The red color. Chapter 1

Red color of Siamese fighting fish betta Thailand fish movement on background
The red color. Chapter 1

Participants:

  • the storyteller
  • the patient
  • Mary´s brother
The storyteller

Mary was a healthy woman in her early fifties with  a diagnosis of a mild hypertension. She was a mother of four and her life was always under the routine of the family duties. But that morning, something was going to happen. Continue reading The red color. Chapter 1

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A quick communication about a first impression of the patient is a good practice

A quick communication about a first impression of the patient is a good practice
Diagnosis is quite often an episode of anxiety

When a person has a health problem , the first contact with a health facility could be your personal doctor , your general practitioner (common in socialized health services), or the Emergency Continue reading A quick communication about a first impression of the patient is a good practice

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Dr. Adolf and the case of allergy to penicillin. Chapter 2.

 

 

Dr. Adolf and the case of allergy to penicillin. Chapter 2.

The storyteller

We left Dr. Adolf very worried about a clinical decision: he switched fosfomycin and gentamicin to a cephalosporin in a patient with a urinary infection and an allergy to penicillin. He was out of the hospital trying to reach the intern or the nurses in charge of the patient, but without any answer. Continue reading Dr. Adolf and the case of allergy to penicillin. Chapter 2.

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Thoracentesis: an important detail

Thoracentesis: an important detail

Thoracentesis is a clinical procedure with two indications,  the first one  diagnosis, to know the characteristics of the liquid and to obtain a sample for biochemistry, cytology and a culture, and in the second place a therapeutic goal, to allow a normal ventilatory expansion of the lung .

Usually is a safe procedure and the adverse events are related to the possibility of bleeding , pneumothorax and pain.  The tube has to be closed after an amount of liquid is extracted , usually around half a liter every eight hours.

Technical problems: there are some problems associated with the procedure such as an obstruction to the flow and a problem with the insertion.

There is an important detail to keep the procedure on.

Which one do you think  we are talking about?

The tube needs to be cleaned almost every eight hours to maintain the permeability

 

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Dr.Adolf and the case of allergy to penicillin. Chapter 1.

Dr.Adolf and the case of allergy to penicillin. Chapter 1.
The storyteller

During the morning, Adolf,the doctor, was attending to a patient with an urinary infection in relation to Escherichia coli. The patient was  allergic to penicillins and the culture showed  sensitivity to Gentamicin, Fosfomycin and Cephalosporin.  The treatment for the Continue reading Dr.Adolf and the case of allergy to penicillin. Chapter 1.

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The Pencil of Insuline: use it, but don´t share it

There are several brands of pencils of insulin, with different activity and different concentration.  There is  a common bad practice when a single pen is used for several patients  with a risk of overdose because different pencils can have different concentration and also the risk of contamination increases with every manipulation.

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Improving Diagnosis and Clinical Practice