Sepsis and the System: a Better Equipment Improves the Diagnostic Process

Sepsis and the System: a Better Equipment Improves the Diagnostic Process

When a doctor visit a patient with  a combination of high fever, chills and low blood pressure, he or she knows that the patient is in danger, under the effect of an infection, and in this situation the sooner the better for the identification of the bacteria and to start the specific antibiotic.

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Pseudothrombocytopenia: a system analysis for a good detective

Pseudothrombocytopenia : a system analysis for a good detective

Clinical case

A 59-year-old woman was receiving treatment with radiotherapy and weekly cisplatin, after a diagnosis of cervical cancer. After three weeks her platelet level was under 20.000 and she was put under

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Deliberate practice: the secret to improve in Medicine

The Master shows his clinical ability

After several years attending the Conference of The Society to Improve Diagnosis in Medicine, there is a person who always comes to my mind when the subject is clinical reasoning. Dr. Gurpreet Dhaliwhal, an internist and Professor at UCLA-SF,

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The phenomenon of mirage or how all clinical improvement is associated with new drugs and

Medicine is evolving with society

When, in the old times, people realized that they have to do more than a priest to cure a disease, then Medicine started. They appreciate the importance of taking care of the sick person as an important human act. Continue reading The phenomenon of mirage or how all clinical improvement is associated with new drugs and

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A duck is a duck or Why is it difficult for residents and students to practice a Differential Diagnosis? A duck can be a chicken

 

Differential diagnosis is considered key, but it is not common in practice

Medical textbooks  have a section of differential diagnosis with a list of diseases usually very difficult to handle in the memory. All students, residents and professionals know their existence, but the practical utility is usually low because there is not information about key or differentiating data for comparison.

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Improving Diagnosis and Clinical Practice