I have a Non-Hodgkin´s lymphoma: a challenge for a correct clinical reasoning process

The three desirable steps in clinical practice

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.

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The second day: a moment for a better calibration in clinical diagnosis

The evaluation of a patient is done in a short time

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

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Ten teachings to practice Medicine in the post-COVID era

The Wise

 

The SARS-CoV-2 pandemic is a real challenge

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

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Why do I have shortness of breath? Is it my non Hodgkin lymphoma?

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.

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Improving Diagnosis and Clinical Practice