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A 68-year-old woman presented to the acute general practitioner service with a 7-day history of worsening shortness of breath and cough, nausea and vomiting of any oral intake, and for the past 3 days severe left-sided abdominal pain radiating through to the back. Past medical history was significant for chronic obstructive pulmonary …
Contributors NR was the junior doctor responsible for the patient at admission. He obtained consent to use the images, and wrote the case summary. SI was the consultant in charge of the patient’s care, who proof-read the article and gave final approval.
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.