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.

Reversible posterior leukoencephalopathy: difficult to detect if you have another explanation

Satisfaction of search and the history of Ruth

Ruth was a 54-year-old woman with a malignant tumor for which she received treatment with a tyrosine kinase inhibitors. She was having the drug for a month without a problem. But one day she started with diarrhea, confusion and agitation.

Continue reading Reversible posterior leukoencephalopathy: difficult to detect if you have another explanation

Upper left abdominal pain: the origin may be in the spleen

 Summary

A 65-year-old woman went to Medical Oncology with upper left abdominal pain and on the left shoulder. He had been suffering from this pain for about 6 months before a road accident, but had increased in the last month, without nausea or vomiting. Three years earlier she had a diagnosis of colon adenocarcinoma, but there were no data of recurrence in the last visit.

Continue reading Upper left abdominal pain: the origin may be in the spleen

RCA: a change in the pain

Pennsylvania

María is a 64 year-old woman. She works very hard at home, even with her daily back pain. She had a diagnosis of polineuropathy in relation to diabetes lasting for 20 years, causing pain in both legs. In the last year the pain has increased and is more intense on her right hip, it seems to be different, but her doctor associates the pain with her usual spine problems.. Continue reading RCA: a change in the pain

Case Analysis: a problem of perception

cuba
Havana,Cuba? No, Málaga, Spain

He was my patient. A serious and educated 55- year-old man with a diagnosis of metastatic colon cancer waiting to start chemotherapy. I started my usual physical examination, normal conjuntival coloration, normal heart sounds, but something keeps my attention: no ventilation in the left basal lung. No signs of pleural effusion or atelectasia. No dyspnea or thoracic pain. I asked for a thoracic X-ray but nothing attracts my attention.

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