Pulmonary embolus: a second opportunity
A 65-year-old man with a previous diagnosis of disseminated neoplasia began to notice an acute pain in the left hemithorax at his home, without fever or trauma. This is the story of his evolution during his care in a hospital.
An Urinary Bladder Perforation is an uncommon complication but could be useful for a clinical reasoning exercise.
A 70-year-old patient was admitted with neutropenia, moderate thrombocytopenia, and fever, following chemotherapy. starting with antibiotics until normalization of neutrophils. As platelets persisted in values of 56,000 x109/L, a transfusion was decided. Three days later there was no improvement in the level of platelets. Continue reading More is not always better
The publication by Caparica and cols. in the Journal of Global Oncology (Volume 2, Issue 3, June 2016) help to clarify a challenging situation in Medical Oncology. When in the follow-up of a cancer patient some new pulmonary lesions are detected is mandatory to know if they are associated with the tumor or not.
Author : Guillermo Ojeda Burgos. Internal Medicine. January 2016
You can read this Post in spanish/ leer en español en: aequanimitas.net
The clinical approach to a patient is something that we often speak in clinical settings but it is not easy to define. A good initial clinical approach determine the clinical course of the diagnostic process . I would like to consider some reflections about this subject.
Continue reading The importance of the first clinical orientation
http://www.the-hospitalist.org/article/tips-for-hospitalists-on-improving-diagnostic-skills/