🧠 Diagnostic Pitfall – Definition A diagnostic pitfall is a clinical situation or feature that can lead to a misdiagnosis, delayed diagnosis, or incorrect clinical assumption because it mimics, obscures, or distracts from the actual underlying disease. These pitfalls often result from:
Over-reliance on typical presentations
Failure to consider atypical or rare entities
Anchoring bias or premature closure
Misinterpretation of imaging or labs
They are critical to recognize because they often:
Delay appropriate treatment
Increase patient morbidity/mortality
Erode clinical confidence and decision-making quality
Examples:
Mistaking spontaneous intracranial hypotension for chronic subdural hematoma due to overlapping imaging findings
Interpreting ST-elevation in pericarditis as myocardial infarction