You've got 60 seconds. A 38-year-old runner presents with deep buttock pain. It started gradually about 6 weeks ago. Running aggravates it. Sitting for long periods aggravates it. No low back pain. No pins and needles or numbness. No obvious injury. Before we start throwing special tests at them... 👇 Give me your top 3 differential diagnoses. Then tell me: What's ONE question you'd ask next that would help you move one of those differentials up or down your list? I want to know how you're thinking.

You don't need to know the diagnosis the second your patient walks through the door. Your job is to build a list. What could this be? What doesn't fit? What do I need to rule out? What do I need to ask next? I think as new grads we put enormous pressure on ourselves to know the answer. 20 years into practice, I don't walk into every consultation knowing the answer. I start with possibilities. Then every question I ask and every test I perform should help move something up or down my differential list. That's clinical reasoning. It's not knowing everything. It's knowing what to do next when you don't know. And THAT is a skill you get better at with practice. 👇 New grads — what part of a consultation do you currently second-guess the most? A. Building your differentials B. Knowing what to ask in the history C. Knowing what to test D. Deciding what/how to treat E. Management & what to tell the patient Drop your letter below. 👇

The best way to learn is to stretch your thinking! Exercise your clinical reasoning! A 32-year-old female presents with unilateral buttock pain. • Started 3 weeks ago. • Worse rolling in bed. • Pain getting out of the car. • No lower limb neurological symptoms. 👇 Before you even touch the patient... What are your top three differential diagnoses? Don't overthink it—just based on the history. 🩺 Bonus question: What's the first question you'd ask next, and why? I'll jump into the comments later today with my thought process and how I'd begin narrowing the differential. Let's see how everyone approaches it.

Ciao a tutti! Possiamo parlare di osteopatia strutturale in particolare con benefici di tecniche hvla e non solo!? chi le usa e chi no? io sono qui😊