Category Archives: Clinical Reasoning

Myocardial infarction in women: a cause of 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.

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Discoid lupus : Pathognomonic or a key sign? A subtle difference

Discoid lupus: Pathognomonic or a Key sign?

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).

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Fluid on one side of the nose: is it cerebro-spinal fluid?

Fluid on one side of the nose

 

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.

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The New Diagnostic Challenge with Cancer Immunotherapy

Uncommon toxicities

Immunotherapy is now consolidated as a basic treatment of cancer. Tumors such as melanoma, kidney, and lung, have been the first to receive the benefits of this new treatment. Patients with bad clinical conditions can have an impressive tumor response,  usually after a “latency” period of 4-6 weeks. Continue reading The New Diagnostic Challenge with Cancer Immunotherapy