SAQ 435 – General Surgery – gastric volvulus on chest x-ray

A 78-year-old woman from a nursing home presents with 24 hours of generalised abdominal pain and vomiting. Her abdominal x-ray shows no obstruction. Her chest x-ray is shown below.

Observation	Result
Blood pressure	165/82 mmHg
Heart rate	90/min
Respiratory rate	20/min
Oxygen saturation	96% on room air
Temperature	36.2 C
GCS	14, normal for patient

What is the presumptive diagnosis?

(Marked out of 1.0)

/ 1

List five (5) important chest x-ray features, including three positive and two negative findings.

(Marked out of 5.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Feature type</th> <th>Finding</th> </tr> </thead> <tbody> <tr> <td>Positive 1.</td> <td></td> </tr> <tr> <td>Positive 2.</td> <td></td> </tr> <tr> <td>Positive 3.</td> <td></td> </tr> <tr> <td>Negative 1.</td> <td></td> </tr> <tr> <td>Negative 2.</td> <td></td> </tr> </tbody> </table> <p>

/ 5

List four (4) immediate management priorities.

(Marked out of 4.0)

/ 4

What is the role of a nasogastric tube in this patient?

(Marked out of 1.0)

/ 1

Total Score: 0 / 11

Percentage: 0%