We have discussed the clinical findings from a patient diagnosed of ovarian cancer. The patient stayed at the hospital due to dyspnea in relation to pleural effussion, edema in both legs and fatigue. The first diagnostic possibility considered was ovarian cancer progression but the students make an exercise of differential diagnosis using numbers from 1 (less probable) to 5 for several possibilities.
The differential included: cardiac insufficiency, neumonia, liver failure, hypothiroidism and nephrotic syndrome. We also used Isabelhealthcare including the key words : dyspnea, pleural effussion, fatigue, edema and ovarian carcinoma.