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…
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Clinical Scenario   A 84 yo woman arrives in ED in midnight coming from a nursing because of a reported episode of coffee ground vomiting.  Respiratory rate, heart rate and blood…
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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 40 yo woman presented to the ED with upper quadrant pain since three hours after eating a tasty pizza. She is overweight, she presents feverish (38°C) her skin is…
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A 25 y/o man comes to the ED because of abdominal pain started 2 hours before, fever and vomit. He has not history of disease, no history of surgery, no…
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A 75 y/o man arrives in ED from a nursing.  He complains abdominal pain.  No fever, no jaundice, abdomen presents distended.  Inspection shows a midline old scar, there is diffuse…
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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 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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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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