Lumbalgia: an important situation for a diagnostic delay
Lumbalgia is a very common symptom in clinical practice. Although more than ninety per cent of the occasions is associated with a benign problem, the real challenge is to discriminate when an important disease or situation is responsible for the pain. Continue reading Lumbalgia: an important situation for a diagnostic delay
Myocardial infarction in women
Women with a coronary syndrome can have atypical symptoms
The coronary syndrome in a woman can start with atypical symtoms in comparison to a man. A pleuritic pain, a burning sensation, as well as dyspnea of unusual characteristics or pain in the upper back or in the epigastric area.
The System and the human perception
A 91-year-old man with bilateral hip prosthesis after coxarthrosis, went to the Emergency Room due to an accidental fall in his home. Two days later he started to notice pain in the right pelvic region and difficulty in standing. On physical examination, there was no alteration in the state of consciousness or neurological deficit.
Contrast and compare: organize the information in your brain
The recognition of clinical patterns is the key action to select a diagnosis when different entities share common signs and symptoms. Although the way in which each physician approaches a clinical problem can be very variable, there is agreement that the
The “Dual Model” of Clinical Reasoning
One of the topics that I deal with in this blog is the clinical reasoning and the improvement of the diagnosis. And one of the fundamental bases that I usually refer to is the dual theory of reasoning. Continue reading The “Dual Model” of Clinical Reasoning: an explanation