Case analysis under the concepts of Diagnostic Improvement, showing the andcognitive and systemic bias implicated in a Diagnostic problem.
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?
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
Author: Lorenzo Alonso
FORO OSLER
A 57-years-old-man had a diagnosis of kidney cancer with bone metastases including the spine. He was receiving treatment with immunotherapy. One week before the hospital consultation, he started with back pain, walking difficulties, a feeling of weakness in both legs, with difficulty in urination. He has had no fever Continue reading “My legs are very weak and my back hurts so much”
A 73-year-old patient had a diagnosis of breast cancer with disseminated bone metastases. She went to the hospital because a general clinical deterioration. When she was going to be transferred to a bed from the ambulance she felt a strong pain in her left shoulder and a sound like a “click”.
Vision is an automatic act, it keeps us aware of our environment to react before a danger or an opportunity. When we want to get more information, we concentrate our minds and our eyes over an object or situation, in a more conscious and active way. After analyzing an
