You are the consultant in charge of a tertiary ED at 2300. A new junior doctor asks nursing staff to arrange discharge of a 72-year-old man diagnosed with renal calculi, but nurses are concerned about ongoing right-sided abdominal pain. A CT abdomen is shown below.
| Observation |
Result |
| Post-CT BP |
80/40 mmHg |
| Pulse |
90/min |
| Respiratory rate |
16/min |
| SpO2 |
98% room air |
| Temperature |
37.5 C |
CT abdomen
State five (5) steps you would take in this circumstance.
(Marked out of 5.0)
/ 5
State five (5) limitations of bedside ultrasound when ruling out abdominal aortic aneurysm.
(Marked out of 5.0)
/ 5
State four (4) ultrasound features consistent with AAA rupture.
(Marked out of 4.0)
/ 4
State three (3) abnormal findings on the CT scan.
(Marked out of 3.0)
/ 3
After CT his BP is 80/40 mmHg without IV fluid. State four (4) points in your approach to fluid resuscitation.
(Marked out of 4.0)
/ 4
Total Score: 0 / 21
Percentage: 0%
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