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Does every shoulder pain means magnetic risonance?

A 35 y/o male come to the ED because of pain in his right shoulder, he refers the pain started some month ago during a tennis match, the pain continued but it wasn't so high so he kept playing in the last months, now it is worse. "My tennis mate told me I should perform…

ByIlenia Spallino9 February 20140Comments

Bones and joints

Sciatica: only pain control, or imaging? Point your big toe to your nose!!!

A 50 y/o friend of yours called for you. He refers low back pain radiating to his left leg from approximately 2 weeks. “help me doc - he says - I have a sciatica, a dog is biting my buttock, can you favor me with an urgent RMN?”. He is very suffering. During the straight…

ByCiro Paolillo11 July 20130Comments

Bones and joints

Is it broken?

A nthony, 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 triage desktop? There is pain and edema near the elbow, no radial pulse deficit, he can fully extend and flex the articulation,…

ByCiro Paolillo7 January 20130Comments

The Emergency Physician

Does every shoulder pain means magnetic risonance?

Sciatica: only pain control, or imaging? Point your big toe to your nose!!!

Is it broken?

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Septic Arthritis and Arthrocentesis

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