Commentary: Clinical reasoning

摘要

Many BMJ readers have participated in the web discussion of this evolving case presentation and have been intrigued by the complexities of diagnosis. Initially, there was consensus around the broad diagnosis of heart failure, but responding to the twists and turns of the evolving clinical story, many medical readers showed traits of the amateur detective and the crossword puzzle enthusiast It was this that led me to comment favourably on the learning to be had from doctors interacting with one another's clinical reasoning processes. I hope that the trend away from just submitting answers in a right or wrong format towards exposing the workings of our medical minds will continue.