Category Archives: Clinical Reasoning

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

“My legs are very weak and my back hurts so much”

 “My legs are very weak and my back hurst so much”

Author: Lorenzo Alonso

FORO  OSLER

Clinical summary

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”

Clinical reasoning and the Emperor new clothes: the problem with perception in Radiology

You look, but you don’t see

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

Continue reading Clinical reasoning and the Emperor new clothes: the problem with perception in Radiology

(Some) Radiographic patterns in Oncology and COVID-19

COVID-19 shares radiographic findings with others pulmonary diseases

Different types of lung injury, infectious and not infectious, can share similar or the same radiographic findings in different combinations. Ground-glass opacities, “crazy-paving” pattern,  interlobular septal thickening and areas of consolidation  (1), Continue reading (Some) Radiographic patterns in Oncology and COVID-19