Which test, coronary angiography or colonoscopy?

Cecioni, Ilaria; Filippo, Fassio; Chiara, Alamanni; Almerigogna, Fabio; Modesti, Pietro Amedeo

doi:10.1007/s11739-008-0213-4

The present report stresses two main points. The first is the obvious, possibly negative implications of a selective, disease- oriented, physical examination, often forced by time. The second is that diseases such as KS, often perceived as typical of AIDS, can be shared by other conditions of acquired immunodeficiency, particularly organ transplants. KS is a relatively rare disease, yet it may cause Intern Emerg Med (2007) 2:287–290 DOI 10.1007/s11739-007-0079-x P H Y S I C A L E X A M I N AT I O N Please, Sir, pull down your socks! D. Bonucchi • J. Piattoni • F. Ravera • A.M. Savazzi G. Cappelli • N. Pimpinelli • P.A. Modesti D. Bonucchi () • J. Piattoni • F. Ravera A.M. Savazzi • G. Cappelli Nephrology, Dialysis and Renal Transplantation Policlinico Hospital Via del Pozzo 71 I-41100 Modena, Italy e-mail: bonucchi.decenzio@policlinico.mo.it N. Pimpinelli Department of Dermatological Sciences University of Florence Medical School, Florence, Italy P.A. Modesti Department of Critical Care Medicine and Surgery University of Florence Florence, Italy Published online: 23 November 2007 Case report D. Bonucchi, J. Piattoni, F. Ravera, A.M. Savazzi, G. Cappelli A 48-year-old male patient presented at the regular followup visit seven months after a successful kidney transplant. After discussion of blood chemistries with the doctor, the patient underwent a physical examination. As usual, he unbuttoned his shirt and undid his trouser belt. Inspection of the limbs, after pulling up his trousers, confirmed the presence of ankle oedema; the graft was quite firm, with no murmurs in the area. Blood pressure was 140/80 mmHg. Fig. 1 Two nodular lesions of Kaposi’s sarcoma additional immunosuppression, In addition, immunodeficiency can also raise the incidence of more harmful skin cancers, e.g., melanoma (Table 1), whose detection clearly relies on a careful and complete clinical skin examination.

trova@unifi

Titolo:	Which test, coronary angiography or colonoscopy?
Autori di Ateneo:	CECIONI, ILARIA Filippo Fassio Chiara Alamanni ALMERIGOGNA, FABIO MODESTI, PIETRO AMEDEO mostra contributor esterni nascondi contributor esterni
Autori:	CECIONI, ILARIA; Filippo Fassio; Chiara Alamanni; ALMERIGOGNA, FABIO; MODESTI, PIETRO AMEDEO
Data di pubblicazione:	2008
Rivista:	INTERNAL AND EMERGENCY MEDICINE
Volume:	2
Pagina iniziale:	287
Pagina finale:	290
Abstract:	The present report stresses two main points. The first is the obvious, possibly negative implications of a selective, disease- oriented, physical examination, often forced by time. The second is that diseases such as KS, often perceived as typical of AIDS, can be shared by other conditions of acquired immunodeficiency, particularly organ transplants. KS is a relatively rare disease, yet it may cause Intern Emerg Med (2007) 2:287–290 DOI 10.1007/s11739-007-0079-x P H Y S I C A L E X A M I N AT I O N Please, Sir, pull down your socks! D. Bonucchi • J. Piattoni • F. Ravera • A.M. Savazzi G. Cappelli • N. Pimpinelli • P.A. Modesti D. Bonucchi () • J. Piattoni • F. Ravera A.M. Savazzi • G. Cappelli Nephrology, Dialysis and Renal Transplantation Policlinico Hospital Via del Pozzo 71 I-41100 Modena, Italy e-mail: bonucchi.decenzio@policlinico.mo.it N. Pimpinelli Department of Dermatological Sciences University of Florence Medical School, Florence, Italy P.A. Modesti Department of Critical Care Medicine and Surgery University of Florence Florence, Italy Published online: 23 November 2007 Case report D. Bonucchi, J. Piattoni, F. Ravera, A.M. Savazzi, G. Cappelli A 48-year-old male patient presented at the regular followup visit seven months after a successful kidney transplant. After discussion of blood chemistries with the doctor, the patient underwent a physical examination. As usual, he unbuttoned his shirt and undid his trouser belt. Inspection of the limbs, after pulling up his trousers, confirmed the presence of ankle oedema; the graft was quite firm, with no murmurs in the area. Blood pressure was 140/80 mmHg. Fig. 1 Two nodular lesions of Kaposi’s sarcoma additional immunosuppression, In addition, immunodeficiency can also raise the incidence of more harmful skin cancers, e.g., melanoma (Table 1), whose detection clearly relies on a careful and complete clinical skin examination.
Handle:	http://hdl.handle.net/2158/340238
Appare nelle tipologie:	1a - Articolo su rivista

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File	Descrizione	Tipologia	Licenza
IEM - Physical Examination 2008 Cecioni (palpazione).pdf		Versione finale referata	Open Access	Accesso pubblicoVisualizza/Apri
InternEmergMed2009.pdf		Versione finale referata	DRM non definito	Administrator

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