A 45 yr-old man is admitted with severe abdominal pain. His Chest X-ray is displayed opposite.
First of all: What is the diagnosis?
Your registrar says that the patient is going to theatre in the next hour for an exploratory laparotomy. They have asked you to "sort that out"
You do an ABC assessment and the patient is alert but complaining of severe pain. They are tachycardic and have cold hands. Their blood pressure is maintained.
What 3 issues do you need to prescribe for before theatre, and what important but often overlooked 2 further issues should you bear in mind when clerking the patient?
Answers to the this question coming in a day or so then you will be asked to prescribe for them....why not give it a go already??
The x-ray for this case was taken from radiopaedia....don't click on the link just yet or you'll spoil the suspense!! But once you have had a stab at the diagnosis then have a look. Case courtesy of Dr Frank Gaillard, <a href="http://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="http://radiopaedia.org/cases/18593">rID: 18593</a>