Question

A 60-year-old man with known peptic ulcer disease presents with sudden severe epigastric pain radiating to the back and rigid abdomen. Suspected perforation. According to NICE, which immediate diagnostic test is most appropriate?

Accepted Answer

Erect chest X-ray

Answer

Abdominal ultrasound

Answer

Contrast CT abdomen

Answer

Endoscopy

Answer

MRI abdomen

Practice question

A 60-year-old man with known peptic ulcer disease presents with sudden severe epigastric pain radiating to the back and rigid abdomen. Suspected perforation. According to NICE, which immediate diagnostic test is most appropriate?