Brief Answer: diagnosis: internal medicine. confirmation: specia Detailed Answer: Hi, thanks for using XXXXXXX I went through the query and understood your concern. After the examination and based on your history, presenting illness and investigations whenever required usually internal medicine doctor make provisional diagnosis. If the problem is quite common then he only diagnose and treat the patient. In some situations where the problem needs to be evaluated and treated by a specialist then he will send to the specialist who will reconfirm the diagnosis and will start the treatment. You can follow up with the internal medicine doctor later on based on the advice from the specialists. Hope this information helps you. Feel free to ask if you have any related queries and I will be glad to answer them. Regards

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