Gastroenterology
Case 35: A Patient with Severe Abdominal Pain
CASE
An 85‐year‐old man is admitted with severe abdominal pain. This was of sudden onset, starting at 7.30 in the evening. The pain is situated above the umbilicus radiating through to the back. It is colicky in nature and associated with vomiting and rigors.
On examination he looks unwell. He is dry and has a fever of 39°C. His pulse is 115 beats/min, and BP is 80/40 mmHg. He is jaundiced. Abdominal examination reveals upper abdominal tenderness but no palpable masses or organomegaly.
Blood tests showed:
Hb 12.5 g/dL WCC 22.4 × 109/L Platelets 235 × 109/L PT 11.9 sec Na 138 mmol/L K 4.8 mmol/L Urea 12.8 mmol/L Creatinine 150 µmol/L Albumin 30 g/L Bilirubin 140 µmol/L ALP 350 U/L ALT 95 U/L
QUESTION 1
Your score this session: 0 of 0
The combination of abdominal pain, fever and jaundice is known as: