You have collected a detailed history and assessed your responsive medical patient. after forming your field diagnosis, you begin treatment only to find, after reassessment, that the patient's condition is not responding to it. what should your next step be?
Stop the treatment immediately, if the medication given needs antagonist to counteract it's effects, then it should be given. reassess the diagnosis and exclude all the differential diagnosis. conduct investigations relevant to the histories including serological test, chest CT and MRi. inform the patient the situation (if he is awake) and make sure the next treatment is the best after arriving to the correct diagnosis.
