ReviewInternal and emergency medicine2021
Diagnostic reasoning in internal medicine: a practical reappraisal.
Review in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- DeepGut: A collaborative multimodal large language model framework for digestive disease assisted diagnosis and treatment.World journal of gastroenterology · 2025Observational
- Article
- "Be Really Careful about That": Clinicians' Perceptions of an Intelligence Augmentation Tool for In-Hospital Deterioration Detection.Applied clinical informatics · 2025Article
- Undergraduate medical students' perceptions and perspectives on their clinical reasoning learning experiences.Scientific reports · 2025Article
- Clinician perspectives on how situational context and augmented intelligence design features impact perceived usefulness of sepsis prediction scores embedded within a simulated electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Remote Diagnosis on Upper Respiratory Tract Infections Based on a Neural Network with Few Symptom Words-A Feasibility Study.Diagnostics (Basel, Switzerland) · 2024Article
- Diagnostic delay in symptomatic uncomplicated diverticular disease: an Italian tertiary referral centre study.Internal and emergency medicine · 2024Article
- Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update.Annals of rehabilitation medicine · 2023Article
- Learning Analytics Applied to Clinical Diagnostic Reasoning Using a Natural Language Processing-Based Virtual Patient Simulator: Case Study.JMIR medical education · 2022Article
- Building the case for the use of gut feelings in cancer referrals: perspectives of patients referred to a non-specific symptoms pathway.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Diagnostic reasoning in internal medicine: a practical reappraisal: comment.Internal and emergency medicine · 2021Article
- Diagnostic reasoning in internal medicine: a practical reappraisal: reply.Internal and emergency medicine · 2021Article
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3 authors.
Funding
Abstract
The practice of clinical medicine needs to be a very flexible discipline which can adapt promptly to continuously changing surrounding events. Despite the huge advances and progress made in recent decades, clinical reasoning to achieve an accurate diagnosis still seems to be the most appropriate and distinctive feature of clinical medicine. This is particularly evident in internal medicine where diagnostic boundaries are often blurred. Making a diagnosis is a multi-stage process which requires proper data collection, the formulation of an illness script and testing of the diagnostic hypothesis. To make sense of a number of variables, physicians may follow an analytical or an intuitive approach to clinical reasoning, depending on their personal experience and level of professionalism. Intuitive thinking is more typical of experienced physicians, but is not devoid of shortcomings. Particularly, the high risk of biases must be counteracted by de-biasing techniques, which require constant critical thinking. In this review, we discuss critically the current knowledge regarding diagnostic reasoning from an internal medicine perspective.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.