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Among the most helpful strategies are performing a thorough history and physical examination (H&amp;P) (including pertinent epidemiological factors and careful medication review), avoidance of non-specific testing and empiric treatment, judicious use of consultants, maintaining an open-mind and humility and ongoing, open communication with your patient.<\/jats:p>","DOI":"10.1515\/dx-2018-0026","type":"journal-article","created":{"date-parts":[[2018,8,21]],"date-time":"2018-08-21T06:34:54Z","timestamp":1534833294000},"page":"127-134","source":"Crossref","is-referenced-by-count":0,"title":["The approach to a diagnostic dilemma"],"prefix":"10.1515","volume":"5","author":[{"given":"Daniel","family":"Lichtstein","sequence":"first","affiliation":[{"name":"University of Miami Miller School of Medicine , Boca Raton, FL , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauri","family":"Agarwal","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine , Boca Raton, FL , USA , Tel.: +5616546614"},{"name":"University of Miami \u2013 Medicine, 2500 North Military Trail, Suite 260 , Boca Raton, FL 33431 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2018,8,21]]},"reference":[{"key":"2026080513004409506_j_dx-2018-0026_ref_001_w2aab3b7c22b1b6b1ab2b1b1Aa","unstructured":"Merriam-Webster.com. 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