In a 1990 Academic Medicine article subsequently cited almost 500 times, H.G. Schmidt and colleagues introduced the concept of illness scripts. Their work was motivated by the observation that experts solve clinical cases differently than novices. While novices reason pathophyslologically, experts match what they see and apprehend with cognitive structures that encode knowledge about the way a disease presents and evolves. These encoded - patterns are called illness scripts. Fever, anemia and hematuria in an intravenous drug user: bacterial endocarditis. Chronic erythematous scale over the elbows combined with nail pitting: psoriasis.
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