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.

Dr. Adolf and the case of allergy to penicillin. Chapter 2.

 

 

Dr. Adolf and the case of allergy to penicillin. Chapter 2.

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.

Dr.Adolf and the case of allergy to penicillin. Chapter 1.

Dr.Adolf and the case of allergy to penicillin. Chapter 1.
The storyteller

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.

Hydropneumothorax: The Case for Mrs. Dolly

 

Hydropneumothorax: the Case for Mrs. Dolly

Actors

  1. The Intern
  2. The patient (Mrs. Dolly)
  3. The radiologist
  4. The storyteller

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

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?