Clinical Case 2
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Question 1 of 3
1. Question
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.
Rank the following conditions in order of likelihood?
Scoring: Points are deducted for incorrect selections.
Sort elements
- 1st (most likely)
- 2nd
- 3rd
- 4th
- 5th (least likely)
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Perforated peptic ulcer
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Pancreatitis
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Gastritis
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Biliary colic
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Mesenteric ischaemia
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Question 2 of 3
2. Question
Investigations reveal a normal ECG and chest x-ray with mild derangement of LFTs and an amylase level in the high normal range.
Which of the following investigations are most useful at this stage?
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Question 3 of 3
3. Question
What would be the appropriate management of this patient?
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