AKT1-195

A home visit is arranged for a 45 year old man who has been unable to attend the surgery due to severe abdominal pain. It woke him last night and radiates down the left side of his abdomen. Paracetamol and Ibuprofen have been little help. He has felt nauseous but has not vomited, has no fever and his bowels are opening as normal. He has also experienced some urinary frequency and urgency. Past medical history is unremarkable. He is a non-smoker and drinks ten units of alcohol a week.

Observations:

Heart Rate: 100 bpm

Blood Pressure: 145/97 mmHg

Temperature: 36.7° C

Respiratory rate: 16 breaths per minute

Oxygen saturations: 100% on air

Examination: Mr Carter is very distressed and writhing around in pain. No significant abdominal distension or masses, tenderness to palpation in left flank and left iliac fossa, bowel sounds normal. Testicular examination unremarkable. Rectal examination refused.

According to NICE CKS guidelines what is the gold standard definitive investigation for his most likely diagnosis?

5% off as a thank you!

Use Coupon 'website5'

🙏 Our simple appreciation for you visiting today...

Dr Aman and Dr Pooja Arora :)

BOOK NOW

wed23jun1:00 pm2:00 pmPLAB 2 Communication Skills Webinar (13.00-14.00) | Free | 23rd June 20211:00 pm - 2:00 pm

tue29jun10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 29th June 202110:00 am - 2:00 pm

wed30jun8:30 pm9:30 pmCardiology Booster for GP Exams Webinar (20.30-21.30) | Free | 30th June 20218:30 pm - 9:30 pm

sat03jul9:30 am4:30 pmNational IMG Conference (09.30-16.30) | Free | 3rd July 20219:30 am - 4:30 pm

tue06jul8:30 pm9:30 pm'10 things I wish I knew before CCT' Webinar (20.30-21.30) | Free | 6th July 20218:30 pm - 9:30 pm

tue13jul8:30 pm9:30 pm'10 things I wish I knew before GP Training' Webinar (20.30-21.30) | Free | 13th July 20218:30 pm - 9:30 pm

thu22jul8:30 pm9:30 pmMSRA '6 Week Booster' Webinar (20.30-21.30) | Free | 22nd July 20218:30 pm - 9:30 pm

tue03aug10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 3rd August 202110:00 am - 2:00 pm

sat02oct9:30 am5:30 pmLive Big Mock AKT Course (09.30-17.30) | 2nd October 20219:30 am - 5:30 pm

sun02jan9:30 am5:30 pmLive Big Mock AKT Course (09.30-17.30) | 2nd January 20229:30 am - 5:30 pm

X