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→
Bone lesions in cancer patients must be identified as malignant or benign due to the important prognostic and therapeutic implications. Benign bone fi ndings detected during the staging period and follow-up are common in cancer patients. The knowledge of these entities in this context could help to reduce the possibility of a cognitive bias.
Diagnostic errors are an important aspect of the Patient Safety movement, but their relationship with the Quality Improvement world is difficult to grab. The concepts about accident theory, work environment, root-cause analysis, are basic to have a complete landscape…
CLINICAL CASE: A 69-year-old woman without previous disease presented to the Emergency Room (ER) with an acute left hemiparesis, dysarthria and hemifacial deviation to the right.
A CAT scan showed a 3 cm intracraneal lump located in the left temporo-occipital area, without signs of cerebral infiltration. The initial clinical judgment established a relation between the lump and the clinical signs of the patient. Do you agree?
A 75-year-old woman had a recent diagnosis of disseminated endometrial cancer. She had a previous diagnosis of poliomyelitis with muscular atrophy in both legs from her childhood . She went to the hospital with back pain, weakness and constipation. She was evaluated for an expert but in the context of the Emergency Department.