Clinical summary
A-67-year-old woman had a previous abdominal surgery after a diagnosis of a right colon cancer a year ago. She was also diagnosed with high blood pressure.
Continue reading How do you go to here until there? A logical process
Category Archives: Clinical Reasoning
Case analysis under the concepts of Diagnostic Improvement, showing the andcognitive and systemic bias implicated in a Diagnostic problem.
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.
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
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.
Continue reading Why do I have shortness of breath? Is it my non Hodgkin lymphoma?
When to suspect a meningeal carcinomatosis?
A 62-year-old woman had a diagnosis of endometrial cancer. A week before she started with altered mental status, somnolence, together with nausea, vomiting and constipation. She had a fever one day.
Continue reading When to suspect a meningeal carcinomatosis?
I have pain in the upper-right-quadrant
Clinical summary
Patient identification: male, 57-years-old.
Present diagnosis: metastatic prostate cancer (bones) , under hormonal treatment. Continue reading I have pain in the upper-right-quadrant