Category Archives: Clinical Reasoning

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

Pulmonary embolus and cancer: an image

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Pulmonary embolism, main branches

Pulmonary embolism and cancer are a very well known association, but only a high index of suspicion will help to reach the diagnosis because very often this entity appears in the context of a progressive disease in a patient with several  symptoms such as dyspnea, fever, fatigue, making the diagnosis of Pulmonary embolus a difficult task.

Abdominal cancer and gastric bypass: think in Petersen

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Prague

A diagnosis of a colorectal or ovarian cancer is a therapeutic challenge still nowadays. The treatment usually is based on a combination of surgery and chemotherapy with a clear improvement in the outcome. The follow-up of these patients is clearly established, but in some situations related to other abdominal characteristics the conclusions can be distorted

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Bone findings in cancer patients mimicking metastases (and 3)

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The path

LEARNING OBJECTIVES: To enumerate benign bone lesions detected during the staging and follow-up of patients with a diagnosis of cancer that could be misdiagnosed as bone metastases.
To show the radiological aspect of these lesions.
To define them for a better recall during the clinical reasoning process.

Continue reading Bone findings in cancer patients mimicking metastases (and 3)