


Sudden Onset Severe Abdominal Pain
A 68-year-old man with a history of rheumatoid arthritis presents with sudden onset severe abdominal pain. On examination his abdomen is rigid, with generalized tenderness, guarding and rebound tenderness. An erect chest X-ray is performed, which is shown below:...
A 65-Year-Old Woman with Abdominal Pain and Syncope
A 65-year-old woman presents to the Emergency Department acutely unwell with abdominal and lower limb pain. She had a syncopal episode in the department and was moved into the resuscitation area. She had been taking prednisolone for polymalgia rheumatica until...