Solving the Diagnostic Challenge: A Patient-Centered Approach

Patient-centered care with the Patient Rights Charter approach: A qualitative study

  Introduction Patient-centered care is one of the major priorities of the health system to improve patient safety and satisfaction, but in many cases it is not provided in accordance with the Patient Rights Charter. Therefore, the present study aimed to design a patient-centered model of care with the approach of the Charter of Patient Rights in Arbitrary Hospitals of the Ministry of Health o...

Pseudoachalasia: a diagnostic challenge

Here, we present a case of a 78-year-old man that underwent gastrointestinal endoscopy because of one- monthhistory of dysphagia to liquids and solid foods with accompanying weight loss. On endoscopy, there was distalesophageal stenosis. Multiple biopsies were obtained. Histologic examination of the samples revealed normaltissue. The stenosis was treated by dilatation and abdomino pelvic comput...

Laryngeal Paraganglioma: A Diagnostic Challenge

Paragangliomas are neoplasms of neural crest origin. In the head and neck, they uncommonly involve the larynx. The distinction between paragangliomas and other neuroendocrine tumors can be difficult. Precise diagnosis is important in order to optimize patient treatment. Diagnosis relies mostly on histopathologic examination followed by immunohistochemistry. Here we report a 77-year-old woman wi...

Unruptured Middle Cerebral Artery Aneurysm in a Patient with Systemic Lupus Erthematosus: A Diagnostic Challenge

A 22-year-old female patient presented to the Emergency Department of a tertiary care hospital with symptoms of headache and nausea. She has been on a regular follow-up for the preceding three and a half years after being diagnosed as systemic lupus erythematosus (SLE). She had been treated earlier for SLE nephritis in the same institution, and had two relapses of nephrotic syndrome in the last...

Patient centered care--evolution and challenge.