Category Archives: Clinical Reasoning

Case analysis under the concepts of Diagnostic Improvement,  showing the andcognitive and systemic bias implicated in a Diagnostic problem.

A chair, asking and listening to the patient: the key element to focus a diagnosis

A chair, asking and listening to the patient: the key element to focus a diagnosis

 

Patient with a previous diagnosis of non-small cell lung cancer. He had a  prosthesis placed on his esophagus to correct a tracheal and bronchial fistula. With this device he could eat and swallowed normally.

Continue reading A chair, asking and listening to the patient: the key element to focus a diagnosis

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

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

Spinal cord compression: when a wider differential diagnosis is essential

  1. 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