Internist how-to
How to Build a Differential Diagnosis
Structured thinking avoids missed diagnoses.
Quick answer
Structured thinking avoids missed diagnoses. In short: summarize; list; add, then complete the remaining steps below.
Step by step
Summarize key findings.
List likely causes.
Add dangerous causes to rule out.
Order tests to narrow the list.
Reassess with results.
Update the plan.
Safety reminders for internists
- Reconcile medications
- Follow infection control
- Use structured handoffs
- Prevent falls and blood clots in hospital
Key terms
Hospitalist · Internal medicine · Differential diagnosis · Comorbidity · Polypharmacy · Rounds: see the full internist glossary.
