influenced by initial impression Assembling A young woman Framing (bounded elements presents with rationality) that support autoimmune a diagnosis. thrombocytopenia Clinician and is given the stops diagnosis of search for idiopathic additional thrombocytopenic diagnoses purpura but the after malar rash and anticipated concurrent arthritis diagnosis are being missed made Failing to A young woman Premature closure seek with fever, additional leucocyturia and information haematuria after assumed to have reaching a urinary tract diagnostic infection but conclusion ignoring significant proteinuria due to SLE nephritis A middle-aged woman with seizures and negative work-up
influenced by initial impression Framing (bounded rationality) Assembling elements that support a diagnosis. Clinician stops search for additional diagnoses after anticipated diagnosis made A young woman presents with autoimmune thrombocytopenia and is given the diagnosis of idiopathic thrombocytopenic purpura but the malar rash and concurrent arthritis are being missed Premature closure Failing to seek additional information after reaching a diagnostic conclusion A young woman with fever, leucocyturia and haematuria assumed to have urinary tract infection but ignoring significant proteinuria due to SLE nephritis A middle-aged woman with seizures and negative work-up
nrrheum.2013.103s3.docx