18th July 2023

A 76-year-old man complains of a 2-day history of vomiting after a bout of ‘food poisoning’

A 76-year-old man complains of a 2-day history of vomiting after a bout of ‘food poisoning’. This morning he complains of sudden severe chest pain. On examination, he has palpable crepitus and oedema on the left side of the neck. His observations are as follows:

Temperature 37.7oC

Heart Rate 115

Blood Pressure 90/50

Respiratory Rate 28

Oxygen saturation 94% RA

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.