Clinical Case 2

A 56-year-old male presents with upper abdominal pain. He has a history of alcohol problems and a previous perforated duodenal ulcer for which he takes regular lansoprazole.

He looks pale and sweaty, he has a:

  • Pulse of 100 bpm
  • Blood pressure 110/80 mmHg
  • Respiratory rate 18 bpm
  • Oxygen saturations 96%
  • Temperature 36.8°C

On examination he has epigastric tenderness.