Clinical Scenario   A 44 YO man presents to the ED complaining of abdominal pain. He was well until 4 hours ago, when he developed diffuse abdominal pain. This is…
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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 18 yo man comes to the ED in the morning because of low abdominal pain,fever and nausea. At palpation there is mild pain in the right inferior quadrant,not guarding. Could procalcitonin (PTC) helps to exclude quickly an acute appendicitis?     Conclusion The figures are clear. We cannot use the PCT to rule out an acute appendicitis, but it could be useful  to identifypatients that may have complicated appendicitis. In previous post we have pointed out the poor utility of signs and symptoms alone to screen patients with or withoutan acute appendicitis.…
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A 21 y/o man presents to the ED with pain in right low quadrant (RLQ) , anorexia, nausea and vomiting. His abdomen is soft, with a mild tenderness in RLQ,…
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  A 21 y/o man presents to the ED with pain in right low quadrant (RLQ) , anorexia, nausea and vomiting. His abdomen is soft, with a mild tenderness in…
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