For pts that present for a second time after the intial dx and tx

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For pts that present for a second time after the intial dx and tx

  • More detailed patient history and physical

    Votes: 3 23.1%
  • Labs and Test

    Votes: 2 15.4%
  • Both

    Votes: 5 38.5%
  • Neither

    Votes: 3 23.1%

  • Total voters
    13
  • Poll closed .
I don't understand the question without context...

You talk to the patient and determine what, if anything, is needed. Depends on the scenario. They may need reassurance, more education, or additional work up.
 
I ran out of space in the title. What I am asking is, "What do find most helpful in re-evaluating a patient when their initial diagnosis turns out not to be correct?"
 
I ran out of space in the title. What I am asking is, "What do find most helpful in re-evaluating a patient when their initial diagnosis turns out not to be correct?"
In my experience, finding the correct diagnosis is most helpful.
 
If your first diagnosis is not correct? Then you diagnose something else based on a combination of H&P/tests/etc.

What are you really getting at w/ this thread, OP?
 
Of course! It's so obvious. Diagnose then treat! I have been using the much less popular method of treat, then diagnose.

demotivational-posters-well-theres-your-problem.jpg
 
I ran out of space in the title. What I am asking is, "What do find most helpful in re-evaluating a patient when their initial diagnosis turns out not to be correct?"

That's very different from the original question...The original question did not assume that the diagnosis was incorrect. Just because a patient comes back to see you (even with persistent symptoms) doesn't mean your diagnosis was wrong. Your diagnosis may be correct but your treatment isn't working...or the patient may not be following your treatment...and other possibilities.

If your diagnosis is wrong, how do you know that? Lots to think about there...

Of the 4 choices listed, repeating the H&P and re-evaluating your differential diagnosis seems the best course. This re-evaluation would then suggest the best "further studies" or specialist referrals to request.
 
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