We sometimes use the term "approximation" in regard to wound care. To "approximate" the wound edges means to place sutures so that they come together correctly.
This may not be what you're talking about but it is one way we use the term.
Ok. They used the term "clinical approximation" to refer to the fact that medicine is not an exact science. They compared it to the lab. In the lab the answer can be something like "4." In medicine it's less common to have such an exact answer. We routinely deal in incomplete or indirect information and have to synthesize it all to arrive at a diagnosis, which is usually really just a best guess, or an "approximation."
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