You can ask the patient the relevant questions. You can perform a focused physical examination. The above two Steps will enable you to gather information to develop preliminary differential diagnoses and a diagnostic work-up plan. You must communicate in spoken English with the patient in a professional and empathetic manner. You need to answer any questions the patient has. You must tell the patient what diagnoses you are considering, and advise on what tests and studies you will be ordering to clarify the diagnoses.
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