уou need to сover these areas:
? Context – epidemiology, risk factors and causes
? Pathophysiology (and complications)
? Clinical manifestation
George Hodges; 48 ♂
Tasked at 19:03 to a private home for a patient with severe abdominal pain
Patient lying in bed. Wife and son present.
Sudden onset of epigastric pain about 1 hour after eating. Has had similar episodes over last 6 months, but this is episode is much more severe. Has not seen doctor about the pain.
Live with wife. Normally works nights as a security guard
Mother & father both alive; father has heart disease
Tends to eat a lot of takeaway.
2 -3 beers each day. Sometimes has some spirits.
HR 88 (weak & regular)
Skin Pale, sweaty & warm,
Pain Sharp, stabbing epigastric pain; sudden onset after dinner, 10/10
Secondary survey findings
Patient has had similar episodes of pain after eating for the last 3 months. Seems to be worse after eating chips or other fatty food, or drinking too much alcohol. Patient is rather obese.
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