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A patient presented to the emergency department with a 2 h history of severe upper abdominal pain and vomiting. The only past medical history of note was a diagnosis of irritable bowel syndrome. The patient was distressed and vital signs were BP 124/80, T 36.8, P 77, RR 16 and oxygen saturations 99% on room air. Clinical examination revealed tenderness in the …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.
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