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.

The replacement of a biliary catheter and the Boeing 737 Max: An example of a  system failure?

Fishbone analysis

 

The replacement of a biliary catheter and the Boeing 737 Max:: An example of a  system failure?

Clinical Case

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?

Cognitive Bias. Upper Urinary Tract Infection: A Dark Drawer?

Diagnosis: a matter of a thousand looks

 

Clinical Case

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 silent enemy that you have to look for. Without symptoms there is no diagnosis

CLINICAL CASE

Patient: A 68-year-old male patient, with high blood pressure under control

Previous Diagnosis: Follicular lymphoma (2013) stage IIA, treated with chemotherapy, three years ago. He had two recurrences rescued with chemotherapy and a third one spreading to the nodes and bone marrow.

Continue reading A silent enemy that you have to look for. Without symptoms there is no diagnosis

Pseudothrombocytopenia: a system analysis for a good detective

Pseudothrombocytopenia : a system analysis for a good detective

Clinical case

A 59-year-old woman was receiving treatment with radiotherapy and weekly cisplatin, after a diagnosis of cervical cancer. After three weeks her platelet level was under 20.000 and she was put under

Continue reading Pseudothrombocytopenia: a system analysis for a good detective