The clinical picture = all the information relating to a disease, disorder, or a patient's state Clinical presentation = A patient "presents" to a doctor with symptoms - this is a clinical presentation.
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Clinical pictures are awide range of symptoms ans signs in a particular disease , and it is not necessary for these symtomes and signs are all present , there may be only few of them , or all , and when a patient presents with certain symptoms to the clinition, it is the presentation of the disease at that momoent .
for example gall stones
may present it self as a silent gall sto