31st July 2023

A 75-year-old male with a background of Parkinson’s disease is brought to A&E from his care home

A 75-year-old male with a background of Parkinson’s disease is brought to A&E from his care home, with sudden onset abdominal pain and bilious vomiting. On examination, his abdomen is diffusely tender and distended. His current observations are: BP 111/80 mmHg, RR 16/min, HR 109 bpm, T 37.3ᵒC, SpO2 100% on air. Abdominal x-ray shows a coffee bean sign.

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