Learning Clinical Reasoning Jay sees a patient with a new cough. After asking history questions of the patient, the attending physician tells Jay that there are two additional questions that he should...

Learning Clinical Reasoning

Jay sees a patient with a new cough. After asking history questions of the patient, the attending physician tells Jay that there are two additional questions that he should have asked. Jay then reflects on why those questions were important and how the patient's responses to those questions can be used to distinguish between cough related to asthma and cough related to gastroesophageal reflux disease. Later the same week, when Jay interviews a patient with a new cough, he includes these two questions. The attending physician then suggests a new question, because this latest patient grew up in Nepal. Jay discusses with his attending how living in Nepal would affect the working differential diagnosis and data collected during the history of present illness (HPI). Jay decides that he will incorporate this into his future practice.