Objectives : To show the different theoretical approaches for a differential diagnosis: Pattern recognition , Hypothetic deductive reasoning.
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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
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
Important Notice: The image showed here has the patient´s consent. No real data for identification are provided. Clinical case
A 54-years-old-man, with a previous diagnosis of benign prostatic hyperplasia, went to the Emergency Department (ED) because of fever in the last ten days. He also referred to be unable for walking in the last two days, without strength on their legs.
Continue reading Spinal cord compression: when a wider differential diagnosis is essential
A 72-years-old woman was diagnosed with left breast cancer treated with neoadjuvant chemotherapy and mastectomy. Three months after the mastectomy, she presented heat and pain in the surgery area, presenting subcutaneous fluid that required periodic extractions.
Continue reading Elemental Dear Watson: Easy Clinical Reasoning
Black point: frequent user. Light blue dot: frequent with new problems. Dark blue dot: new diagnoses. HOW DO YOU SEE THEM BETTER, NOW?
Primary care is the first contact between a person with a health problem and a doctor. Nowadays, the emergency departments are also a kind of primary care to advance the outcome of a test or an appointment. In countries with a social security system people go to
Continue reading Divide and conquer: a space for diagnosis in primary care
Diagnosis: a matter of a thousand looks
A 81-years-old woman with several diagnoses( cardiac failure, atrial fibrillation, back pain) and plenty of medication (more than 20 drugs daily) went to the Family Physician because of high fever (38 centigrades) and productive cough , Her physical examination
Continue reading Cognitive Bias. Upper Urinary Tract Infection: A Dark Drawer?