What is a doctor's duty to follow a working diagnosis?
Manitoba, Canada
The following excerpt is from Preston et al v. Chow et al, 2007 MBQB 318 (CanLII):
As stated by Mason J. in Scott v. Mohan, [1993] A.J. No. 592 (Q.B.)(QL); (1993), 142 A.R. 281: ¶55 In the event a definitive diagnosis is not achieved, the doctor is required during the working diagnosis step to monitor the results of the treatment prescribed for the symptoms and complaints identified and to continue development of a history by clinical tests and examinations to determine if a definitive diagnosis can be obtained or return to the first step of differential diagnosis. Where treatment, ongoing history, clinical examination and tests do not support the working diagnosis there is a duty to reconsider the matter by further differential diagnosis or consultation and referral.
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