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Ilenia Spallino

28 articles published Follow:

Bones and joints

Septic Arthritis

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. He is HIV positive He presents feverish (38°C), the left knee is swollen and hot. WBC 34.000/μL CRP 109 mg/L PCT 0,05 ng/mL Are history,…

ByIlenia Spallino18 January 20120Comments

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

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

Chest

D-dimer and Aortic dissection

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 smoke and he has an active life style, you find a normal blood pressure and clinical examination and a normal ECG, but the pain is…

ByIlenia Spallino17 May 20110Comments

The Emergency Physician

Ilenia Spallino

Septic Arthritis

Intestinal Ischemia and Lactate

Acute Dyspnoea and Laboratory

Acute dyspnoea and Lung Ultrasound

Acute dyspnoea and X-Ray

Acute dyspnoea and clinical findings

Clinical Signs and Meningitis

D-dimer and Aortic dissection

Septic Arthritis

Septic Arthritis and Arthrocentesis

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