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15th July 2024
A 69-year-old woman was admitted under cardiology for an elective coronary angiogram
A 69-year-old woman was admitted under cardiology for an elective coronary angiogram. The procedure was uneventful but the following day, she complained of generalised abdominal pain. Bowel movements were normal. Later in the evening, she became acutely unwell with a GCS of 14, peripheral oedema and course bi-basal crackles. Her abdomen was tender generally but soft with no guarding. Her toes had a purplish discolouration and some splinter haemorrhages were noted. Blood pressure was 130/80 mmHg and pulse rate was 98 bpm. Investigations were as follows:
| Haemoglobin | 14.9 g/dL | Basophils | 0.1 |
| White cell count | 10.0 × 10⁹ /l | Monocytes | 0.3 |
| Platelets | 338 × 10⁹ /l | Serum sodium | 142 mmol/L |
| Neutrophils | 5.9 | Serum potassium | 6.1 mmol/L |
| Lymphocytes | 2.1 | Serum urea | 18.6 mmol/l |
| Eosinophils | 2.1 | Serum creatinine | 501 μmol/l |
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