I know that the patient is bleeding, but why? Not always Yin or Yan

Participants

 

The doctor            The patient               The hematologist

Clinical summary

A-52-year-old woman treated with immunotherapy after a diagnosis of melanoma.  Four months after the first treatment, the patient  started with petechiae and  ecchymosis widely distributed along her skin.

Continue reading I know that the patient is bleeding, but why? Not always Yin or Yan

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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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Improving Diagnosis and Clinical Practice