Question

A 70-year-old man with a history of smoking presents with sudden severe back pain, hypotension and a pulsatile abdominal mass. What is the MOST appropriate immediate management?

Accepted Answer

Arrange urgent vascular surgery consultation and prepare for emergency repair

Answer

Order CT scan and discharge if pain resolves

Answer

Start oral analgesia and arrange outpatient ultrasound

Answer

Start anticoagulation

Answer

Observe for 24 hours in hospital without imaging

Practice question

A 70-year-old man with a history of smoking presents with sudden severe back pain, hypotension and a pulsatile abdominal mass. What is the MOST appropriate immediate management?