TY - JOUR T1 - Clinical signs versus the pan-investogram JF - British Journal of General Practice JO - Br J Gen Pract SP - 568 LP - 568 DO - 10.3399/bjgp19X706421 VL - 69 IS - 688 AU - John Havard Y1 - 2019/11/01 UR - http://bjgp.org/content/69/688/568.abstract N2 - In this age of increasing diagnostic aids, the role of clinical skills is in danger of becoming less important. Hospital assessments are driven by complex blood, laboratory, and radiological investigations, with diagnosis often led by clinical pathology rather than clinical examination. The ‘pan-investogram’ is often unleashed early rather than clinical assessment determining the appropriate and carefully selected investigations. Results are perceived as objective whereas clinical examination findings are thought more subjective and less reliable.I recall a 19-year old woman presenting one Monday morning with right iliac fossa pain (RIF) and some rebound and guarding, but no vomiting. There was no relevant gynaecological history, which can often muddy the waters, but I did arrange some immediate blood tests. She was asked to return to surgery … ER -