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
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Objectives : To show the different theoretical approaches for a differential diagnosis: Pattern recognition , Hypothetic deductive reasoning.
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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
Antibiotics are used every day in all medical facilities around the world. The perception of a high level of safety is also widely disseminated in the medical community, and the knowledge of the main side effects, usually associated with the possibility of allergies,
Continue reading Antibiotics: uncommon side effects and diagnostic error