Hydropneumothorax: the Case for Mrs. Dolly
The patient (Mrs. Dolly)
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
Telling the true story , scene by scene
How did we get to this?
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.
Continue reading Telling the true story , scene by scene
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?
Diagnosis: a matter of a thousand looks
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
A 75-year-old man with a diagnosis of biliary adenocarcinoma started, during his stay at the hospital, with a non-productive cough when lying down, but stopping when standing up.
Continue reading Clinical case: non-productive cough at bedtime, disappears upon rising