31st July 2023

A 65-year-old man patient attends A&E with severe generalised abdominal pain and bloody diarrhoea

A 65-year-old man patient attends A&E with severe generalised abdominal pain and bloody diarrhoea. He has a background of type 2 diabetes mellitus.

His initial observations are: BP 80/60 mmHg, RR 21/min, HR 109 bpm, T 38.8ᵒC, SpO2 98% on room air. His abdomen is markedly tense on examination. A CT shows features of ischaemic colitis.

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