Final Diagnosis: specialization helps sometimes

Because of the COVID-19 pandemic, we observe now even the small details of a thoracic x-ray. We try to detect important signs that could be associated with the coronavirus infection. Although  the respiratory insufficiency is common to different pulmonary diseases, the context can help to select a particular disease.

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Right lower quadrant pain and ovarian cancer. It is clear. Why should we make a differential diagnosis?

A 47- year- old woman was receiving chemotherapy because of  a stage III ovarian cancer. She went to the Emergency Room (ER) with a low fever (37º centigrades), nausea and pain in her abdomen. Continue reading Right lower quadrant pain and ovarian cancer. It is clear. Why should we make a differential diagnosis?

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The lung secret code: who will survive? When bronchoscopy is not possible

 

 

 

PLAYERS

The patient        The Oncologist     

The Pulmonologist

Clinical case

A 42-year-old woman had a diagnosis of metastatic breast cancer. She started treatment with chemotherapy,  but ten days after her first cycle she went to the Emergency Department with symptoms of  dyspnea, a non-productive cough and fever. Her blood test showed a normal hemoglobin, platelets and white cell count. Continue reading The lung secret code: who will survive? When bronchoscopy is not possible

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Clinical reasoning and the Emperor new clothes: the problem with perception in Radiology

You look, but you don’t see

Vision is an automatic act, it keeps us aware of our environment to react before a danger or an opportunity. When we want to get more information, we concentrate our minds and our eyes over an object or situation, in a more conscious and active way.  After analyzing an

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Improving Diagnosis and Clinical Practice