The usual scenario in the emergency department (ED) is an overworked doctor, carefully putting history together, examination, and investigations, to arrive at a diagnosis.
Primary diagnostic quality is not the concern in this situation; the images are used to demonstrate the result of an examination, rather than to arrive at that result in the first place.
The items cover physical examination, procedural steps to arrive at what is wrong, experience of the provider, etc.
It is also worth noting that in Pakistan a great deal of emphasis is placed on apt history taking, focused clinical examinations and particularly minimal lab tests to arrive at a diagnosis.
One in four examinations were randomly repeated by another eye care professional; diagnoses were compared after both examinations were completed and any disagreements were discussed to arrive at a final diagnosis.
Harrington, a 6-foot-9 power forward, was scheduled to arrive in New York and have a physical examination today.
I had three main tools to arrive at my answers: autopsy, toxicology, and microscopic tissue examination.
Very often it is impossible to arrive at a definitive diagnosis based on a single examination.
Subsequently, each participant had a comprehensive ophthalmic examination including refraction, followed by relevant clinical and laboratory investigations, where needed, to arrive at the definitive clinical diagnosis.
