We want to develop here real clinical situations with a patient, enhancing the importante of the cognitive and systemic aspects involved in a clinical decision. We believe this way is the best to teach clinical practice.
The patient The Oncologist
The Pulmonologist
A 42-year-old woman had a diagnosis of metastatic breast cancer. She started treatment with chemotherapy, but ten days after her first cycle she went to the Emergency Department with symptoms of dyspnea, a non-productive cough and fever. Her blood test showed a normal hemoglobin, platelets and white cell count. Continue reading The lung secret code: who will survive? When bronchoscopy is not possible
This is the case of a -62-year-old woman with a diagnosis of gynecologic cancer and a pulmonary embolus. She was receiving chemotherapy and a therapeutic dose of a low-molecular-weight-heparin (LMWH) . She had a single daily dose of a 1,5 mg/per Kilo, calculated in base on her body weight.
A 76-year-old woman had a diagnosis of metastatic colon cancer. After surgery and chemotherapy, there was only a solitary metastasis in her right hepatic lobe, close to the capsule. The oncologist decided to treat this metastasis with radiofrequency. Continue reading “Blindness” to another problem during the COVID-19 pandemic: a clinical case
A 50-year-old woman without previous diseases went to the Emergency Department (ED) because in the last week she started with pain in her abdomen and vomiting after eating. She was a heavy smoker with two episodes of right ureteral lithiasis four years ago.
Continue reading Do you think it could have been done better? Abdominal pain, nausea and vomiting
We saw in the previous chapter the case of Mary, a woman in her early fifties, with a diagnosis of cerebral hemorrhage in relation to an aneurysm. She was saying to the doctor and to her family that she only could see a red color in her eyes. Continue reading The red color. Chapter 2
Participants:
Mary was a healthy woman in her early fifties with a diagnosis of a mild hypertension. She was a mother of four and her life was always under the routine of the family duties. But that morning, something was going to happen. Continue reading The red color. Chapter 1