Physical findings on COMLEX PE and Dxing

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adamanteus

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Hi all, I've been reading through Kauffman and noticed that on a lot his cases, he'll have PE findings that lend themselves to the obvious diagnosis. For instance, case 1 is "runny nose" and his patient conveniently has infraorbital venous pooling, boggy turbinates, and clear exudate on physical exam. This makes his Dx of allergic rhinitis more likely than other things. But these PE findings seem unlikely to occur on a SP during the PE. Are our diagnoses supposed to be directly based on what the SP tells us, since actual findings aren't likely to appear?
 
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