medigraphic.com
SPANISH

Gaceta Médica de México

ISSN 0016-3813 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2004, Number S1

<< Back Next >>

Gac Med Mex 2004; 140 (S1)

The cases clinico-pathologic

Aguirre-García J, Ridaura-Sanz C
Full text How to cite this article

Language: Spanish
References: 8
Page: 53-56
PDF size: 44.19 Kb.


Key words:

Autopsia, teaching, clinico-pathologic correlation.

ABSTRACT

The clinicopathologic conference (CPC) was introduced by Dr. Richard C. Cabot at the Massachusetts General Hospital in the U.S. early in the past century. In a short time, it became one of the most popular medical teaching tools in the world. Despite certain differences between beside diagnosis and CPC diagnosis, the latter is a valuable teaching exercise.
During the past few decades, interest in CPCs has declined due to several isses: excessive concern with anatomic diagnosis at the expense of molecular pathogenesis and pathophysiology; emphasis on uncommon diseases; the pathologist being considered an adversary who enjoys demonstrating clinical discussion errors; autopsies failing to reveal abnormalities in physiopathologic disorders and it is not rare to fail to reveal cause of death, and the fact that very few cases are true diagnostic problems, due to advances in diagnostic techniques. In addition, with the decline of interest in autopsies during the past years, in several CPCs, many final diagnosis is performed by biopsy, laboratory tests, or imaging studies.
The ideal CPC case to conserve the educational role of this exercise is an autopsy case with adequated clinical, laboratory and/or imaging studies.


REFERENCES

  1. Ingelfinger FJ. Castleman of the CPC´S. N Engl J Med 1974;291:250-251.

  2. Scully RE, Vickery AL Jr. Surgical pathology at the hospitals of Harvard Medical School, In: Rosai J. Guiding the surgeon´s hand. The history of American surgical pathology. Washington D.C., USA: Armed Forces Institute of Pathology; 1997. Pp. 87-110.

  3. Scully RE. Ben Castleman champion of the CPC. N Engl J Med 1982;307:370-371.

  4. Relman AS, Lipkin M. Scully RE. Are the case records obsolete? Two views. N Engl J Med 1979;301:1112-1116.

  5. Harris NL. Case records of the Massachusetts General Hospital-Continuing to learn from the patient. N Engl J Med 2003;348:2252-2254.

  6. Garduño Espinosa A, Heshiki Nakandakari L, Ridaura Sanz C. Las sesiones anatomoclínicas en México en los albores del Siglo XXI. Rev Panam Salud Publica 1998;4:424-428.

  7. Lifshitz A. Resolviendo el ejercicio clinicopatológico (o cómo nadar fuera de la alberca). La práctica de la medicina clínica en la era tecnológica. Universidad Nacional Autónoma de México. Facultad de Medicina. Instituto Mexicano del Seguro Social. México D.F. pp. 39-44.

  8. Citado por Oliva Aldamiz H. Ángel Peña, el maestro prosector. Patología (Méx) 1997;35:5-11.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Gac Med Mex. 2004;140