problem-solving with clinical reasoning: a case report of coronavirus in immunosuppressive condition

Background: one of the most interesting parts of medical science is using clinical reasoningto solve clinical problems. in today’s world of medicine, with increasing amounts of scientificinformation and new diagnostic and treatment facilities, physicians’ responsibility in managingthe condition of patients becomes weightier. making the correct decision is an important goalthat can be achieved by having adequate information and using it appropriately. at this stage,we should follow the thought process of successful doctors and use information from booksand articles to solve clinical problems. the purpose of this article is to improve the skills ofphysicians in the effective use of knowledge and experience to solve clinical problems toincrease our success in fulfilling our responsibility to patients.methods: clinical reasoning enhances the quality of learning and increases the ability ofmedical students in clinical problem-solving. in this article, a patient with rheumatoid arthritisin the covid-19 pandemic developed respiratory distress, is identified by the clinical reasoningmethod and is treated, with his treatment then discussed. this article includes the following:prepare a list of differential diagnoses based on the list of signs and symptoms of the patient;modify the initial list to reflect findings from history and examinations; specify additionalinformation to make a correct diagnosis; and, finally, decide when the information is obtainedis sufficient to make the proper diagnosis.results: in recent years, clinical reasoning has received more attention in student olympiadcompetitions. professors in medical sciences should pay special attention to teaching this skillto students. it is necessary to plan for teaching this type of training and to design tests forevaluating students’ clinical reasoning. this article can thus be a useful guide for those whoenjoy working on a problem to get an answer.conclusion: this article shows how insidious and life-threatening a coronavirus infection canbe, and how useful clinical reasoning can be when present in all stages of dealing with thepatient, from the initial stages of taking the patient history to the end of treatment.