TABLE 1 Little consensus on diagnoses and management strategies Clinical vignette Diagnostic hypotheses
Recommended management strategies Case 1 Neurologic /cord Tests: A 23-year-old man in compression * DVT * * Blood work: CBC, good health, with no Musculoskeletal [B.
The overlap between the histopathology of different entities requires that these diagnostic hypotheses
be supported by clinical parameters (which may be age, site of disease, and duration of illness, among other important parameters).
Patients themselves may also be a potential resource in improving diagnosis; they can and should be partners in thinking through and testing diagnostic hypotheses
The major value of this method is that it avoids the binary constraint of a "black or white" decision, which is often inappropriate to clinical or screening practice, in which existing quantitative tests almost never perfectly differentiate between individuals with and without the target condition, and unique cutoff values cannot be found that allow the tests results to simultaneously confirm and exclude diagnostic hypotheses
MHCs in training need to know that when it comes to finding support for one's diagnostic hypotheses
, what one looks for determines what one finds.