tag:blogger.com,1999:blog-41393738557189256432013-05-19T08:21:10.171-07:00ciro paolillo chairmanhttp://www.blogger.com/profile/04963448010206765194noreply@blogger.comBlogger44125ALifeAtRiskTheEmergencyPhysicianhttp://feedburner.google.comtag:blogger.com,1999:blog-4139373855718925643.post-41305709010270434442013-05-14T11:44:00.004-07:002013-05-15T12:55:29.626-07:002013-05-15T12:55:29.626-07:00Clinical Scenario A 78 yo woman is brought from an assisted-living facility because of dyspnea and fever.&nbsp; She has an history of dyabetes and heart failure. She is confused, tachipnoic,...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/m5GD46UrAaU" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2013/05/clinical-scenario-78-yo-woman-is.htmltag:blogger.com,1999:blog-4139373855718925643.post-53015522467742779892013-04-22T13:01:00.004-07:002013-04-22T13:01:50.866-07:002013-04-22T13:01:50.866-07:00Clinical Scenario It’s just started your night shift, Sara is a young EP, she is going home after an hard day. &nbsp;Hello - she says tired - could you help me? There is a guy with abdominal pain...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/1_RwI0_gKns" height="1" width="1"/>ciro paolillo chairmanhttp://www.blogger.com/profile/04963448010206765194noreply@blogger.com0http://www.alifeatrisk.com/2013/04/how-have-you-come-to-hospital_22.htmltag:blogger.com,1999:blog-4139373855718925643.post-63627414705576554922013-04-10T08:57:00.000-07:002013-04-22T13:02:09.197-07:002013-04-22T13:02:09.197-07:00Clinical scenario A 66 yo man complains of left lower quadrant (LLQ) pain, anoressia and fever, it is the first time. The pain is acute, there is not vomit, temperature is 38°C. Abdomen is...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/_qFSvNBadFg" height="1" width="1"/>ciro paolillo chairmanhttp://www.blogger.com/profile/04963448010206765194noreply@blogger.com0http://www.alifeatrisk.com/2013/04/imaging-strategies-of-suspected-acute.htmltag:blogger.com,1999:blog-4139373855718925643.post-42453264471259393432013-04-02T14:01:00.000-07:002013-04-10T09:01:06.619-07:002013-04-10T09:01:06.619-07:00Clinical Scenario A 54 y/o man is brought to the ED because his wife has found him semiunconscious in the morning, he has &nbsp;not significant clincal history and does not take medicaments, he...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/LDNByh7KXiw" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2013/04/to-fill-or-not-to-fill-try-to-raise-legs.htmltag:blogger.com,1999:blog-4139373855718925643.post-36573952981436485432013-03-07T00:35:00.000-08:002013-04-02T14:02:12.388-07:002013-04-02T14:02:12.388-07:00Clinical Scenario A 66 yo man complains of left lower quadrant (LLQ) abdominal pain from 4/5 hours. The pain is described as crampy initially, than continuous, there is not vomit. Temperature is...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/b3YSdQovWSA" height="1" width="1"/>ciro paolillo chairmanhttp://www.blogger.com/profile/04963448010206765194noreply@blogger.com0http://www.alifeatrisk.com/2013/03/diagnosis-of-diverticulitis-with-hands.htmltag:blogger.com,1999:blog-4139373855718925643.post-27660334222033328952013-02-25T13:08:00.002-08:002013-03-07T00:35:41.997-08:002013-03-07T00:35:41.997-08:00Clinical Scenario It’s a very cold February, but ED is very hot in every sense of the word.&nbsp; A 22 y/o student refers stomach pain, chills, fever and diffuse muscolar pain. He has fever (38°...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/GWSunfoca-Y" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2013/02/is-crp-useful-alone-to-support.htmltag:blogger.com,1999:blog-4139373855718925643.post-48484260506624523472013-02-16T12:44:00.000-08:002013-02-25T13:09:12.588-08:002013-02-25T13:09:12.588-08:00Clinical Scenario A 35 y/o man is brought to the ED by friends and left there alone, he has high fever, he is from Ghana and he has just arrived, he speaks english not so well and he is confused...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/5idstD3clww" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com2http://www.alifeatrisk.com/2013/02/malaria-or-just-fever.htmltag:blogger.com,1999:blog-4139373855718925643.post-69376917027485990232013-02-04T10:31:00.000-08:002013-02-16T12:45:19.985-08:002013-02-16T12:45:19.985-08:00Clinical Scenario It’s a busy day in ED this morning.&nbsp; The first patient refers dyspnoea, he has an advanced pulmonary neoplasia, ultrasound and chest x-ray confirm that the left zone is...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/gMzJpf-ILJo" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2013/02/is-chest-x-ray-necessary-to-rule-out.htmltag:blogger.com,1999:blog-4139373855718925643.post-89562018330460682512013-01-15T00:15:00.000-08:002013-02-04T10:32:39.388-08:002013-02-04T10:32:39.388-08:00Clinical Scenario A 67 y/o man arrives to the ED by ambulance because of precordial pain since half an hour, during the transport, paramedics perform an ECG that shows a left bundle branch block...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/iNLsya4ofKc" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2013/01/useless-ecg.htmltag:blogger.com,1999:blog-4139373855718925643.post-18387073439877762832013-01-07T10:17:00.000-08:002013-01-15T08:04:04.639-08:002013-01-15T08:04:04.639-08:00Clinical Scenario Anthony, a 15 y/o student, slipped and fell while playng soccer. The next morning he refers continue pain on the right elbow. “Is it broken?” ask Anthony and his father at the...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/lV2Cs_zm-L0" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2013/01/is-it-broken_7.htmltag:blogger.com,1999:blog-4139373855718925643.post-47306783310744426732012-12-08T13:22:00.001-08:002013-01-07T10:20:15.309-08:002013-01-07T10:20:15.309-08:00Clinical Scenarios It is a busy day in your ED: A 60 y/o female refers a retrosternal pain radiates to right arm that lasts more than 20 minutes.&nbsp; A 50 y/o male refers a...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/t4FMqUFO-C4" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com1http://www.alifeatrisk.com/2012/12/atypical-or-typical-is-this-question.htmltag:blogger.com,1999:blog-4139373855718925643.post-38132352322992638522012-11-17T12:29:00.001-08:002012-12-08T13:30:22.156-08:002012-12-08T13:30:22.156-08:00Clinical Scenario A 33 y/o woman, comes to the ED because of a sudden emithorax pain on the left in basal region. The pain is described as stabbing, well localized, it worsen with inspirium …a...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/Oon8rD_s1c8" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/11/pleuritic-pain-end-of-saga.htmltag:blogger.com,1999:blog-4139373855718925643.post-87831248399498472912012-10-31T13:35:00.000-07:002012-11-17T12:29:59.032-08:002012-11-17T12:29:59.032-08:00Clinical Scenario A 80 y/o woman presented to the ED for dyspnoea. She underwent a knee replacement 2 weeks ago, RR is 24, O2 saturation is 88%. HR is 90, the knee is edematous. You are going...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/hbs1IZNSjvE" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com1http://www.alifeatrisk.com/2012/10/can-we-fight-against-pulmonary-embolism.htmltag:blogger.com,1999:blog-4139373855718925643.post-29809040793915614592012-10-27T11:20:00.001-07:002012-11-17T12:31:28.177-08:002012-11-17T12:31:28.177-08:00Clinical Scenario A 33 y/o woman, comes to the ED because of a sudden emithorax pain on the left in basal region. The pain is described as stabbing, well localized, it worsen with inspirium …a...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/Ib4ee-I_B-I" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/10/what-does-it-hide-behind-negative-x-ray.htmltag:blogger.com,1999:blog-4139373855718925643.post-44890316986241252942012-10-11T09:25:00.001-07:002012-10-27T11:21:38.713-07:002012-10-27T11:21:38.713-07:00Clinical Scenario A 33 y/o woman, comes to the ED because of a sudden emithorax pain localized on the left in basal region. The pain is described as stabbing, well localised, it worsen with...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/-lhwtpIlG8Q" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/10/clinical-scenario-33-yo-woman-comes-to.htmltag:blogger.com,1999:blog-4139373855718925643.post-13957617112204575522012-10-04T12:54:00.002-07:002012-10-16T08:00:21.511-07:002012-10-16T08:00:21.511-07:00Clinical 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...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/NrGNXzV-U4M" height="1" width="1"/>ciro paolillo chairmanhttp://www.blogger.com/profile/04963448010206765194noreply@blogger.com0http://www.alifeatrisk.com/2012/10/does-procalcitonin-have-role-in_4.htmltag:blogger.com,1999:blog-4139373855718925643.post-59886295482273880262012-09-07T10:37:00.000-07:002012-10-16T07:39:36.778-07:002012-10-16T07:39:36.778-07:00Clinical Scenario &nbsp;A 40 yo lady arrives in ED by ambulance with neck and spinal immobilization because she fell down a staircare. &nbsp;The patient’s vital signs are within normal...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/3k6kdjZxAgg" height="1" width="1"/>ciro paolillo chairmanhttp://www.blogger.com/profile/04963448010206765194noreply@blogger.com0http://www.alifeatrisk.com/2012/09/is-cervical-spine-x-ray-necessary-if.htmltag:blogger.com,1999:blog-4139373855718925643.post-7448058599420949002012-08-20T03:11:00.000-07:002012-08-20T03:11:03.537-07:002012-08-20T03:11:03.537-07:00Clinical Scenario A 72 y/o woman presented to the ED for swollen and painful leg. Physical examination shows an erythematous, tender and warm leg.&nbsp; Probably it is a cellulitis.&nbsp; In...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/ZjqpPtl8I68" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/08/cellulitis-and-role-of-laboratory.htmltag:blogger.com,1999:blog-4139373855718925643.post-44041746396198439002012-07-21T04:51:00.000-07:002012-07-21T04:51:46.163-07:002012-07-21T04:51:46.163-07:00Clinical Scenario A 84 yo woman arrives in ED in midnight coming from a nursing because of a&nbsp;reported episode of coffee ground vomiting.&nbsp; Respiratory rate, heart rate and blood...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/tahPN8pZudo" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/07/goodbye-nasogastric-lavage.htmltag:blogger.com,1999:blog-4139373855718925643.post-88659572587650075412012-07-11T05:24:00.000-07:002012-07-11T05:31:46.074-07:002012-07-11T05:31:46.074-07:00Clinical Scenario You are allerted for a level 3 trauma from the mountain, a cyclist has fallen going down hill. You prepar the shock room with everything you may need, dress up, and wait. A 25...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/Dpml0k-dkKQ" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/07/can-ultrasound-rule-out-pneumothorax.htmltag:blogger.com,1999:blog-4139373855718925643.post-76121366214049799532012-07-02T08:29:00.003-07:002012-07-11T05:32:34.239-07:002012-07-11T05:32:34.239-07:00Clinical Scenario You are alerted for a level 3 trauma coming from the mountain, a cyclist has fallen going down hill. You prepare the shock room with everything you may need, dress up, and...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/NP_jcK-iWcE" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/07/thoracic-trauma-and-chest-x-ray.htmltag:blogger.com,1999:blog-4139373855718925643.post-39813476033061043562012-06-28T11:16:00.000-07:002012-07-11T03:32:11.792-07:002012-07-11T03:32:11.792-07:00Clinical Scenario&nbsp; A 70 yo man come to the ED for restrosternal chest pain and shortness of breath during minimal activity in the last days. He is an ex smoker, with a history of hypertension....<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/tWp94crvWbQ" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/06/chest-x-ray-and-aortic-dissection.htmltag:blogger.com,1999:blog-4139373855718925643.post-41924092562836280952012-05-28T00:35:00.000-07:002012-10-16T08:01:30.069-07:002012-10-16T08:01:30.069-07:00A 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...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/6XFYwis2swA" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/05/is-crp-correlated-to-ct-result-in.htmltag:blogger.com,1999:blog-4139373855718925643.post-32722812043691283622012-05-01T09:58:00.000-07:002012-07-11T03:33:12.520-07:002012-07-11T03:33:12.520-07:00A 40 yo truck driver, presented in ED with substernal chest pain. He is healthy, no family history of CAD. Held for observation, serial ECG have not modified, not elevated...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/o3K8koTzI9s" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/05/how-lr-works-why-any-test-is.htmltag:blogger.com,1999:blog-4139373855718925643.post-43853774493854324052012-04-15T10:51:00.000-07:002012-10-16T07:28:24.650-07:002012-10-16T07:28:24.650-07:00A 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 nonicteric. The abdomen is soft,...<br/> <br/> [[ This is a content summary only. Visit my website for full links, other content, and more! ]]<img src="http://feeds.feedburner.com/~r/ALifeAtRiskTheEmergencyPhysician/~4/AeGKHkUvFyg" height="1" width="1"/>ilenia spallino chairwomanhttps://plus.google.com/115416004319609461305noreply@blogger.com0http://www.alifeatrisk.com/2012/04/does-murphys-sign-and-sonographic.html