A 92-Year-Old Man with Abdominal Pain Following Intractable Vomiting; a Photo Quiz
Journal Title: Archives of Academic Emergency Medicine - Year 2019, Vol 7, Issue 1
Abstract
A 92-year-old man with hypertension, chronic obstructive pulmonary disease (COPD), peptic ulcer disease and dementia presented to the emergency department with a 2-day history of abdominal pain in the left upper quadrant, distention, dry cough and intractable vomiting. On physical examination, the patient had epigastric tenderness and bowel sounds were reduced. The patient’s vital signs included blood pressure of 168/84 mmHg, heart rate of 99 beats/minutes, respiratory rate of 24 beats/minutes, and oxygen saturation of 95% in room air. His temperature was 37.9 °C.
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