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An elderly patient presented to the emergency department from a care home after the patient had a brief loss of consciousness and had vomited three times, non-bilious in nature. The patient had a recent history of diarrhoea (1 week) for which they were given loperamide. The patient also had a past medical history including a dense left hemiparesis and dementia. No history was obtainable history due to advanced dementia. Exam findings were a mildly tender …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.