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Originally Posted by ender18d
Roger that sir! This is some great real world info that may prevent me from pulling a zebra out of my back pocket on rounds one day and looking like a typical med student.  |
We are often looking to see if you can keep the differential broad - we like hearing a medical student form a broad differential and a logical diagnostic plan that covers the common and most urgent causes and how to proceed from there if initial testing doesn't point to a cause.
I used to make sure that Munchausen (or Munchausen by proxy) and ingestion got on every differential in our "morning report" case exercises. 
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"The dignity of man is not shattered in a single blow, but slowly softened, bent, and eventually neutered. Men are seldom forced to act, but are constantly restrained from acting. Such power does not destroy outright, but prevents genuine existence. It does not tyrannize immediately, but it dampens, weakens, and ultimately suffocates, until the entire population is reduced to nothing better than a flock of timid, uninspired animals, of which the government is shepherd." - Alexis de Tocqueville
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