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1.
Pneumologie ; 76(9): 622-625, 2022 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-35405758

RESUMO

Ipsilateral pneumothoraces are a common complication after transbronchial forceps biopsy. In this case report, a contralateral tension pneumothorax and a pneumoperitoneum occurred following transbronchial forceps biopsy in addition to an ipsilateral pneumothorax.


Assuntos
Biópsia , Broncoscopia , Pneumotórax , Biópsia/efeitos adversos , Broncoscopia/efeitos adversos , Broncoscopia/instrumentação , Humanos , Pneumotórax/etiologia , Instrumentos Cirúrgicos
2.
BMC Med Educ ; 15: 62, 2015 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-25880036

RESUMO

BACKGROUND: During the four-month internal medicine clerkship in their final year, undergraduate medical students are closely involved in patient care. Little is known about what constitutes their typical learning experiences with respect to patient diversity within the different subspecialties of internal medicine and during on call hours. METHODS: 25 final year medical students (16 female, 9 male) on their internal medicine clerkship participated in this observational single-center study. To detail the patient diversity encountered by medical students at a university hospital during their 16-week internal medicine clerkship, all participants self-reported their patient contacts in the different subspecialties and during on call hours on patient encounter cards. Patients' chief complaint, suspected main diagnosis, planned diagnostic investigations, and therapy in seven different internal medicine subspecialties and the on call medicine service were documented. RESULTS: 496 PECs were analysed in total. The greatest diversity of chief complaints (CC) and suspected main diagnoses (SMD) was observed in patients encountered on call, with the combined frequencies of the three most common CCs or SMDs accounting for only 23% and 25%, respectively. Combined, the three most commonly encountered CC/SMD accounted for high percentages (82%/63%), i.e. less diversity, in oncology and low percentages (37%/32%), i.e. high diversity, in nephrology. The percentage of all diagnostic investigations and therapies that were classified as "basic" differed between the subspecialties from 82%/94% (on call) to 37%/50% (pulmonology/oncology). The only subspecialty with no significant difference compared with on call was nephrology for diagnostic investigations. With respect to therapy, nephrology and infectious diseases showed no significant differences compared with on call. CONCLUSIONS: Internal medicine clerkships at a university hospital provide students with a very limited patient diversity in most internal medicine subspecialties. Shadowing the on call resident or shorter rotations could provide a more extended patient diversity.


Assuntos
Estágio Clínico , Competência Clínica , Currículo , Hospitais Universitários , Medicina Interna/educação , Medicina , Adulto , Estudos de Coortes , Feminino , Alemanha , Humanos , Masculino , Anamnese , Prontuários Médicos
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