Discover and read the best of Twitter Threads about #cognitiveerror

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Formulating and appraising your PR (problem representation) is critical to the diagnostic process, and intrinsically welcomes cognitive bias

Work this case with me #MedTwitter

ED calls for admission: “40yo M w pneumonia”

*fist pump* sweet, easy admission

1/
“Fever, cough, dyspnea x2d. WBC 20, triggered sepsis. Got cx, fluids, abx. CXR RLL infiltrate. Needs admission for sepsis 2/2 CAP”

With that PR, slam dunk pneumonia.

100% match for my CAP illness script, don’t even need my dyspnea schema (courtesy of @DxRxEdu @CPSolvers)
#CognitiveBias of premature closure
+
cognitive load of retaking a full hx on such an “easy admission” 12hrs into call
=
Cutting corners in the name of “efficiency”

So you confirm a preconceived HPI

Fever✅
Cough✅
Leukocytosis✅
CXR infiltrate✅

Community acquired PNA✅

2/
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