A 60-year-old male presents with sudden onset of severe abdominal pain that is constant and out of proportion to examination findings. His abdomen is ...

Question

A 60-year-old male presents with sudden onset of severe abdominal pain that is constant and out of proportion to examination findings. His abdomen is soft with minimal tenderness despite him reporting 10/10 pain. He has atrial fibrillation. What diagnosis should be strongly suspected?

Accepted Answer

Acute mesenteric ischaemia - pain out of proportion to examination findings is the hallmark early sign

Answer

Renal colic

Answer

Acute pancreatitis

Answer

Perforated duodenal ulcer

Answer

Irritable bowel syndrome

uk-dipimc MCQ (SBA): Acute Mesenteric Ischaemia

A 60-year-old male presents with sudden onset of severe abdominal pain that is constant and out of proportion to examination findings. His abdomen is soft with minimal tenderness despite him reporting 10/10 pain. He has atrial fibrillation. What diagnosis should be strongly suspected?