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
New and old. Author: Lorenzo Alonso Andalucía, Spain
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
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.
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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
A- 63-years-old woman had a diagnosis of disseminated lung cancer diagnosed three years before. She had bone metastases on her left hip and she was treated with radiotherapy.
Continue reading A clinical vignette of perception bias: when the uncommon ghange your judgment