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Blood test and urgent abdominal conditions

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 the first time he suffers abdominal pain. He has not history of surgery. The patient is afebrile, HR is 80, BP is 180/100, ECG is normal. The abdomen…

ByCiro Paolillo1 January 20160Comments

Abdomen Blood

Diagnosis of diverticulitis with hands and blood tests. Is it a good idea?

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 37.5°C. Abdomen is treatable, with moderate pain and tenderness localized at LLQ , there is not history of prior abdominal surgery. ED US excluded the…

ByCiro Paolillo7 March 20130Comments

Blood

Is CRP useful alone to support the hypotesis of a bacteremia?

I t’s a very cold February, but ED is very hot in every sense of the word. A 22 y/o student refers stomach pain, chills, fever and diffuse muscolar pain. He has fever (38° C) there is a mild diffuse abdominal pain. The CRP value is 30 mg/L. Are there flu symptoms,…

ByCiro Paolillo25 February 20130Comments

Abdomen

Is CRP correlated to CT result in the evaluation of abdominal pain?

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 presented non icteric, afebrile, not tachicardic. The abdomen was mildly distensed with midline tenderness. The US evidenced a normal aorta diameter. Abdominal…

ByCiro Paolillo10 May 20120Comments

The Emergency Physician

Blood test and urgent abdominal conditions

Diagnosis of diverticulitis with hands and blood tests. Is it a good idea?

Is CRP useful alone to support the hypotesis of a bacteremia?

Is CRP correlated to CT result in the evaluation of abdominal pain?

Septic Arthritis

Septic Arthritis and Arthrocentesis

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