Gallstone disease in adults / Cólico biliar en el adulto.

Abdominal pain is very common in the emergency department. Plenty of times patients complain of pain, but the physical examination results completely normal. Because of WHERE it hurts (upper right quadrant), suspicion of gallstone diseases rises. Things get tricky when lab results are normal, and the possibility of a final diagnosis in the ED disappears…

Cardiac tamponade / Taponamiento cardiaco.

A major complication of trauma and pericarditis, and a feared cause of hypotension and obstructive shock, cardiac tamponade occurs when there’s fluid in the pericardial space. This may be from effusion (pericarditis, serositis) or blood, such as in thoracic trauma. As the heart is “imprisoned” within its own pericardium, diastole is restricted, and ultimately systole…

Abdominal pain in the ED / Dolor abdominal en urgencias.

While very common in the emergency department, abdominal pain can be challenging, since the causes range from functional disorders, non severe organic diseases up to bad acute abdomen real life threatening emergencies. Women and elderly patients represent an even more challenging population due to an expanded list of possible diseases and higher frequency of atypical…

Lower extremity vascular disease:

Peripheral artery disease vs. deep venous thrombosis: PERIPHERAL ARTERY DISEASE (PAD).- Due to arterial stenosis. Associated with heavy and prolonged tobacco use and atherosclerotic disease. Reduce blood flow will cause signs and symptoms such as weak pulses, pallor, cold skin, ulceration and of course lower extremity pain that increases with exertion up to the point…