From chest pain to diagnosis in a 61-year-old patient

March 7, 2023

A 61-year-old woman consulted a hematologist with complaints of chest pain, weight loss, and general weakness. Previously, she was consulted by a family doctor. It is necessary to analyze the patient’s complaints and anamnestic data, conduct an objective examination, appoint additional examinations, analyze the received data and choose treatment tactics.

The purpose of the training is to acquaint the users of the platform with the route and difficulties in diagnosis, establishment of the correct diagnosis and treatment of patients with hematological nosology at the outpatient and inpatient stages.

Authors

Julia Malysheva

Yulia Malysheva

Hematologist

Hematologist, “Avicena” clinic, Cherkasy (Ukraine)
Preparation of a description of a clinical case,
development hematological patients counseling recommendations and nosology description,
preparation of nosology description, preparation
imaging by clinical case

Dmytro Hamov

Dmytro Hamov

Hematologist

hematologist of the regional hospital Cherkasy (Ukraine)
review of clinical case materials,
review of the hematological patients counseling recommendations and nosology description,


Course Information

Difficulty: Difficulty level 2

Tracks:

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Competencies that will be acquired during the training

  • Definition of typical complaints and symptoms of certain hematological nosology
  • Communication with the patient
  • Objective examination of the patient
  • Analysis of the patient’s outpatient chart
  • Assessment of laboratory and instrumental examinations
  • Evaluation of MRI, CT data
  • Establishing a preliminary diagnosis
  • Differential diagnosis
  • Appointment of a follow-up plan for a patient with bone damage
  • Evaluation of myelogram in this clinical case
  • Establishing a clinical diagnosis
  • Designation of the plan of additional diagnostic examination in the hospital according to NCCN recommendations
  • Assessment of local damage in this nosology
  • Evaluation of laboratory examinations in the patient
  • Formulation of clinical diagnosis
  • Staging of the main pathology
  • Determination of the clinical group of an oncological patient
  • Patient risk assessment
  • Assessment of the risk of venous thromboembolism in certain nosological pathology
  • Review of NCCN and ESMO guidelines for first-line treatment
  • The choice of a treatment strategy for a given patient depends on the stage, age, and the presence of concomitant diseases
  • Appointment of drug treatment
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Course Information

Difficulty: Difficulty level 2

Tracks:

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