AKT1-196

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 includes Hypertension, Ischaemic Heart Disease, B12 deficiency and Depression. He is a non-smoker and drinks ten units of alcohol a week.

Observations:

Heart Rate 100

Blood Pressure 145/97

Temperature 36.7

Respiratory rate 16,

Oxygen saturations 100%

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 would be the next most appropriate analgesic choice based on the most likely diagnosis?

BOOK NOW

tue20apr1:00 pm2:30 pmPLAB 1 '4 Week Booster' Webinar (13.00-14.30) | Free | 20th April 20211:00 pm - 2:30 pm

tue27apr10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 27th April 202110:00 am - 2:00 pm

tue25may10:00 am2:00 pmLive PLAB 2 Communications Skills Course (10.00-14.00) | 25th May 202110:00 am - 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

sat24jul9:00 am1:00 pmLive RCA Role-Play Course (09.00-13.00) | 24th July 20219:00 am - 1:00 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