A 23-Year-Old Woman with Lower Abdominal Pain

A 23-Year-Old Woman with Lower Abdominal Pain

Jan 1, 2019 | 0 comments

A 23-year-old woman presents with lower abdominal pain, dysuria, dyspareunia, and purulent vaginal discharge. A pregnancy test performed today is negative. She is afebrile and her observations are normal. On examination, her abdomen is soft but she cervical motion...
Sudden Onset Severe Abdominal Pain

Sudden Onset Severe Abdominal Pain

Jan 1, 2018 | 1 comment

A 68-year-old man with a history of rheumatoid arthritis presents with sudden onset severe abdominal pain. On examination his abdomen is rigid, with generalized tenderness, guarding and rebound tenderness. An erect chest X-ray is performed, which is shown below:...
A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-Year-Old Woman with Abdominal Pain and Syncope

Jun 1, 2017 | 0 comments

A 65-year-old woman presents to the Emergency Department acutely unwell with abdominal and lower limb pain. She had a syncopal episode in the department and was moved into the resuscitation area. She had been taking prednisolone for polymalgia rheumatica until...
A Young Asthmatic with Headache and Abdominal Pain

A Young Asthmatic with Headache and Abdominal Pain

May 1, 2017 | 1 comment

A 28-year-old man with a known history of asthma presents with headache, nausea and abdominal pain. His heart rate is elevated at 117 bpm. He currently takes a salbutamol inhaler and a theophylline for his asthma. He had attended the Emergency Department a few days...
A 60-Year-Old with Abdominal Pain

A 60-Year-Old with Abdominal Pain

Feb 1, 2016 | 4 comments

A 60-year-old woman presents with a one-week history of abdominal pain, nausea and reduced frequency of bowel motions. Her observations are as follows: HR 97, BP 113/76, RR 19, SaO2 98% on air. On examination she has right upper quadrant tenderness. Her chest X-ray is...