Clinical Review

Clinical reasoning

BMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7445.946 (Published 15 April 2004) Cite this as: BMJ 2004;328:946
  1. Ed Peile, professor of medical education (ed.peile@warwick.ac.uk)1
  1. 1Division of Medical Education, Warwick Medical School, University of Warwick, Coventry CV4 7AL

    Many BMJ readers have participated in the web discussion of this evolving case presentation and have been intrigued by the complexities of diagnosis. Initially, there was consensus around the broad diagnosis of heart failure, but responding to the twists and turns of the evolving clinical story, many medical readers showed traits of the amateur detective and the crossword puzzle enthusiast. It was this that led me to comment favourably on the learning to be had from doctors interacting with one another's clinical reasoning processes. …

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