Lessons in clinical reasoning – pitfalls, myths, and pearls: how search satisfying can keep eyes crossed
Examining the diagnostic process through integrated commentary, this case emphasizes the importance of recognizing limitations of short-sequencing advanced imaging and continuing the diagnostic pursuit in collaboration with consultants. A fishbone diagram visually demonstrates the factors that lead to a missed opportunity for diagnostic excellence. The case concludes with clinical teaching points in addition to a pitfall, myth, and pearl specific to search satisfying and authority gradients.
Authors
- Joseph A. Grubenhoff (ORCID: https://orcid.org/0000-0001-5072-4064)
- Jessica Parker
- Halden F. Scott (ORCID: https://orcid.org/0000-0002-1412-6128)
- Rebecca G. Edwards Mayhew (ORCID: https://orcid.org/0000-0003-3503-9637)
- Margaret E. Tashjian
Institutions
- Children's Hospital Colorado (US)
- University of Colorado Anschutz Medical Campus (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- Diagnosis
- Published
- 2025-10-21
- DOI
- https://doi.org/10.1515/dx-2025-0057
- Primary Topic
- Clinical Reasoning and Diagnostic Skills
- Type
- article
- Field-Weighted Citation Impact
- 0.00