Category Archives: Case Analysis Theater

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.

“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”

I know that the patient is bleeding, but why? Not always Yin or Yan

Participants

 

The doctor            The patient               The hematologist

Clinical summary

A-52-year-old woman treated with immunotherapy after a diagnosis of melanoma.  Four months after the first treatment, the patient  started with petechiae and  ecchymosis widely distributed along her skin.

Continue reading I know that the patient is bleeding, but why? Not always Yin or Yan

The lung secret code: who will survive? When bronchoscopy is not possible

 

 

 

PLAYERS

The patient        The Oncologist     

The Pulmonologist

Clinical case

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

Low-molecular-weight-heparin : it is not so easy as you could think

Introduction

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.

Continue reading Low-molecular-weight-heparin : it is not so easy as you could think

“Blindness” to another problem during the COVID-19 pandemic: a clinical case

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Clinical summary

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