An Urinary Bladder Perforation is an uncommon complication but could be useful for a clinical reasoning exercise.
Undiagnosed and Rare Diseases are a group of complex entities usually difficult to categorize in clinical practice.
Parents have a big challenge when they detect some development anomalies in their children because it is usually very difficult to categorize the problem. Health professionals, usually pediatricians, have also big difficulties to frame the anomalies inside a particular syndrome.
A 65-year-old woman went to Medical Oncology with upper left abdominal pain and on the left shoulder. He had been suffering from this pain for about 6 months before a road accident, but had increased in the last month, without nausea or vomiting. Three years earlier she had a diagnosis of colon adenocarcinoma, but there were no data of recurrence in the last visit.
CLINICAL DIAGNOSIS: Lymphedema, cellulitis
FINAL DIAGNOSIS: Thrombosis in the inferior vena cava and right iliac vein
TYPE OF DIAGNOSTIC ERROR: Delayed Diagnosis
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
A 70-year-old patient was admitted with neutropenia, moderate thrombocytopenia, and fever, following chemotherapy. starting with antibiotics until normalization of neutrophils. As platelets persisted in values of 56,000 x109/L, a transfusion was decided. Three days later there was no improvement in the level of platelets. Continue reading More is not always better