She decides to repeat laboratory studies in two hours. The abductive search is still seeking a completed picture before treatment. She holds onto the clinical suspicion of myocardial injury. The patient is monitored and because of persistent pain he receives additional morphine. The clinician does not make abrupt turns away from the commonest disease, but adjusts her diagnosis based on continuing observations. Abductive search based on initial impressions (diagnoses) is made in a considered manner to account for new, or unexpected, or overlooked, observations of the patient and the clinical examination. This is to avoid premature closure and risk missing the more explanatory diagnosis.