Diagnostic pause results
Categories of working diagnoses | Total n=82 patients | % |
Infectious diseases | 25 | 30 |
Gyn/GU | 12 | 15 |
Pulmonary | 10 | 12 |
Musculoskeletal | 7 | 9 |
ENT | 4 | 5 |
CV | 3 | 4 |
GI | 6 | 7 |
Endocrine | 2 | 2 |
Neurological | 4 | 5 |
Psychiatry | 2 | 2 |
Rheumatology | 3 | 4 |
Ophthalmology | 1 | 1 |
Dermatology | 3 | 4 |
What features of the case go against this diagnosis? | ||
None | 34 | 41 |
Associated symptoms | 12 | 15 |
Lack of consistent findings | 10 | 12 |
Not responding to therapy | 9 | 11 |
Severity of symptoms | 8 | 10 |
Duration of symptoms | 5 | 6 |
Incidental finding | 1 | 1 |
Incomplete workup | 2 | 2 |
Could it be a can’t miss diagnosis such as ‘ cancer or clot’ ? | ||
‘Doubt it’ | 64 | 78 |
‘Maybe’ | 15 | 18 |
‘Actually yes’ | 3 | 4 |
Having had the chance to reflect … do you think you will do anything different? | ||
Nothing different | 71 | 87 |
Look up information | 2 | 2 |
Order another test | 2 | 2 |
Make a med change | 3 | 4 |
Have patient follow-up | 3 | 4 |
Refer to specialist | 2 | 2 |
Contact primary care physician | 1 | 1 |
Call patient | 2 | 2 |
RN to follow-up | 0 | 0 |
GU = genitourinary, ENT = Ear, nose, throat, CV = Cardiovascular, GI = Gastrointestinal, RN = registered nurse, EMR = electronic medical record