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,
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.
Pathognomonic is a term, often used in medicine, that means characteristic for a particular disease. A pathognomonic sign is a particular sign whose presence means that a particular disease is present beyond any doubt (Wikipedia).
Sara got up one morning and as she went to wash her face, watery liquid came out of the left side of her nose. A 32-year-old healthy woman, she had seen nothing like this before. The liquid increases as she tilted her head to the right. She had no trauma or fever in the previous days. Before this situation, she decided to go to the Emergency Department.