Case 1

A 27-year-old male attends the ED. He is a foundation year 2 doctor in the special care baby unit. He states he is in agony at triage and cannot sit still in the waiting room. He is complaining of severe right sided abdominal and loin pain. He is apyrexial with a heart rate of 102 and a blood pressure of 115/78.

He was previously fit and well and has no allergies. His abdomen is difficult to assess as he will not sit still and is crying and sweating.