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 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
The storyteller
We left Dr. Adolf very worried about a clinical decision: he switched fosfomycin and gentamicin to a cephalosporin in a patient with a urinary infection and an allergy to penicillin. He was out of the hospital trying to reach the intern or the nurses in charge of the patient, but without any answer. Continue reading Dr. Adolf and the case of allergy to penicillin. Chapter 2.
During the morning, Adolf,the doctor, was attending to a patient with an urinary infection in relation to Escherichia coli. The patient was allergic to penicillins and the culture showed sensitivity to Gentamicin, Fosfomycin and Cephalosporin. The treatment for the Continue reading Dr.Adolf and the case of allergy to penicillin. Chapter 1.