Yara Haddad

Attempt review · why, not just what

Yara Haddad · Hyponatremia in the Outpatient Clinic

Med-2 Clerkship · Student

Yara was close; a few unpinned findings (and a distractor) explain where the reasoning slipped.

Why these went wrong

Each error traced back to the pin decisions that caused it

Diagnosis

Ranked Hypothyroidism above Syndrome of inappropriate antidiuresis (SIADH)

BecauseNever pinned “Serum sodium” — so the pre-test probability for Syndrome of inappropriate antidiuresis (SIADH) stayed low and a mimic outranked it.

Serum sodium· Diagnostic clue

Pin the discriminating findings before committing the differential — they raise the pre-test probability that puts Syndrome of inappropriate antidiuresis (SIADH) on top.

Pin decisions vs. what mattered

The evidence behind the causal read

Pinned signalMissed signalFixated on distractor

Diagnostic clue

  • FatiguePinned
  • Serum sodiumMissed
  • SodiumPinned

Differential outcome

Submitted vs. expected ranking

DiagnosisExpectedLearnerOutcome
Syndrome of inappropriate antidiuresis (SIADH)Working diagnosis#1#2Misranked
HypothyroidismReasonable alternative#2#2Correct
Primary polydipsiaReasonable alternative#3#3Correct

Pin recall, by intent

  • Diagnostic clue
    2/3