Out in @JournalGIM! @phlegmfighter@brianpooleMD and I on Occam's Razor & Hickam's Dictum
Patient *can* have as many diagnoses as [they] damn well please, but alleged instantiations of Hickam' almost always follow a few patterns & rarely contradict Occam (properly construed) 👇
You’ve heard the saying “ uncommon presentations of common diseases are more common than common presentations of uncommon diseases.”
Here is a picture that explains the adage followed by a more in-depth explanation
#clinicalreasoning#medicaldecisionmaking
4 years ago, my uncle passed.
Yesterday, I finally made it to his annual commemoration liturgy & family reunion.
Went to his grave and said my proper goodbyes.
Brought peace and joy to an aching heart.
#IncomingInterns, don’t make my mistake — nothing is more important
@KirollosRoman@snakagawa_md Agreed with your perspective, just wish we routinely delineated ‘code’ status in which case CPR and intubation are part and parcel vs invasive measures for isolated respiratory failure
Before asking a certain question, make sure it is appropriate to ask it.
Don't ask a question about CPR or intubation, if you are not sure that patient can understand all the implications of that answer.