A 78-year-old woman with atrial fibrillation presents to an Adelaide ED, triage category 2, with severe abdominal pain out of proportion to

Question

A 78-year-old woman with atrial fibrillation presents to an Adelaide ED, triage category 2, with severe abdominal pain out of proportion to examination. BP 102/66, HR 118. Lactate is 5.6 mmol/L, WCC 23 and initial abdominal X-ray is nonspecific. What is the most appropriate investigation?

Accepted Answer

CT mesenteric angiography

Answer

Outpatient abdominal ultrasound

Answer

Plain abdominal radiograph series

Answer

Hydrogen breath test

Answer

Colonoscopy after bowel preparation

Acute mesenteric ischaemia — ACEM Fellowship MCQ

A 78-year-old woman with atrial fibrillation presents to an Adelaide ED, triage category 2, with severe abdominal pain out of proportion to examination. BP 102/66, HR 118. Lactate is 5.6 mmol/L, WCC 23 and initial abdominal X-ray is nonspecific. What is the most appropriate investigation?