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…
Read More

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…
Read More

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…
Read More

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…
Read More

Clinical scenario It’s a busy Monday morning in ED, many ambulance are on the go. There’s been a car crash on the high street – says the nurse – we…
Read More

Clinical Scenario It’s a Saturday busy night, in ED when a 31 yo male comes referring pain in the chin and next to the right ear after a trauma. He…
Read More

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…
Read More

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…
Read More

Clinical Scenario A 30 yo woman comes in ED complaining a burning pain when urinating, hematuria  and increased of urinary frequency.  She denies abdominal pain, fever, and vaginal discharge, she…
Read More

Clinical Scenario A young healthy man presents to the ED because of acute onset severe headheache. The pain has started the day before while he was swimming, he refers the…
Read More