Tag Archives: premature closure

Cognitive Bias. Upper Urinary Tract Infection: A Dark Drawer?

Diagnosis: a matter of a thousand looks

 

Clinical Case

A 81-years-old woman with several diagnoses( cardiac failure, atrial fibrillation, back pain) and plenty of medication (more than 20 drugs daily) went to the Family Physician because of high fever (38 centigrades) and productive cough , Her physical examination Continue reading Cognitive Bias. Upper Urinary Tract Infection: A Dark Drawer?

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

If you hear hoofs you will see horses no zebras

IMG-20151206-WA0000_resized_3

An 80-year-old man had a diagnosis of heart failure, atrial fibrilation and diabetes. He was taking digoxin and warfarin. He went to the Emergency Department  with nausea, vomiting and pain on his upper right quadrant. No bleeding was present but the hemoglobin level value was 7,9 g/dl. Digoxin level was higher than normal. The initial diagnosis was digoxin overdose and anemic syndrome.

Continue reading If you hear hoofs you will see horses no zebras