order laboratory tests.
formulate a problem list.
initiate appropriate referrals.
problems to be noted on the problem list.
deferred for subsequent visits.
diagnosed before physical examination.
reserved for specialists.
Relying on intuition
Making maximal use of laboratory tests
Using first assumptions
always diagnose the patient's problem in terms of what their practice usually sees.
refer any uncommon complaints to specialists as soon as possible.
not consider more than one diagnosis unless necessary.
examine uncommon problems critically before assuming that the issue is an unusual presentation of a common problem.
probability and utility.
assumption and intuition.
costs and risks of procedures.
reimbursement potential and patient acceptance.