Internist how-to

How to Build a Differential Diagnosis

Structured thinking avoids missed diagnoses.

Updated By the Career Education Institute Curriculum Team
Quick answer

Structured thinking avoids missed diagnoses. In short: summarize; list; add, then complete the remaining steps below.

Step by step

  1. Summarize key findings.

  2. List likely causes.

  3. Add dangerous causes to rule out.

  4. Order tests to narrow the list.

  5. Reassess with results.

  6. Update the plan.

Safety reminders for internists

  • Reconcile medications
  • Follow infection control
  • Use structured handoffs
  • Prevent falls and blood clots in hospital

Hospitalist · Internal medicine · Differential diagnosis · Comorbidity · Polypharmacy · Rounds: see the full internist glossary.

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