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.
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”→
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.
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.
Do you think it could have been done better? Abdominal pain, nausea and vomiting
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.