The best scenario in medical diagnosis follows three steps, the first one is the clinical reasoning, the second one to ask for a blood test or an image, and the third and final , to obtain a histological sample.
Nowadays, the genes are touching every medical area. The genetic code of several diseases has been disentangled and the level of human transmisión has been clearly elucidated. From a didactic Continue reading The tyranny of the autosomal dominant gene
In the first encounter with a patient, a physician collect data from different sources to get an idea about the problem of the patient, and she or he has to decide about a diagnosis and a therapeutic intervention. Nobody knows how senior doctors and interns think and how a model or representation of the clinical condition is Continue reading The second day: a moment for a better calibration in clinical diagnosis
We introduce the case of a 70-year-old patient diagnosed with a non-small cell lung cancer, treated with surgery (lobectomy) and subsequent adjuvant chemotherapy
Continue reading Bone metastases. What test should I perform?
The SARS-CoV-2 pandemic and the COVID-19 disease have been a real challenge to the nurses and physicians , both in the primary care and the hospitals. Health workers have been able to keep an attitude of learning from the experience in a transversal mode with other professionals., working as a team. Continue reading Ten teachings to practice Medicine in the post-COVID era
A 50-year-old- man had a diagnosis of mediastinal non-Hodgkin lymphoma. He was receiving a chemotherapy treatment with a significant reduction in the size of the mediastinal lymph nodes.
A week before he started with a fever, a productive cough (mucus and blood) and shortness of breath. He never referred thoracic pain or digestive symptoms.
He had no previous disease. He never smoked.
Continue reading Why do I have shortness of breath? Is it my non Hodgkin lymphoma?
