Clinical Scenario A 80 YO man with a history of hypertension presents to the ED complaining of abdominal pain. He felt well until 8 hours ago, when he developed diffuse…
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Clinical Scenario A 70 yo woman is brought to the ED by ambulance. She’s suffering from vomit, lach of flatus and abdominal pain since 24 hours says the nurse. She’s pale, the…
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Clinical Scenario It’s a busy Monday morning in ED. A doctor at the phone – calls the nurse – there’s a primary care physician.  Hi – says a voice on the other side…
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Clinical Scenario It’s the begining of another night shift in ED. Rik, an agreable young colleague approximates: Hi– he says – I have just seen a 60 y/o man who refers epigastric…
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Clinical Scenario A 35 yo smokerman presents at morning to the ED. He refers epigastric pain since seven days. The pain worses after eating, he refers nausea without vomit and…
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Clinical Scenario A 67 y/o woman arrives in the ED at 5pm because of diffused abdominal pain since 2 hours. She has nausea and she refers costipation from the day…
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Clinical Scenario It’s about the end of  the night shift, in Observation Unit there’s George a 25 yo male presented the evening before with a mild periumbilical pain since 2…
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Clinical Scenario Mr. Smith is a 39 yo man with abdominal pain. He has been visited, few hours ago, by his primary care doctor who sent him to you for…
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Clinical Scenario It’s just started your night shift, Sara is a young EP, she is going home after an hard day.  Hello – she says tired – could you help…
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Clinical scenario A 66 yo man complains of left lower quadrant (LLQ) pain, anoressia and fever, it is the first time. The pain is acute, there is not vomit, temperature…
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