28th September 2020

A 60-year-old man with a background of ischaemic heart disease presents to the A&E

A 60-year-old man with a background of ischaemic heart disease presents to the A&E with acute onset abdominal pain. He appears drowsy and confused. On examination, there was tenderness maximal in the umbilical area. His observations include BP 85/60 mmHg, HR 100 bpm, temperature 37.0°C.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.