Clinical reasoning in practice: a change in the voice

Clinical reasoning in practice: a change in the voice

 

New and old. Author: Lorenzo Alonso Andalucía, Spain

Clinical summary

A 57-years-old man with a diagnosis of non-small cell lung cancer with a mass located in the posterior area of the left lung. He was transferred to the hospital because he felt suddenly a sensation of Continue reading Clinical reasoning in practice: a change in the voice

Share

A new diagnosis each month (3): a broken body, a difficult diagnosis

A new diagnosis each month (3): a broken body, a difficult diagnosis

Nagore was a normal child until she was sixteen. Well, not exactly “normal” because from the beginning she had a special taste for music and for painting, and at the school, she was considered Continue reading A new diagnosis each month (3): a broken body, a difficult diagnosis

Share

The replacement of a biliary catheter and the Boeing 737 Max: An example of a  system failure?

Fishbone analysis

 

The replacement of a biliary catheter and the Boeing 737 Max:: An example of a  system failure?

Clinical Case

A 60-years-old woman had a diagnosis of colon cancer with  liver metastases. During her follow-up the bilirrubin level increased and a sonogram showed a common bile duct obstruction. At this point she Continue reading The replacement of a biliary catheter and the Boeing 737 Max: An example of a  system failure?

Share

A new diagnosis every month (2). Life seems to be a question of chance

Billy Huynh from unsplash

Life seems to be a question of chance

Susana is 36 now , mother of two children , and she works every day in a hairdresser. But, sixteen years ago things were different. Suddenly, a few days after her 20th birthday, she was unable to Continue reading A new diagnosis every month (2). Life seems to be a question of chance

Share

Clinical reasoning exercise: An unexpected holidays

 

Objectives : To show the different theoretical approaches for a differential diagnosis: Pattern recognition , Hypothetic deductive reasoning.

The images shown here have the informed consent of the patient.

An unexpected holidays

Jacques decided to spend some days in the south of Spain. He was now a 53-year-old man with a diagnosis of systemic  sclerosis two years ago, with mild pulmonary involvement and hypertension. Continue reading Clinical reasoning exercise: An unexpected holidays

Share

One diagnosis every month (1). When darkness turns to light: The exome, an important tool for genetic diagnosis

When darkness turns to light: The exome, an important tool for genetic diagnosis

The arrival of the second baby, Robert, to the family, increased the amount of work with milk bottles and changing diapers. The only difference was a difficulty to sleep in comparison with his two-year Continue reading One diagnosis every month (1). When darkness turns to light: The exome, an important tool for genetic diagnosis

Share

Improving Diagnosis and Clinical Practice