As my H&P skills have become more refined, I find myself struggling to seriously consider other differentials seriously in the face of the likely issue. For instance, last night we were sent to a SNF for altered LOC. I walked in the door suspecting UTI. I got handed lab results that indicated UTI. The foley had frank sediment. I still performed some other diagnostic stuff, but never seriously considered other causes. When I realized this it started to bother me, as I feel like I'm setting myself up to miss subtle presentations. How do y'all keep the wider view?