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Table 2 SCT sample scenario. A 50 years old female presents with both lower extremities edema since the last ten days

From: Teaching clinical reasoning to undergraduate medical students by illness script method: a randomized controlled trial

 

If you think about

And you find

This hypothesis becomes

q1

Nephrotic syndrome

Proteinuria > 3 g/ 24 hours

−2 -1 0 + 1 + 2

q2

Liver Cirhosis

jaundice

−2 -1 0 + 1 + 2

q3

Congestive heart failure

orthopnea

-2 -1 0 + 1 + 2

  1. − 2:The hypothesis is almost eliminated, 1-:The hypothesis becomes less probable
  2. 0:The information does not affect the hypothesis
  3. + 1:The hypothesis becomes more probable, + 2:The hypothesis is almost approved