Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. In this ‘Gastroenterology Case Challenge’, join your fellow doctors to discuss and answer today’s question on diagnosing this case. A 19-year-old man comes to the emergency department with severe central abdominal pain with nausea and vomiting. He is rolling around in agony with tears in his eyes. He tells you the pain started suddenly in the central upper abdomen yesterday and has become progressively worse.
He does not smoke and only drinks at weekends with his friends. Family history, past medical and medication history are not significant. Upon physical examination, you observe that his BP is 80/40 mmHg, pulse 120 beats/min and he has a low-grade pyrexia and reddish - brown discoloration along the flanks. His abdomen is tender in the epigastrium and central abdomen with voluntary…
