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.
In this Section we present real clinical cases, trying to disentangle the way of thinking of the people implicated, doctors and patients
An Internist
The Patient
A Medical Oncologist Continue reading A Clinical Reasoning Exercise: It is a lymphoma, then start the treatment
Nowadays, the genes are touching every medical area. The genetic code of several diseases has been disentangled and the level of human transmisión has been clearly elucidated. From a didactic Continue reading The tyranny of the autosomal dominant gene
Author: Lorenzo Alonso
FORO OSLER
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”
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 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.