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 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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Clinical Scenario  A 72 y/o woman presented to the ED for swollen and painful leg. Physical examination shows an erythematous, tender and warm leg.  Probably it is a cellulitis.  In previous…
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A 74 yo/man complained of diffuse abdominal pain. The pain was intermittent and accompained by vomiting. He has no history of abdominal pain or abdominal surgery. On examinations the patient…
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A 33 y/o male comes to the ED for fever, knee swelling and pain. He has a history of joint surgery because of trauma, and prothesis, dating 4 years before.…
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A 30 yo man from Zambia comes to the ED accompained by his girlfriend, he is HIV positive and he has pneumonia, he never done CD4 count. CD4 count of <…
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A 84 y/o woman comes accompained by relatives for abdominal pain. She is oriented and cooperative, she suffers pain (NRS 10/10). Abdomen is treatable, but very painful in the lower…
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It’s 3.00 am when a 55 yo man is accompained to the ED by his wife because of sudden onset precordial pain, he has not clinical history, he does not…
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