SOME CONSIDERATIONS CONCERNING CLINICAL EXAMINATIONS
DIAGNOSIS represents a SYNTHESIS incorporating HYPOTHETICAL PATHOGENESIS and ETIOLOGY PROPOSITIONS
A hypothetical Diagnosis must be harmonic with hypothetical notions of Pathogenesis and Etiology. Also note that: Signs are objective and that interpretation of signs as SIGNALS reflects your knowledge and experience which implies they are subjective. The same is true for hypothetical connection/attribution of signals to a pathogenesis, etiology and eventually a diagnosis synthesis.
As additional signs emerge from the natural history (clinical course), aging and further examinations and studies, the above process must be repeated. No diagnosis is immutable.
(More in modules focused on Fetal Alcohol Spectrum Disorders (FASD) and Developmental Disorders)