Clinical Judgment versus the Laboratory

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Abstract
IT is often difficult to define the relative importance of clinical appraisal and laboratory evaluation of the sick patient. Much of the education of a clinician concerns this need to assign relative weights to evidence and to know when less is sufficient. In this issue of the Journal, Baker et al. attempt to accomplish this task for the nutritional assessment of hospitalized patients.1 Two clinicians seem to have performed as well as an array of laboratory tests, although the comparison, like all such efforts, was not without its problems. On one side were several clinical observers and a subjective . . .

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