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.
We want to expose the analysis of real clinical cases in a different way, enhancing the experience and contribution of every “actor” in a clinical encounter, following the principles of a “Case Analysis” under the concepts of Patient Safety and Diagnostic Improvement.
Actors
THE HISTORY
The storyteller
A 52-year-old woman had a diagnosis of a localized non-small cell lung cancer in her right lung. She had a right pneumonectomy four months before the actual visit. After a recovery period she started Continue reading Hydropneumothorax: The Case for Mrs. Dolly
To show the importance of the communication between physicians in a particular clinical case, together with the contribution of some systemic factors in a case of diagnostic error.
The replacement of a biliary catheter and the Boeing 737 Max:: An example of a system failure?
A 60-years-old woman had a diagnosis of colon cancer with liver metastases. During her follow-up the bilirrubin level increased and a sonogram showed a common bile duct obstruction. At this point she Continue reading The replacement of a biliary catheter and the Boeing 737 Max: An example of a system failure?
A 81-years-old woman with several diagnoses( cardiac failure, atrial fibrillation, back pain) and plenty of medication (more than 20 drugs daily) went to the Family Physician because of high fever (38 centigrades) and productive cough , Her physical examination Continue reading Cognitive Bias. Upper Urinary Tract Infection: A Dark Drawer?
A 62-year-old woman went to the Emergency Department(ED) with a colicky pain located in the abdominal right upper quadrant with irradiation to periumbilical area, starting two days before, with
Continue reading Resist and not give up: the key to fighting premature closure