Page 7 – A life at risk

Soft tissue abscess the clinical evaluation

Male 65 y/o, he complains pain and swelling in left groin, he has history of hypertension. He has not fever. Clinical examination shows swelling, skin is hot and eritematous. Is it an abscess, a cellulitis or something else? Conclusion Differentiating a soft tissue abscess from cellulitis is important because each disorder requires a different…

ByCiro Paolillo14 December 20110Comments

Abdomen

Acute appendicitis and signs

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, the psoas sign is positive. The pain is aggravate by cough. You perform kindly a rectal examination with pain. Are this signs useful for the…

ByCiro Paolillo1 December 20110Comments

Abdomen

Intestinal Ischemia and Lactate

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 quadrants, you see green watering diarrhea, she has not fever. Abdominal Radiograph shows air/fluid levels WBC: 35000/μl PCR: 22 mg/L Lactate: 1,7 Can you rule…

ByIlenia Spallino23 November 20110Comments

Chest

Acute Dyspnoea and Laboratory

I t’s a dark night when a red code arrive at the ED by ambulance. Paramedics tell you: “called for acute dyspnoea, I think it’s a COPD exacerbation, he is wheezing, I gave him bronchodilators and steroids, but he is worsening”. He has a history of COPD and hypertension. He presents sweaty, dyspneic,…

ByIlenia Spallino5 November 20110Comments

Chest Ultrasound

Acute dyspnoea and Lung Ultrasound

It's a dark night when a red code arrive at the ED by ambulance. Paramedics tell you: “called for acute dyspnoea, I think it’s a COPD exacerbation, he is wheezing, I gave him bronchodilators and steroids, but he is worsening”. He has a history of COPD and hypertension. He presents sweaty, dyspneic, arterial…

ByIlenia Spallino31 October 20110Comments

Abdomen

Acute appendicitis and Symptoms

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, the psoas sign is positive. The pain is aggravate by cough. You perform kindly a rectal examination with pain. Are this signs useful for the…

ByCiro Paolillo21 October 20110Comments

Chest

Acute dyspnoea and X-Ray

I t's a dark night when a red code arrive at the ED by ambulance. Paramedics tell you: “called for acute dyspnoea, I think it’s a COPD exacerbation, he is wheezing, I gave him bronchodilators and steroids, but he is worsening”. He has a history of COPD and hypertension. He presents sweaty, dyspneic,…

ByIlenia Spallino18 October 20110Comments

Chest

Acute dyspnoea and clinical findings

I t's a dark night when a red code arrive at the ED by ambulance. Paramedics tell you: “called for acute dyspnoea, I think it’s a COPD exacerbation, he is wheezing, I gave him bronchodilators and steroids, but he is worsening”. He has a history of COPD and hypertension. He presents sweaty, dyspneic, arterial pressure…

ByIlenia Spallino5 October 20110Comments

Head

Clinical Signs and Meningitis

It's 4 in the morning when a 23 y/o female comes to the ED concerning bilteral legs pain and disuria. She has not clinical history, she has fever, the pain is bilteral and diffused, “the whole leg pains” and she has difficult in urine, you think about a radiculopathy due to possible neuro system infection…

ByIlenia Spallino23 August 20110Comments

Soft tissue abscess the clinical evaluation

Acute appendicitis and signs

Intestinal Ischemia and Lactate

Acute Dyspnoea and Laboratory

Acute dyspnoea and Lung Ultrasound

Acute appendicitis and Symptoms

Acute dyspnoea and X-Ray

Acute dyspnoea and clinical findings

Clinical Signs and Meningitis

Septic Arthritis

Septic Arthritis and Arthrocentesis

Is cervical spine X-ray necessary if there is a distracting injury?