Question mark
In the early 13th century, when the growth of communities of scholars (universities) in Paris and other major cities led to an expansion and streamlining of the book-production trade, punctuation was rationalized by assigning Alcuin's stroke-over-dot specifically to interrogatives; by this time the stroke was more sharply curved and can easily be recognized as the modern question mark.
Question mark
A question mark is used in English medical notes to suggest a possible diagnosis. It facilitates the recording of a doctor's impressions regarding a patient's symptoms and signs. For example, for a patient presenting with left lower abdominal pain, a differential diagnosis might include "?diverticulitis" (read as "query diverticulitis").