Author: Lorenzo Alonso
FORO OSLER
A 57-years-old-man had a diagnosis of kidney cancer with bone metastases including the spine. He was receiving treatment with immunotherapy. One week before the hospital consultation, he started with back pain, walking difficulties, a feeling of weakness in both legs, with difficulty in urination. He has had no fever Continue reading “My legs are very weak and my back hurts so much”
FORO OSLER
Medical practice has never been a “zero risk” activity since the old historic times, when emperors and kings ordered mutilation or even a death sentence when something went wrong. Continue reading Safety-II: learning and improving how common situations goes well. The example of the treatment with High-dose of Methotrexate
Even the most sophisticated clinical environment has to deal with patients diagnosed with some diseases without a well established treatment. Usually the disease is so uncommon that there are not enough cases to recruit for a properly designed clinical trial, or Continue reading Talking about a rare disease: the Peripheral T-cell lymphoma
Clinical summary
A-72-year-old with a diagnosis of multiple myeloma, with an episode of prolonged fever without an improvement in his general situation after treatment with broad spectrum antibiotics and trimethoprim sulfamethoxazole.
Continue reading An image with a diagnosis after a bronchoscopy
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
The coronavirus has destabilized the economy and had impacts on workers across the globe. Taking steps to get help and taking the reins of your money can help you ride out the storm.
Continue reading Managing Your Finances During the Coronavirus Outbreak
