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Likelihood Ratio (LR) in Emergency Medicine
Showing posts with label alarm symptoms. Show all posts
Showing posts with label alarm symptoms. Show all posts

1/24/2014

Alarm symptoms and gastric cancer. Are they alarms or they are alarming?


Clinical Scenario

It’s a busy Monday morning in ED. 
A doctor at the phone – calls the nurse – there’s a primary care physician. 
Hi – says a voice on the other side –  I’m in a patient’s home. 
He’s a 40 yo man with dyspepsia, his wife refers weight loss of about 10 Kg in the last three months. He is pale, but not tachicardic, abdomen is treatable, on rectal examination I find normal stool. 

I’m warried he probably has a gastric cancer, Is it possible to schedule an urgent gastroscopy for this morning?


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