CL-G004 BUILDING THE PROBLEM LIST
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Finding an abnormality is only the beginning. The clinical decision is what comes next.
New practitioners are often comfortable performing an examination but less certain about what to do when a finding is abnormal. CL-G004 — What Do I Do With an Abnormal Finding? provides a practical framework for determining whether a finding is clinically meaningful and how it should influence the next step in patient care.
The emphasis is on moving from finding → interpretation → clinical significance → action rather than treating every abnormality as equally important.
Key Topics
- Determining whether an abnormal finding is clinically significant
- Correlating findings with the history and presenting complaint
- Distinguishing expected variations from potentially important abnormalities
- Confirming unexpected findings when appropriate
- Recognizing patterns rather than relying on isolated test results
- Identifying red flags and findings requiring escalation
- Refining the working and differential diagnoses
- Deciding when additional examination or diagnostic testing is warranted
- Determining when imaging, referral, or co-management should be considered
- Documenting abnormal findings and the reasoning behind the clinical response
- Avoiding both overreaction and inappropriate reassurance
