Could we make a diagnosis “before” the devastating consequences of a subarachnoid hemorrhage? Can we make an early diagnosis of cancer only using the symptoms and signs of a person? The NHS in United Kingdom has established a four weeks period of time after a suspicion of cancer for a definitive diagnosis, but how a doctor can get this “suspicion”? Continue reading Can we “suspect” a diagnosis “in advance”?
The Diagnostic Improvement theory is based in the assumption that two factors are involved in a diagnostic failure, the system, or the external environment, and the cognitive process of pattern recognition and decision making. Can we select a simple rule with an important impact for improvement?… Continue reading Pattern recognition or Patient recognition?: a real clinical improvement
A 72-year-old man had a previous history of myocardial infarction and renal insufficiency with hemodialysis in relation to policystyc kidneys. He started with acute abdominal pain, diarrea and mild rectorragia without fever or vomiting… Continue reading Easy to think, difficult to treat: ischemic colitis
A 45-year-old woman was diagnosed with an stage III ovarian carcinoma.Five months later her neurological condition changed.