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AI COULD be useful in aiding difficult diagnoses--compiling rule-out lists and developing an appropriate diagnostic pathway, whether with bloodwork, routine or more complex scans, and work-up of other body systems based on the initial (thorough) physical exam and history.

But, what I fear (and there is reason to believe this may already be occurring, especially with less experienced physicians in ERs and other high stress environments, is that AI is used to go backward to create the history and physical findings to support a "knee-jerk" diagnosis. While imaging and labs may be self-correcting to some extent, that's one hell of an expensive price tag when they may not all have been ordered in the first place with an accurate early assessment of actual findings. And what CRITICAL finding might they MISS in doing this?

AI in the hands of some--can be a real scourge for many disciplines--especially when it encourages shortcuts and reliance without validation.