In an effort to identify a parsimonious diagnosis, he references a combined schema for the two findings. Tb, tuberculosis; EtOH, alcohol; B12, cobalamin; chemo, chemotherapy; EBV, Epstein-Barr virus; HLH, hemophagocytic lymphohistiocytosis.
Figure 2
Figure 2
Bone marrow aspirate at × 100. a A macrophage undergoing erythrophagocytosis with multiple intracellular erythrocytic elements (arrow). b A touch preparation of the biopsy demonstrating multiple neoplastic NK cells.
See this image and copyright information in PMC

References

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