you think that just because your explain can fit (and I already stated how), it's the best one.
I was explaining to him how he could tell if it was his heart or not. I told him to check his pulse at his wrist when he felt the twitching in his heart. If it didn't match, it wasn't his heart. If it did, then it obviously was. I never said that was the "most likely diagnosis".
If you are pre-med or whatever...write this down. Don't take the easy way out. Yes, common things happen commonly. But, the first thing I do when I see a pt is think to myself "What's the WORST thing this can be?". Then through history taking, exam and labs/test, I rule out all the life threatening things and focus on the "most likely diagnosis".
It's the things that you don't worry about that will get you and kill your pt's. So...I worry about everything!